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DANE COUNTY Zoning Division PLANNING, DEVELOPMENT Room 116, City-County Building Ci ti, .ter,. �� = , 210 Martin Luther King Jr. Blvd. Conditional Use Application Madison, Wisconsin 53703-3342 pp Phone: (608) 266-4266 Fax: (608) 267-1540 Application Fee:$486 Mineral Extraction:$1136 Items required to be submitted with application: o Written Legal Description of Conditional Use Permit boundaries o Scaled drawing of the property showing existing/proposed buildings, setback requirements, driveway, parking area, outside storage areas, location/type of exterior lighting, any natural features, and proposed signs. o Scaled map showing neighboring area land uses and zoning districts o Written operations plan describing the items listed below (additional items needed for mineral extraction sites) o Written statement on how the proposal meets the 6 standards of a Conditional Use Owner ( '� 4- qcoge, 4-tes J/ Agent C :i d cc- �1M-tt.p.si Address 3 ,o 140,41.6-, G f2 Address �� tL y.+ Phone '. 3V Phone t4.0f).y C ' Cave EIN $V5 de l c/eciss" Email at/1P.M If 18 a �di-41- 4 Cow. Email Coi l l/Q)_Atq.r' -` Ctr�t Parcel numbers affected: 05/2 'J '$7 O-O Town: A WOO 0 r' Section: Cy Property Address:31 g Goc Existing/Proposed Zoning District : - I L ;+ tc 4,L X7`5.'-° Type of Activity proposed: Separate checklist for mineral extraction uses must be completed. TOCk I r to .5 e 1 0074-4 7 1 3- (.Pt`J 1 rc rr 45-c o Hours of Opera Ion B�M�lIr► M Sc.,l a. is 6.scv �'�' �n;k o Number of employees� "L `'ck'"'S " N. Z-6 1,4546 o Anticipated customers— e e,utivo- o Outside storage - 7e 4 o Outdoor activities-S4-ce-b I94,,u•ures+-n►-4-rows, Q 'r'S o Outdoor lighting - r'JP - C. .)11*1,1,3' OP 144 PA o Outside loudspeakers o Proposed signs • is e"" ers+r•l s, 5 E �Cr4jf Prr( >- o Trash removal *'//A- o Six Standards of CUP (see back) 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 on behalf of the owner of the property. r 1 Submitted By: / Date:,c A� ri". �,;