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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116,City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> 7 Conditional Use Application Madison,Wisconsin 53703-3342 <br /> F-S> � pP Phone: (608)266.4266 <br /> "►`"` �~ Fax: (608)267-1540 <br /> Application Fee:$486 Mineral Extraction:$1136 I <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 '.('D16 e.Qh4 vraveyP S Liz. Agent J l ei-h/W 1 - 1CO to c1L s <br /> Address 19t'/0 IL) •8 2-Tz-riAF /-1cuY YniltDt Address ( 60 1,0- 4a/el 7 - <br /> Phone n b -o 1 a - 3�4 8 Phone W1b 17 PS1 (43 W 1 S3 Z t -7 <br /> .1---& afus cool pA-Air cool U1/L7-s-b7- 3751 <br /> Email Email <br /> r-ck.s.<cti e)har►✓�'4�L.�„z, <br /> Parcel numbers affected: D 7 I - 34L 67420-40 Town: AD!�i ? Section: 4 <br /> C r7O q1' 3Lf1�! "60 Frts l <br /> Property Address: q c,�. Gu r Bri ria)c ll tu�I <br /> Existing/Proposed Zoning District: C 6 WI kV1 rvIc% L- <br /> (� L'I97A1( V y 224O/SSvi& /76•/.s- <br /> o Type of Activity proposed: jj,p V Lo LI�e -Q•) 17-14.% 1e 00A L <br /> UDC`l c r d F-t--t t-- x 14ritiu `t'O co rfiL rvl o1 i, I,)OI[o -7 n G file" <br /> ' P @ r (A) f?t-it,ed, -t fk,e ro evIdt)t D tkie1,0 5 J <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 • • '•=an accurate depiction of the proposed land use. I authorize that I am the owner or have permission tom <br /> on behalf of thy <br /> Submitted Date: , -7i/ <br /> S <br />