Application for a Conditional Use Permit

Town of Wayne, Washington County, Wisconsin

The undersigned hereby make application for a Conditional Use Permit in accordance with section 1.26 of the Zoning Ordinance of the Town of Wayne.

Name of Applicant: _________________________________________________________________

Address: _________________________________________________________________

Legal Description (use one):

a. Lot __________ of block ___________ of _________________________

Subdivision .

b. Certified Survey Map No. _____________________ in section ________

c. Metes and bounds description attached

Tax Key Number: _______________________________________

Zoning District Classification: ______________________________________

The specific conditional use being requested is for a _______________________________________________

as provided for in Section ___________ of the zoning ordinance.

The property is presently use for the following purpose(s):

The Conditional Use Permit is requested so that the property may be used in the following specific manner or for the following specific purpose(s):

Attached is a plat of survey or location sketch drawn to scale which shows:

1. the boundaries and dimensions of the property

2. the location of existing and proposed buildings and their distance from the lot lines

3. the location of driveways and easements

4. the distances to neighboring buildings and their uses

5. the location of the well and septic system and their distances to lot lines and buildings

6. such other information as requested by the Zoning Administrator

Attached is a list of the name and addresses of the owners of all property which is within 500 feet of the property described above.

Enclosed is a check for $400.00 payable to the Town of Wayne.

Date Signature

Date Signature

Please note that a conditional use permit requires a public hearing. The public hearings are scheduled the same night as the plan commission meetings. The calendar is as follows:

The Town Board Meetings are held on the third Wednesday of the Month.

The Plan Commission meetings are held the preceding Tuesday.

Materials for presentation to the planning commission are due to the Town clerk two Fridays prior to the plan commission meeting.

Our official newspaper is the West Bend Daily News, a daily paper. We must publish at least one full week prior to the date of the meeting and once in the week preceding the full week prior to the meeting. Two days lead time is required for publication. You will be billed for the cost of the publication.

In order for a notice of public hearing to be published timely, it must be submitted to the Newspaper three Mondays prior to the Town board meeting.

The Town clerk is usually at work at his regular job on Mondays, so is usually not available that day to prepare publication materials.

Therefore, you must contact the Town clerk three weekends before the town board meeting if a public notice is required for your business before the town board or planning commission. You may do this by making an appointment with the clerk, my home phone is 629-5032. Christian T. Kuehn, clerk

Last Updated: January 17, 2005