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SITE PLAN APPROVAL FORM <br /> NAME: Nicholas Hellenbrand and Danielle Olsen <br /> ADDRESS: 10436 Old Y Rd <br /> PARCEL NUMBER: 034/0906-282-8370-0 <br /> ZONING: RH-1 DCPREZ-0000-09720 <br /> ACRES: 2.230 <br /> SITE PLAN APPROVAL: <br /> 7 <br /> By Land Plan Commission: / ' Date: June 5, 2017 <br /> Rick Wipperfurth, C airman <br /> By Town Board. Date: June 12, 2017 <br /> Fred Wolf, Chair • <br /> Conditions: <br /> Site plan for 46 x 40 home 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 />