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DANE COUNTY Zoning Division <br /> . , <br /> PLAN N i 1�I G ; ;D ��E, T Room 116, City-County Building <br /> c`� ?r 210 Martin Luther King Jr. Blvd. <br /> ;Ir_ Conditional Use Application Madison, Wisconsin 53703-3342 <br /> ��" 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 36141,1 it? £ S9 N DR,4 L --Zl6 0tiR Agent <br /> Address 1 02.,s(c, M Li l L Address <br /> Phone (n O S 5 -(6 / Phone <br /> Email j-cz q3e oz.,. C of Email <br /> Parcel numbers affected: U S (Q-(7' -- S,,)3?) -q Town: ('e u YL_4 Nb Section: '7 <br /> Property Address: ta5� H Y , <br /> CExisting/Proposed Zoning District: 4 ✓, ±0 ND L% N/1 �s__(Q,_ / i <br /> x 1�S � t1 \ ortee w ' 11 be �oc <br /> CM'e1c. ,ei , <br /> o Type of Activity proposed:YP tY P P 01°- <br /> Separate checklist for mineral extraction uses must be completed. 72,-/ 5-_ JZ <br /> o Hours of Operation I . <br /> o Number of employees <br /> o Anticipated customers 0 <br /> • <br /> o Outside storage O <br /> o Outdoor activities 0 <br /> o Outdoor lighting C) <br /> o Outside loudspeakers O <br /> o Proposed signs Q <br /> o Trash removal MO An-F-10-1 <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 the ropern Submitted By: " _ Date:1 ( <br />