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DCPZP-2016-00366
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DCPZP-2016-00366
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6/29/2016 10:54:03 AM
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6/28/2016 1:40:11 PM
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Zoning Permits
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DCPZP-2016-00366
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QUAM ENGINEERING, LLC <br /> Re and�ommerc�ai Site Design Consultants <br /> June 13,2016 <br /> To whom.it may concern: <br /> Re: Authorized Agent <br /> This letter authorizes Quam Engineering,LLC to act as agent for the undersigned landowner for <br /> the purposes of submittal of the Erosion Control and/or Stormwater Management Application to <br /> the Dane County Land Conservation for the referenced project. <br /> Project Name: Lackner Residence—Town of Blue Mounds <br /> Landowner: Paul and Lori Lackner <br /> Landowner Address: 112 Harvest Cir <br /> Mount - -b, I53572 <br /> Landowner Signature: ��//-/,d/!� <br /> Notary Signature/Seal: ,v A `` 001 Kp,'a�� <br /> cant Nom <br /> Not lc ) <br /> nat% ' <br /> 4604 Si;,igeA w Rua( . .it , A • rt :r„. Wiscnnstn 5?■ + .... <br /> Phone (UM)838-77h't ♦ t.;n + ( ; '";r . 152 ♦ Ern), r:,:.. Ji , <br />
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