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SITE PLAN APPROVAL FORM <br /> NAME: Joleen and Marty Breunig <br /> ADDRESS: 9600 County Rd Y, Mazomanie <br /> PARCEL NUMBER: 034/0906-134-9000-1 <br /> ZONING: Al-EX <br /> ACRES: 25.000 <br /> SITE PLAN APPROVAL: <br /> By Land Plan Commission: - / ( <br /> � _ _ Date: June 1, 2015 <br /> Rick Wipperfurt , h.,rman <br /> By Town Board: ��~ Date: June 8, 2015 <br /> Fred Wolf, Chairman <br /> Conditions: <br /> The site plan for 900 square foot addition to existing home attached. <br /> The applicant will receive two copies of this form.The form must be completed prior to application for a <br /> county zoning permit and submitted both to Dane County Zoning and to the Town of Mazomanie <br /> Building Inspector when applying for building permit. <br /> Dane County Zoning: (608) 266-9083 www.countvofdane.com/plandev/zoning <br /> Tracy Johnson, Building Inspector: (608)444-0372 <br /> Town of Mazomanie Phone: (608) 795-2120 <br /> 711 W Hudson St E-mail: twnmazo @gmail.com <br /> Mazomanie, WI 53560 Website: townofmazomanie.org <br />