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<br /> , DANE COUNTY Zoning Division
<br /> PLANNING'. -DEVELOPMENT Room 116,City-County Building
<br /> 210 Martin Luther King Jr. Blvd.
<br /> Conditional Use Application
<br /> (
<br /> Madison,Wisconsin 53703-3342
<br /> Phone: (608)266-4-266
<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 7//2-7 ii.9 A 1 DgE,,t).., Agent
<br /> Address c',"?D 4 /.4),k1 f../2,E-,S,,c /1-1` ./C-: Address
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<br /> Phone Phone
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<br /> Email
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<br /> Parcel numbers affected: Town: iiia.7 ),.41,-,./ = Section:
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<br /> Property Address: -
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<br /> Existing/Proposed Zoning District: . . '
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<br /> O Type of Activity proposed:
<br /> Separate checklist for mineral extraction uses must be completed.
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<br /> o Hours of Operation k i ...
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<br /> O Number of employees I- ,,,.ot --
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<br /> o Anticipated customers ..,/
<br /> o Outside storage ,,- !-.4*•ft-y
<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 andr vide 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 prope 4”,
<br /> Submitted By: I i-114 6/11.4117111/ . Date:
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