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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> •'� }' 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> . Conditional Use Application 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 1 l K 9 4, krkm. je l ie_ Agent <br /> Address L1/r), � C�S e-0-10 5 , ,iI; i'i(Le (I Address <br /> Phone LK) . 1-1 ' 4 y - Phone <br /> Email , .h c 11e- . i 1w.C-c <br /> Parcel numbers affected: 0501 a(p y g5b Town: p/iri w €.. Section: '. 0 <br /> 4'0 �0?6 `/cT© 0 l' e) Property Address: 4aS P( ('Lw ied, 6P]L.P.v,/L0 <br /> _� �_ 53 cti K <br /> Existing/Proposed Zoning District: VA 1- -CI Lt u"� '� a l h C ► U C.cQ C U P fo r <br /> o Type of Activity proposed: 'VV ct.. -no-n w <br /> o Hours of Operation 1 30 U- am. M -c , - I L Saiu,2do - lu.a-fc- <br /> o Number of employees j, Q I v s • H i s <br /> o Anticipated customers 5-l(% Aft-k). <br /> o Outside storage . 5 - -E-(UC 31 rily,tivq' `2 <br /> o Outdoor activities -`f 4- lDri iut-1 ( 5, V iro i r6-i'r5 i5., - '`"-QCkcU \4(4 lA V b1tc.ACQ_ <br /> o Outdoor lighting <br /> o Outside loudspeakers — <br /> o Proposed signs <br /> o Trash removal C ivt 13-1 at& f& <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: - 1 C hi j/ „ Date: u(( t0 0-t(-- <br />