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DANE COUNTY Zoning Division <br /> PLANNING`:ti D E L O M E N T V P Room 116,City-County Building <br /> V 3- \ • 210 Martin Luther King Jr. Blvd. <br /> Conditional Use Application Madison,Wisconsin 53703-3342 <br /> �z� �1�" Phone: (608)266-4266 <br /> Fax:(608)267-1540 <br /> Application Fee:$488 Mineral Extraction:$1136 <br /> Items required to be submitted with application: <br /> o Written Legal Description of Conditional Use Permit boundaries <br /> ®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. 13I/Pr ✓L <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 -77/.77 ii9A/Dize vJ.s Agent <br /> Address 022.04/ A U L E.-___S 19 ril JE - Address <br /> Phone MAD1S041, 0 <br /> 6d S '— !1 Phone <br /> (C e-- a a3- 7c7 70 <br /> Email Email <br /> Parcel numbers affected: Town: /0417 n44 VI t.j.. Section: 1 <br /> Property Address: i. ; �1 I k/y1;a" 1.,)r <br /> Existing/Proposed Zoning District: <-"' C.. ` .y <br /> o Type of Activity proposed: <br /> Separate checklist for mineral extraction uses must be completed. <br /> O Hours of Operation ` -,-.7, <br /> o Number of employees /_ V <br /> o Anticipated customers 0" ./ <br /> Y O Outside storage - <br /> O Outdoor activities ti y zs 1 oa4"-A.z. a�a) `n v'A oc,o!, ,,..,� 1 ci�n�,v N\(../` crc■ : �% tom' <br /> r <br /> o Outdoor lighting L ,.:5 - it i f�‹ ;, A' ,.� <br /> o Outside loudspeakers` .L <br /> o Proposed signs mow/ <br /> O Trash removal ` 2; - .-1 . �,f " 0.1C <br /> O Six Standards of CUP (see back) <br /> The statements provided are true and an a 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 prope . al .. <br /> Submitted By: ,¢v • Date: e --5--- /l� <br />