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SITE PLAN APPROVAL FORM <br /> NAME: Doug Szudy <br /> ADDRESS: Cooke Rd, Mazomanie <br /> PARCEL NUMBER: 034/0906-363-8500-1 <br /> ZONING: A-1(EX) <br /> ACRES: 23.100 <br /> SITE PLAN APPROVAL: <br /> By Land Plan Commission: & ,er Date: September 8, 2015 <br /> Rick Wipperfurth, Chair <br /> — _.- k 4 (1 <br /> By Town Board: Date: September 8, 2015 <br /> Fred Wolf, Chairmtfi <br /> Conditions: <br /> The site plan for re-zone 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.countyofdane.com/plandev/zoning <br /> Tracy Johnson, Building Inspector: (608)444-0372 <br /> 1 <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 />