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DANE COUNTY Zoning Division <br /> rya PLANNING DEVELOPMENT Room 116, City-County Building <br /> ,1¢N'. 210 Martin Luther King Jr. Blvd. <br /> 4 . 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 71.1tffm:E2 E , Ev r jLy Agent <br /> Address 5% TisAi oc ta".c. j 'Touc,M{'o Address <br /> 55 Virg <br /> Phone (DOc &A R. - -1 3 I Phone <br /> Email e.NM.C6 e a'i.'h.e ". Email <br /> Parcel numbers affected: 05 11- 3o1{-(gOOO --a. Town: bv.n k∎:cleN Section: <br /> Property Address:' 4g 54462-14'1 "9o"1 t a g <br /> Existing/Proposed Zoning District: <br /> g Type of Activity proposed: <br /> Separate checklist for mineral extraction uses must be completed. <br /> Hours of Operation .11;........t \;SN....i- Jvt...r5 7 cio,,t , W e_e.k <br /> o Number of employees 0 <br /> o Anticipated customers n o n e <br /> Outside storage <br /> o Outdoor activities i'l `' <br /> o Outdoor lighting Ve S <br /> o Outside loudspeakers iz <br /> o Proposed signs l-i c <br /> o Trash removal f ' b - P/614 `-l <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 props <br /> Submitted By: G Date: tf3- L7 - ao t 6 <br />