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j DANE COUNTY PLANNING— Zoning Division <br /> _DEVELOPMENT Room 116, City-County Building <br /> : .';',.:7074:40,;;- 210 Martin Luther King Jr. Blvd. <br /> 1'' '1 Conditional Use Application <br /> Madison,Wisconsin 53703-3342 <br /> �� Phone: (608) 266-4266 <br /> `W' � 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 Rc.tE2-koA b LL Agent *TEA III/E-- (.0K i 7l c - . 1 <br /> Address -V,O <br /> �cX (.P2.065(o Address T.D. Rto■f (22.0g5(y Llcadfe.Pp <br /> Phone L�,t`Mi otr) I 55(5lg2r 69095 -3ss o9 r7 <br /> Phone <br /> 6200 -K-5 ( -Qi3`4- <br /> Email <br /> E _u wH i ri SW Q P LECOGWoiVcs _iv _v.1H I T■cH 0 }PuR_PLL CD100f2. ,4 2/ S.0 <br /> Parcel numbers affected: 00q0110 - 224-2.-9D(J-5-Town: (7 l■ Section: .21-1- <br /> Property Address: 339 i '"!eA o oaCQ <br /> Existing/Proposed Zoning District: A" ( k( 't4 P-2-- <br /> o Type of Activity proposed: <br /> Separate checklist for mineral extraction uses must be completed. <br /> o Hours of Operation i 0 , ()-43 h <br /> o Number of employees s 1!cl <br /> o Anticipated customers w o. e re l�/i`�Ce► 'ems <br /> o Outside storage <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 provi ed are true and rovidean accurate depiction of the proposed land use. I authorize that I am the owner or have ermission to act <br /> on behalf of the o r of the property. <br /> Submitted By: Date: <br />