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*< 6W/(e gO WANVAILt 1 /203 (Mk /6/ 44* <br /> V I/ - <br /> DANE COUNTY Zoning Division <br /> PLANNING,:::DEVELoPMENT Room 116, City-County Building <br /> 1 ,.:,S.'t pft. ,_-4, <br /> 210 Martin Luther Kin Jr. Blvd. <br /> 1.--,---- Conditional Use Application Madison Wisconsin 53703-3342 <br /> � ,: �p Phone: (608) 266-4266 <br /> ,,,w,„07- <br /> ' Fax: (608) 267-1540 <br /> Application Fee:$486 Mineral Extraction:$1136 <br /> Items required to be submitted with application: <br /> o Written Legal Description of Conditional Use Permit boundaries <br /> o Scaled drawing of the property showing existing/proposed buildings, setback <br /> requirements, driveway, parking area, outside storage areas, location/type of exterior <br /> lighting, any natural features, and proposed signs. <br /> o Scaled map showing neighboring area land uses and zoning districts <br /> o Written operations plan describing the items listed below (additional items needed for <br /> mineral extraction sites) <br /> o Written statement on how the ro osal meets the 6 standards of a Conditional Use <br /> p p <br /> Owner 146,rot d ce n Agent <br /> �.. ,i Address <br /> Address D$ [.r3u n f c� � k ��Jd`� <br /> Phone Phone <br /> Email Email <br /> Parcel numbers affected: I G /3 Town: or S h i I Section: . <br /> � sm � �� � d <br /> a $ i ak 1 anei Li.3 4�44G9 En r�4 Wai/ej R <br /> hr O /O1t '3ia-003a Q Property Address: <br /> hurri r <br /> Existing/Proposed Zoning District: --- <br /> RECEIVED <br /> o Type of Activity proposed: FA fm; <br /> Separate checklist for mineral extraction uses must IA completed. <br /> AUG 172016 <br /> o Hours of Operation <br /> o Number of employees <br /> o Anticipated customers VAN!COMITY PLANNING IL ."R.-, , , <br /> o Outside storage <br /> o Outdoor activities hone of These #1%w j itect to Opera:116n <br /> o Outdoor lighting 46+ Iii have, of Phis <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: Date: <br />