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DANE COUNTY OP1At CD, Zoning Division <br /> ,,60110,'7#•;•, <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> `1 Conditional Use Application Madison Wisconsin 53703-3342 <br /> _ �� Ph , <br /> one: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> I 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 Tr- °I- t evoe.yl M''//C��l/I �oSA Agent <br /> Address 6? -( 7 • 1vf,t) VLF KoC Address <br /> Phone (�jn3._ •a 3--3 RV <br /> Phone <br /> (2O - t' ,6H3-3 <br /> Email Email ii\AL, vt,10Sh I, 5 t-i-cteil lifriai I, CO ta <br /> Parcel numbers affected: 09 O7- c5 3 - S500--/ Town: Rey X V-)u r y Section: --q- 7 <br /> j Pro erty Address: rQ Q 7� rJ f"evi�l,`� �- <br /> ' 3.c �5, 'T c9 /V, 6 7 E, A/bLi p, Stu ) 5 <br /> Existing/Proposed Zoning District : -I 5c2.U i <br /> o Type of Activity proposed: ,_ 6 ctay,.4s' <br /> vv � S <br /> `� V1km r "�s - <br /> o Hours of Operation tevoli <br /> o Number of employees rtiu-'Vs.4 1-)/ <br /> o Anticipated customers - a c,xiLK . <br /> o Outside stor ovy 1r em;1`-ed <br /> o Outdoor+aiYit' r r ens it'' <br /> o Outdoor lighting dnC— � ' <br /> o Outside loudspeakers --- n� of i o x exeen q 6 rUu <br /> o Proposed signs--1--- a �f A )-2, s, ll <br /> o Trash removal --'c- ; wcs- ruc-l�.� rvo .eXvr� °I- -vim �- �`'� <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 pr perry. k Submitted By: Adttr-am `Date: / <br />