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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 /> w p p Phone: 608 266-4266 <br /> Fax: (608)267-1540 <br /> I Application Fee:$486 Mineral Extraction:$1136 Cell Tower.$3036 <br /> I <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 G&N Land Holdings LLC Agent Nathan Ward, Buell Consulting <br /> Address 1471 US Hwy 51 Address 1200 Riva Ridge, Racine, WI 53.02 <br /> Phone 608-509-8904 Phone 414-788-1327 <br /> gary @stoughtongardenc enter.corn nward®buellconsulting.corn <br /> Email Email <br /> Parcel numbers affected: 052/0510-011-9801-9 Town:Rutland Section: 01/05/10 <br /> Property Address: 1471 US Hwy 51 <br /> Existing/Proposed Zoning District: C-2 / No zoning change <br /> o Type of Activity proposed: Wireless communications <br /> o Hours of Operation 24/7 <br /> o Number of employees 0 <br /> o Anticipated customers 0 <br /> o Outside storage No <br /> o Outdoor activities No <br /> o Outdoor lighting Yes, on switch for work on cabinets. <br /> o Outside loudspeakers No <br /> o Proposed signs FCC stipulated signage and identification only <br /> o Trash removal No <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 props <br /> Submitted By: Date: //14 <br /> Nathan War of e 1 Consult is authorized to act on my behalf durin g the <br /> zoning/permitting process. <br />