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4 <br /> DANE <br /> fit COUNTY Z Roonoing 1 Dsiv,iCio -P LA N N N G DEVELOPMENT <br /> County Building <br /> it <br /> 1i'_ <br /> 210 Martin Luther King Jr. Blvd. <br /> vd. <br /> l Conditional Use Application Madison, Wisconsin 53703-3342 <br /> :L' Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Application Fee:$486 Mineral Extraction:$1136 Cell Tower:$3000 <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 Don Squire, Jr. Agent Nathan Ward, Buell Consulting <br /> Address 2046 Norgaren Rd Address 1200 Riva Ridge, Racine, WI 53402 <br /> Phone 608-873-4663 Phone 414-788-1327 <br /> squire.donald @gmail .corn nward @buellconsultinq.com <br /> Email Email <br /> Parcel numbers affected: 026/0511-023-9001-1 Town:Dunkirk Section: 02/05/11 <br /> NE Corner Hwy 51 & <br /> Property Address: <br /> Pleasant Hill Road <br /> Existing/Proposed Zoning District • A-2 / No zoning change <br /> o Type of Activity proposed: Wireless communications <br /> o Hours of Operation 24/7 <br /> o Number of employees 0 <br /> o Anticipated customers 0 <br /> o Outside storage No <br /> o Outdoor activities No <br /> o Outdoor lighting Yes, on cabinet platform <br /> o Outside loudspeakers No <br /> o Proposed signs FCC stipulated signage and identification only <br /> o Trash removal No <br /> o Six Standards of CUP (see back) <br /> The statements provided are true and provide an accurate depiction of the proposed land use. I authorize that I am the owner or have permission to act <br /> behalf of the owne /he pro r�i� <br /> S /J - <br /> Submitted By: / Date/A .- -/ <br /> � h <br />