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p <br /> DANE COUNTY Zoning Division <br /> PLANNING: <br /> . *_D E V E LO P M ENT Room 116, City-County Building <br /> , 1.1,11 210 Martin Luther King Jr. Blvd. <br /> = ' � Conditional Use Application lication Madison,Wisconsin 53703-3342 <br /> dt!.- 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 /> p�� LEASs N0c.De'caP APPIJ44IVT <br /> 4)�MA r pa wr(o~milt.: <br /> EASTMAN/ iiih noe. ewes Ix-r-- Agent /-bF-MAto c aUS`r .a - L S cJ <br /> Address 41/ Winvmt^tU CiRc4.0 Address /Z3 GrH A <br /> Phone fDb1i2Taru WI $353 Phone Je- RIVED; FAUX) ti/ S-1615" <br /> 7/5. zs /. 15'12. <br /> Email Email jlioffWIioN Q hde.COKS <carn <br /> Parcel numbers affected: Sea ct 4 c ked Town: A(1 iotl Section: 35". ` 36r <br /> Property Address: 2:3-6 Lo-k-e. 1-,vc, <br /> Existing/Proposed Zoning District: A"1 .E <br /> o Type of Activity • . .. - . <br /> Separate checklist f• mineral extraction uses ust be completed. <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 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: V/9/24717'M�/ 4 fa'C 1 #c' fm/ e0A,srr+jcflo^/CD. <br />