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I <br /> DANE COUNTY Zoning Division <br /> PLANNING �E V c,LO P L T; y\ ; M N <br /> Room 116, City-County Building <br /> ' ' _ 210 Martin Luther King Jr. Blvd..,_ <br /> 1 ,',,:ls . Conditional Use Application Wisconsin 53703-3342 <br /> Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Application Fee:$486 Mineral Extraction:$1136 <br /> Items required to be submitted with application: <br /> o Written Legal Description of Conditional Use Permit boundaries <br /> o Scaled drawing of the property showing existing/proposed buildings, setback <br /> requirements, driveway, parking area, outside storage areas, location/type of exterior <br /> lighting, any natural features, and proposed signs. <br /> o Scaled map showing neighboring area land uses and zoning districts <br /> o Written operations plan describing the items listed below (additional items needed for <br /> mineral extraction sites) <br /> o Written statement on how the proposal meets the 6 standards of a Conditional Use <br /> Owner KA 1,t Ent 6E 261 T 2t c5 (-Toe (Z.) Agent 31 tZ 2 EN KO-f T su 2 vprvigil <br /> Address 4'I$q Co,,cl!-ry 1-Ilc-r/-1 WAIF TT Address I(077 4, BRt (25L ST. <br /> Phone Corr E 67-(ZONE 1 V l) 53 527 Phone Sl cn! IZ,/4lQ.tEi W( 5-3 S(jD <br /> 645 - 8o44 837- 74(03 <br /> Email Email )WPY ` ]�-l-(-sur-Oeyilt? .COm <br /> nuts � � i?tcr n J <br /> Parcel numbers affected: oeii - 341 - R070 - a Town: Sw4 P1ZAteIE Section: :.--34 <br /> Daft - 34t - 8coz- o 4a8q C�N,y N4,k\Littl-r ' '''' <br /> Property Address: <br /> Existing/Proposed Zoning District: A - ICE x) / A " Z(8) <br /> o Type of Activity proposed: Ugi...t 0 I TeD Li.)Fs7bcK <br /> Separate checklist for mineral extraction uses must be completed. <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 <br /> o Outside loudspeakers <br /> o Proposed signs <br /> o Trash removal <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 /> on behalf of the owner of the property. A <br /> Submitted By: ' /f ,Q Date: MA-VeH 17 201 6, <br /> 1 u ? �l t le 7`f <br /> S„212\17)(1461�c7 <br />