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N o MI —NOV 90 '95 09:54 ADVANCED COMMUN�CH ht b i•- L b K �. I <br /> P.7'9& - ® 2 <br /> • roW of wirdsor <br /> Application <br /> for I • <br /> Zoning Hearing <br /> ga I �� •• <br /> • <br /> X Dane County Zoning, Variance, or Conditional Use I $1004 <br /> Sun Prairie Extraterritorial Zoning, Variance, Special <br /> Use, or conditional Use $250 • <br /> * Fee waived if combined with a paid Land Division Hearing Application. <br /> Applicants Name, Address, Daytime •Telephone <br /> Casey's General Stores, Inc. 515/965-6123 I <br /> r <br /> P.O. Box 3001, Ankeny, IA 50021-8045 <br /> 1. <br /> Owners Name, Address, Daytime Telephone •T _ • <br /> M.H.F. , Inc. (Michael Fitzgerald, President) i <br /> P.O. Box 348, Janesville, WI 53547 608/754-6648 <br /> • <br /> Property Description <br /> Legal Description: Lots 1 & 2 of Certified Survey Map #5779, Dane County, Wiscorsin <br /> Total Acreage/Area: . 29,221 SF <br /> Current Zoning District(s) :__` R-3A <br /> Proposed Zoning, Special or Conditional Use: Conditional Us for a� <br /> drive-in establishment <br /> Proposed Variance: <br /> Proposed Zoning District(s) :_.___• <br /> • <br /> •- <br /> ATTACH SCALE HAP & WRITTEN JUSTIFICATION FOR REQUEST <br /> 1 <br /> Certification 1• I . <br /> I certify that I am the owner or•agent for the owner of the above described property and <br /> that I will provide all information required by the Dane County or City of pun! 'Prairie <br /> Zoning Ordinances and the Town of Windsor Land Division and Subdivision Ordinance in <br /> effect at the time of this application. I have received a listing of the information <br /> required by these ordinances and acknowledge that failure to submit the information <br /> required by either Ordinance at the time of this application or to provide,iin a timely <br /> manner to permit for adequate review, other reasonable information as may bp required i'ar <br /> •---result in my in the denial of this proposal. <br /> • <br /> • <br /> Further, I agree to pay the costs of the Town Engineer, Town Attorney, Town, Planmer and <br /> other reasonable costs incurred by the Town which the Town Board deems necessary to assure <br /> compliance with the requirements Town regulations. <br /> I also acknowledge that I will be required to pay certain fees and charges end to <br /> construct public facilities that are necessary and related to this development as 'a <br /> condition to final approval by the Town of Windsor. 1 <br /> Signature Date • • <br /> 1 __ _• ; f ) jto <br /> Les Knust, Casey's General Stores, Inc. <br />