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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> e-- r 210 Martin Luther King Jr. Blvd. <br /> Conditional Use A 1ication Madison,Wisconsin 53703-3342 <br /> f�; pp Phone: (608) 266-4266 <br /> 4 S� <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 tv_4_, v,(coi _c ne:ov Agent <br /> Address r ` `F-f "a _r�'j Address <br /> Phone Pv-a,tl✓i '1 w-S3_✓ 1 Q Phone <br /> Co )62 $ $31-- (121.2;T. <br /> Email ` @* u„ i t , ( A' C Email <br /> Parcel numbers affected: k3) ,i-itaf 16,73 Town: at Section: 2...-4F <br /> Property Address:3 S 3 keit eA <br /> Existing/Proposed Zoning District : <br /> o Type of Activity proposed: <br /> o Hours of Operation <br /> o Number of employees <br /> o Anticipated customers <br /> o Outside storage <br /> o Outdoor activities <br /> o Outdoor lighting <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 an 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 rop //� A) / /� <br /> Submitt:• :y: Date: <br /> Ar <br />