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DANE COUNTY <br /> �� Zoning Division <br /> j �,449 DEVELOPMENT Room 116, City-County Building <br /> 4 ti 4 ' 210 Martin Luther King Jr. Blvd. <br /> -'4if, Conditional Use Application Madison, Wisconsin 53703-3342 <br /> scams_:, Phone: (608) 266-4266 <br /> I Fax: (608) 267-1540 <br /> I 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 /> I mineral extraction sites) <br /> o Written statement on how the proposal meets the 6 standards of a Conditional Use <br /> Owner <br /> TAySO,v 1), JOnIES Agent >31226.NK07-7- Six rZVEY//46 lxc. <br /> Address 53 7 TEln(ER RI?, Address / . 7 7 Al. 3>z(SToL Sr. <br /> Phone MAT715 04) WI 53718 S uN -Piz a r e t E'1 1A11 5.3 Sq o <br /> Phone <br /> 6.95- 4 23 837- 744 <br /> Email Email <br /> \A/KM Jon! ES e. YAHoo, coki 41"/"D11" L� B/2EnIKo7`T <br /> S u2Y2. EYlAI ..Coot <br /> I Parcel numbers affected: 08/0 - 034- 9Soo- 8 Town: Bu.iz.tc Section: 23 <br /> Property Address: <br /> 5337 ZEINieR 1ZD, <br /> Existing/Proposed Zoning District: A- 1 / C - 2 <br /> o Type of Activity proposed: CAfZE AKE2, .EStt>�rt cE oµ C-2 �Aiac. <br /> Separate checklist for mineral extraction uses must be completed. <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: ,611244-A//RoTT Su1 N/E7tA.lC7 , /4c, Date: S'�z�/2o/� <br /> ��C A. a.eK) l=a,t: 3 2: <br /> MARK f Y.i,JoN6,l <br />