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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> ' ` Conditional Use Application Madison,Wisconsin 53703-3342 <br /> >> , `•� pp Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Application Fee:$486 Mineral Extraction:$1136 <br /> Items required to be submitted with application: Ar.►d ro5 <br /> o Written Legal Description of Conditional Use Permit boundaries <br /> o Scaled drawing of the property showing existing/proposed buildings, setback <br /> requirements, driveway, pal�Cing area, outside storage areas, location/type of exterior <br /> lighting, any natural features, and proposed signs.0041-- <br /> o Scaled map showing neighboring area land uses and zoning districts <br /> o Written operations plan describing the items listed below (additional items needed for <br /> mineral extraatinn slte;,$) <br /> o Written statement on how the proposal meets the 6 standards of a Conditional Use <br /> Owner C2 r tQ c n v✓ 14 L L Agent ( ' ;€c I <br /> Address 4-7 D C 1`,7 I (-)1 H " e hai Address d 500 y‘ l ghr/AJtdade1°4 iJj 6)5`Z <br /> 6,OP, " 4 r ?/ ? "? <br /> Phone Phone <br /> _ �Y9 l nls t'PS r . u, , ..;• (,�'� A ,. 6 �'�" r ,,:� , C d <br /> Email L 4r,, ` ` Email 1` <br /> Parcel numbers affected: Sew Alf-AcIA-J rtt a p . Town: Section: <br /> Property Address: Set /\H n�C-ad Q.esccti ;i�oe-+ <br /> Existing/Proposed Zoning District: <br /> o Type of Activity proposed: <br /> o Hours of Operation <br /> o Number of employees <br /> o Anticipated customers< 14 r i <br /> Pr <br /> O <br /> ` <br /> o Outside storage <br /> o Outdoor activities <br /> o Outdo or lighting It4Per. �17�141. <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 1 am the owner or have permission to act <br /> on behalf of the owner of the property. <br /> Submitted By: Date: <br /> lJ <br />