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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> • �=' `, 210 Martin Luther King Jr. Blvd. <br /> 7i-:0;44,1 Conditional Use Application Madison,Wisconsin 53703-3342 <br /> �F� `v pp 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 L LAN p (v t5tvnevrfs ) 1 vtc • Agent J NNE .1u I-nsi4 <br /> Address P U fox (O 2.0 F.5( Address a/J/4(4_ <br /> Phone t( (0-00 in 535149 2' Phone <br /> (1)09) '-eD3l <br /> Email Email_ <br /> Lk)N 1T15 � pok.PCL zJQIec7 Ce . OM <br /> Parcel numbers affected: ©(p 4 - ©Q O q _ 2:24 -gS)/-own: Vt. Section: 2.2.. <br /> Property Address: 53557\1"-4`)" 4"°111 c1 i R4C9 <br /> Existing/Proposed Zoning District : A ( - X 4c-4-ce A,Z <br /> o Type of Activity proposed: ' 1arct orecri,ctat IS vvt.posti CA I kf <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. <br /> Submitted By: . i ' , y Date: fir/ 9 f <br /> r <br />