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°Cod -S(' Pe3t do �. <br /> DANE COUNTY Zoning Division <br /> PLANNING <br /> -;-. ;� -:'DEVELOPMENT Room 116, City-County Building <br /> ',1 ° ` 210 Martin Luther King Jr. Blvd. <br /> `�� -- Conditional Use Application Madison,Wisconsin 53703-3342 <br /> �" Phone: (608) 266-4266 <br /> ' � Fax: (608) 267-1540 <br /> Application Fee:$486 Mineral Extraction:$1136 <br /> Items required to be submitted with application: <br /> o Written Legal Description of Conditional Use Permit boundaries <br /> i o Scaled drawing of the property showing existing/proposed buildings, setback <br /> requirements, driveway, parking area, outside storage areas, location/type of exterior <br /> lighting, any natural features, and proposed signs. <br /> o Scaled map showing neighboring area land uses and zoning districts <br /> o Written operations plan describing the items listed below (additional items needed for <br /> mineral extraction sites) <br /> o Written statement on how the proposal meets the 6 standards of a Conditional Use <br /> Owner �#4-0 t J��- Agent <br /> Address 7 D4// i.J t;C.,- P- 0 Address <br /> Phone D�� zi��� G3 Phone <br /> Email Email <br /> Parcel numbers affected: S�OU J� <br /> D SD�6 y c 7 —o? sy-�of'own: �oX,6Jg 3-, Section: ;/5/-- <br /> Property Address:P 131CLt. it Zr ED <br /> Existing/Proposed Zoning District: A-( (cx) 4-2 <br /> --Type of Activity proposed: <br /> Separate checklist for mine l extraction uses must be completed. <br /> 00../kt fre:0 NJ (PLA-- - <br /> o Hours of Operation <br /> o Number of employees <br /> o Anticipated customers <br /> o Outside storage <br /> o Outdoor activities <br /> o Outdoor lighting <br /> o Outside loudspeakers <br /> o Proposed signs <br /> o Trash removal <br /> o Six Standards of CUP (see back) <br /> The statements provided are true and provide an accurate depiction of the proposed land use. I authorize that I am the owner or have permission to act <br /> on behalf of the owner of the property. /��� <br /> Submitted By: Date: /s- <br />