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l 11 <br /> DANE CC,UNITY Zoning Division <br /> PLANNING <br /> 1 DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> Conditional Use A pp lication, Madison, Wisconsin 53703-3342 <br /> Phone: (608) 266-4266 <br /> `, >s' 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 /> it — GLI.✓'7 <br /> Owner •gent ? y�� £ l�r)z,4'J, ,J C. k,,c w 1J�b. <br /> Address �O l307L- 4-42_814 f 5--'7 vkL44 Address g3 kJ 2-36 5-6 7346 ih/G c"'2- (, ✓J <br /> Phone <br /> (,4104-YJ(S,M Lvl i34.4-00v_(...1 ,-). w) Phone w a4-1 /e. --- i , W i S3 t 7 i <br /> 5-3-7q 4 - 4 X352-1 (_2 .z-) Say --27 oc <br /> Email Email , <br /> C ^/I <br /> Parcel numbers affected: Town: O✓l-t T v `3 Section: 3� <br /> &6-0.764. -- /B6-010 ¶ 2go©t o f 1 61 c /6-2 ow yvr yvl <br /> Property Address: <br /> g /loolo ). (16-c is f laU57o _ et fS'i aoo <br /> 8 oc 2,0 / Z m - <br /> xls Proposed Zoning District : <br /> o Type of Activity proposed: it-AU ) "'t E-1-4 LLL C— U(1 E4--A-c-- <br /> C <br /> o Hours of Operation <br /> o Number of employees <br /> o Anticipated customers <br /> o Outside storage S.' CAA cY3 t (Dzliz- `n'l- <br /> o Outdoor activities �Z ,,L,�. ,��,-•. <br /> o Outdoor lighting ��� `� �� � \ �� <br /> 1 o Outside loudspeakers <br /> o Proposed signs <br /> o Trash removal <br /> o Six Standards of CUP (see back) <br /> .-_ <br /> 400 The statements pro ded AO' - •n• •r. • a 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 •. ner. �i pro. 0 / p�V���q 0-1 01'314 <br /> Submitted = �A� .4_..„, Date: f <br />