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BANE COUNTY Zoning Division <br /> PLANNING Dm-iii=1 O P M dam E N T Room 116, City-County Building <br /> :Pfr \ 210 Martin Luther King Jr. Blvd. <br /> .'°� Madison, Wisconsin 53703-3342 <br /> Conditional Use Application Phone: (608) 266-4266 <br /> tsa9 <br /> cor�s� 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 /> 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 su.1fg4T�n� orpm5 Agent RItrhaitp /c�ri s <br /> Address L. Ott STAVE /2.000 6126-40111y, 53573- Address )bb co, )1 / &A-y 5T <br /> Phone Phone lUl4l r/3-/f t�, (44 321 Z <br /> (ac) - Sa7 - 37S-1 <br /> Email Email <br /> rj ) ervn.a ,L <br /> Parcel numbers affected: 0,j„ 34 , .�,,�..`i Town: S a Section: 31-) <br /> D,1D • /-45c-e,D 016 '3`11 -5150 -07 <br /> Property Address: 37/, 0' sib �„4 <br /> Existing/ Proposed Zoning District: <br /> A Type of Activity proposed: <br /> R A Dnn fln 1L. <br /> o Hours of Operation I- Z`f <br /> o Number of employees - 0- <br /> o Anticipated customers o - <br /> o Outside storage 1jfi4 <br /> o Outdoor activities A,j • <br /> o Outdoor lighting . pc-e-r4i - L'"T" <br /> o Outside loudspeakers p p+ <br /> o Proposed signs - r a 2 E� no-ri <br /> o Trash removal N IA <br /> o Six Standards of CUP (see back) <br /> The statements provided are trop and rovi e 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 o of the prope . <br /> Submitted Date: <br />