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DANE COUNTY Zoning Division <br /> r ya PLANNING , D E V E L O P M E N T Room 116,City-County Building <br /> 1Y-V-a 210 Martin Luther King Jr. Blvd. <br /> +` Conditional Use A plication Madison,Wisconsin 53703-3342 <br /> #cr p Phone: (608)266-4266 <br /> '4.:' ? <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 /> 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 64s4.rtw.n 44 un-f-r,rv3 C I 61 I rte_ Agent a`lnr ie S V. Sw en ey <br /> Address -5-4.17 f/.//sale_ R, &y er+ n. W 1 5353f Address a E. M iff/: n S-I-.1 S+e• 200 <br /> Phone O .ok• k8�. !a s a k -Xiang, :sor, (h)I S 370 3 <br /> ■ <br /> ?horse G o8. a.13 Is 7Y <br /> Email Email <br /> 4 Ian-toi+ man @3 me. I . CO n-N C SW eels / ax 1 cy • Gorki <br /> Parcel numbers affected: 051 Z -014 I-_S SO0 -`i Town: 4// ; ,. Section: ..!o <br /> Property Address:381 7 //_•//S:de IZ d> 6 er4an <br /> Existing/Proposed Zoning District: R 0. ''L / 4 4"4 k %' 'cc-.,rte <br /> o Type of Activity proposed: <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 a ate 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 props . ���(/// Date:QlILI ��' <br />