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SITE PLAN APPROVAL FORM <br /> NAME: David Jadack <br /> ADDRESS: 10718 Amenda Rd <br /> PARCEL NUMBER: 034/0806-053-8641-8 <br /> ZONING: RH-2 DCPREZ-0000-04155 <br /> ACRES: 4.797 <br /> SITE PLAN APPROVAL: ,� <br /> By Land Plan Commission: 1.s�Lracgi ��� 3 a -e-ei Date: May 1, 2017 <br /> Rick Wipperfurth, l ai an <br /> By Town Board: N ! Date: May 8, 2017 <br /> Fred Wolf, Chairman 1 <br /> Conditions: <br /> Site plan for a 50'x 60' pole building 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 /> 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 />