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DANE ..OaNTY <br /> 1r= PLANNING R E E L C P E T Zoning Division <br /> V 3 M N Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> Conditional Use Application Madison, Wisconsin 53703-3342 <br /> pp Phone: (608) 266-4266 <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 - �•�,' r-°— ---- -"r•r° <br /> ST,a t� , LLG_ -71-4-4-1T- 'gent rP yi,j E f LA4..)i ,4 c. iv Er✓, iU4c .. <br /> Address --PC, ? qi- 4-4184 (S'7 ✓4'tt Address g3 W2-36 236 ---8 73,14)/A/c 6Z,6,a., <br /> kA n4_%1J(St1 u ' i3✓-001«` �i W) LU 44(/LGS a.i W f S-3 P7 <br /> Phone Phone /5-37LI 4 <br /> - 41--z-84 5-33521 LZZ Z) 5-'2(1--17 00 <br /> Email Email /� t <br /> we^) I �I� e-paY ect.N4aoSee-A. C<>., <br /> Parcel numbers affected: Town: 0/2-6-4 v A) Section: 3L — <br /> h5-0964 - m6-01. 2,B„.,,, ? (6:201, property Address: / 7 aw r. <br /> ' fToo/o //5-6 /o f /C;o57o 44gicoo <br /> Bob Zo e �z <br /> xis i Proposed Zoning District: ett/ <br /> o Type of Activity proposed: ,DA) 41 l-L-t r- i c4-41,-c- &I- `o-`A <-71 <br /> C 5 `7 4- 4-k'E ?`T, <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 �`(co `� `'`-' \ �`�`" '�� <br /> o Outside loudspeakers / <br /> o Proposed signs / <br /> o Trash removal <br /> o Six Standards of CUP (see back) <br /> The statements pro ded ;orr — . •r. '.e (accurate depiction of the proposed land use. I authorize that I am the o r or have permission to act <br /> on behalf of the . er. �'r' pro• r . <br /> Submitted : : �, Date: AI LA d-1 4 <br />