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DANE COUNTY Zoning Division <br /> - PLANNING DEVELOPMENT Room 116, City-County Budding <br /> } 210 Martin Luther King Jr. Blvd. <br /> i. `ii������ Conditional Use Application Madison,Wisconsin 53703-3342.4 pl" Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Application Fee:$495 Mineral Extraction:$1145 Cell Tower. $1145 <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 /> I o Written operations plan describing the items listed below (additional items needed for ■ <br /> I mineral extraction sites) ■ <br /> o Written statement on how the proposal meets the 8 standards of a Conditional Use 1 <br /> Owner - sh t; zi Agent . .. <br /> M rh E.!- <br /> Address aoc{a C+y ac, Address <br /> bog s7 c1 99‘6 <br /> Phone Phone <br /> �.' —son a / �-Z s.3c 9 u. <br /> i Email Email <br /> �1 Parcel numbers affected: C,S M. O i <br /> q3 Town:Spy i..p 1a tr.. Section: 3 V <br /> V a 6 ^ .. — _ et stmt <br /> I <br /> Property Address: <br /> l <br /> Existing/Proposed Zoning District : -- k . .- C_!C it <br /> Separate checklist for mineral extraction or cell tower uses must be completed. <br /> o Type of Activity proposed: ,!ar,4su•1pc Cons <br /> ;d <br /> 1 o Hours of Operation 3ar' TG 5 rm 1 <br /> o Number of employees V <br /> i o Anticipated customers (/ <br /> o Outside storage Sox Q skoP -crd" i es ' r" `VL plow Truc-K. <br /> o Outdoor activities 0 <br /> o Outdoor lighting si <br /> o Outside loudspeakers n <br /> o Proposed signs I( 1 <br /> � o Trash removal Tow" t c,^s r `� 1 <br /> Ii o Eight Standards of CUP (see page 2) '; <br /> ! <br /> The statements provided ar true and provide an accurate depiction of the proposed land use. I authorize that I am the owner or have permission to act r <br /> i on behalf of the owner of prop y. pl <br /> i Submitted By: Date: //— /Q' /? I" <br /> I1 REV 05.13.2019 <br />