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SITE PLAN APPROVAL FORM <br /> NAME: Charles Quagliana and Joan Gorman <br /> ADDRESS: Willoughby Rd, Mazomanie <br /> PARCEL NUMBER: 034/0806-163-9790-0 <br /> ZONING: RH-3 DCPREZ-0000-07733 <br /> ACRES: 10.093 <br /> SITE PLAN APPROVAL: <br /> By Land Plan Commission: / _ Date: September 8, 2015 <br /> Rick Wipperfurth, Chair, • <br /> Town • 1 oh <br /> B <br /> y own Board: Date: September 8, 2015 <br /> Fred Wolf, Chairman <br /> Conditions: <br /> The site plan new house 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 />