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SITE P N APPROVAL FORM <br /> NAME: Keith and Kristin Westphal <br /> ADDRESS: 6254 Lichte Ln, Mazomanie <br /> PARCEL NUMBER: 034/0806-022-8530-0 <br /> ZONING: RH-4 DCPREZ-0000-08509 <br /> ACRES: 17.857 <br /> SITE PLAN APPROVAL: / <br /> By Land Plan Commission: „� 1 ��c�� Date: August 3,2015 <br /> Rick Wipperfurth, C irman <br /> By Town Board: L <br /> Date: August 10, 2015 <br /> Fred Wolf, Chairm, <br /> I <br /> Conditions: <br /> The site plan for proposed workshop is 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 />