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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> Conditional Use A lication Madison,Wisconsin 53703-3342 <br /> p p 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 Na.tha.rt L. -floi; c Sax-a,ItiS P l; Agent ■ at.hai-I L, <br /> Address S I5 C(dry, Pc,1 Address IS C( r t' tSUln lfd. <br /> Phone Marshall 1nS 53559 Phone Marshall , W I 53 .59 <br /> UDOS) 21 9-51I I MR) 279-51 I <br /> Email p� o Email. <br /> t irk maa I .C°D rr/t <br /> Parcel numbers affected:O:'(v 10B t2.-0,41 -Ro i O-a Town: Meat'na. Section: a <br /> Property Address: 8 I5 CtarV,Sar1 Rot <br /> kAaYshaltl U.i ► S L-73'S9 <br /> Existing/Proposed Zoning District: R r -2 ' \ -2 <br /> • <br /> o Type of Activity proposed: 1.-t.AA4ta Farrr; � vks'ness I -Ian\ -eo a- S 1 tc-eftS2, <br /> Separate checklist for mineral extraction uses must be completed. <br /> o Hours of Operation By <br /> o Number of employees o <br /> o Anticipated customers \ -y ?z•r mor -Nn <br /> o Outside storage NIONE. <br /> o Outdoor activities NOISE <br /> o Outdoor lighting PA- Cron# o-C Acce.SSo &utldt <br /> o Outside loudspeakers pJlo/J6 <br /> o Proposed signs 1 smaVl busineSS St%r, ak-z_,r‘k-rarlc.t. -io rrbe 4 re.VW traf ,t. <br /> o Trash removal k las#e A -' acy r\4 <br /> o Six Standards of CUP (see back) <br /> The statements provided are true and provide an ccurate depiction of the proposed land use. I authorize that I am the owner or have permission to act <br /> on behalf of the owner o prop ,,�� <br /> Submitted By:'/�; 7 Date: 10-21-1- kD <br />