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JA µ Zoning Division <br /> y :t ` DEVELOPMENT Room 116, City-County Building <br /> ,:'" ;=: • 210 Martin Luther King Jr. Blvd. <br /> "-` " Madison W77033M2 <br /> Conditional Use Application Fax: (sob) 27-1540 <br /> 1 Application Fee:$486 Mineral Extraction $1136 <br /> Items required to be submitted with application: A_ <br /> • 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 /> 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 /> if L; Owner f�7J �. LAND °" Agent 6 14 c R titi <br /> A <br /> Address 7 1( P j.._. , . , Address 1-1-ei 4 perylvN 1' <br /> Phone N t 's. s s f Li\�� L 1 5- ', <br /> Phone <br /> 1 (n0 9 P c — � <br /> Email § ' <br /> ;_ � ' ~ Ct i 1. C: Email o <br /> Parcel numbers affected: O 9 - - pc2,6-yr Town: /Mi NA Section: <br /> Property Address: <br /> Pr ii <br /> .. I f.it .01. -4 -4- <br /> Existing/Proposed Zoning District: L4� gr ovi I t , ..,,... _4. ,. <br /> -7-,44e) pockfe,.,se- 6 P TttiS fia;britii46/.11' <br /> 0/T ype of Activity proposed: . <br /> y)S a 6 ptivil Tioio Offr' Mee &sr/A-4a <br /> o Hours of Operation . z a l -ro /tr ogt --Stl flPt Y <br /> o Number of employees <br /> o Anticipated customers /0 kvvi -- i 0? /NO 7b At€' ec <br /> o Outside storage j +Cc,,,.6.9c tt t..(S&' 4P. Our b > (14c. .5 <br /> re <br /> o Outdoor activities <br /> o cutdoor lighting , <br /> Outside loudspeakers <br /> o Proposed signs <br /> o Trash removal <br /> o Six Standards of CUP (see back) <br /> The statements prov ded are tru-+ and p.vide an accurate depiction of the proposed land use I authorize that I am the a -r' have permission to act <br /> on behalf of the own:- of the pr..-rty <br /> Submitted By: , Date: <br /> r <br /> e <br />