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oY �, Dane County Application Fees <br /> `� Department of Planning and Development General $495 <br /> (4-•C: 1`� �' Zoning Division Mineral Extraction: $1145 <br /> 9 Room 116,City County Building $1145 <br /> Communication Tower: <br /> av 210 Martin Luther King Jr. Blvd. (+$3000 RF eng review fee) <br /> -fstot,`?t~ Madison,Wisconsin 53703 PERMIT FEES DOUBLE FOR VIOLATIONS OR WHEN WORK HAS <br /> (608)266-4266 STARTED PRIOR TO ISSUANCE OF PERMIT <br /> CONDITIONAL USE PERMIT APPLICATION <br /> APPLICANT INFORMATION <br /> Property Owner Name: Ryan Malmgren & Stacey Rieu Agent Name: <br /> Address(Number&Street):2279 Dahlk Circle Address(Number&Street): <br /> Address(City,State,Zip): Verona, WI 53593 Address(City,State,Zip): <br /> Email Address: staceyrieu@grnail.com Email Address: <br /> Phone#: 781-366-2397 Phone#: <br /> SITE INFORMATION <br /> I <br /> Township: Springdale Parcel Number(s): 054/0607-243-9622-1 <br /> Section: I24 Property Address or Location:2279 Dahlk Circle, Verona,WI 53593 <br /> Existing Zoning:RR-4 Proposed Zoning: CUP Code Section(s): <br /> DESCRIPTION OF PROPOSED CONDITIONAL USE <br /> Type of conditional use permit(for example:limited family business,animal boarding,mineral extraction,or Is this application being <br /> any other listed conditional use): submitted to correct a violation? <br /> limited family business Yes No • <br /> Provide a short but detailed description of the proposed conditional use: <br /> We are a husband/wife owned small business called Mad Sails. We manufacture sails for sailboats. We wish to move our <br /> production into accessory building on our property. <br /> GENERAL APPLICATION REQUIREMENTS <br /> Applications will not be accepted until the applicant has met with department staff to review the application and <br /> determined that all necessary information has been provided. Only complete applications will be accepted. All <br /> information from the checklist below must be included. Note that additional application submittal requirements <br /> apply for particular uses or as may be required by the Zoning Administrator.Applicants for significant and/or <br /> potentially controversial conditional uses are strongly encouraged to meet with staff prior to submittal. <br /> ❑Complete attached ❑Site Plan drawn ❑Detailed ❑Written legal , ❑Detailed written ❑Application fee(non- <br /> information sheet to scale operational plan description of I statement of refundable), payable to <br /> for standards boundaries intent Dane County Treasurer <br /> I certify by my signature that all information presented herein is true and correct to the best of my knowledge. I hereby <br /> give permission for staff of the Dane County Department of Planning and Development to enter my property for the <br /> purpose of collecting information to be used as part of the review of this application. I acknowledge that submittal of <br /> false or incorrect information may be grounds for denial of this application. <br /> Owner/Agent Signature: Date: <br />