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SITE PLAN APPROVAL FORM <br /> NAME: Stuart Smith <br /> ADDRESS: 10949 W Hudson Rd <br /> PARCEL NUMBER: 034/0806-181-8581-6 <br /> ZONING: RH-1 DCPREZ-0000-06543 <br /> ACRES: 3.714 <br /> SITE PLAN APPROVAL: <br /> By Land Plan Commission: „eye,/ Date: April 3, 2017 <br /> Rick Wipperfurth, Char an <br /> PP �urth, <br /> By Town Board: Date: April 10, 2017 <br /> Fred Wolf, Chair— n <br /> Conditions: <br /> Site plan for 40 x 60 outbuilding 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) 795-2920 <br /> 711 W Hudson St E-mail: twnmazo @gmail.com <br /> Mazomanie, WI 53560 Website:townofmazomanie.org <br />