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ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> 4.1000' of a lake or pond ' 300' of lake, pond, river or stream 300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> Xl. Shoreland Water body: i2 ja„�Se--� Identification: DNR designated?' Yes ❑No <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland<2 acres \ <br /> Floodplain FEMA map panel: 550250 GA & Flood zone: A <br /> ❑Floodway 21kod fringeeneral floodplai 'lood storage <br /> Lot <br /> Existing ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): Sq Ft <br /> Total Lot: �� C <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot I - < F f <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious (v'4 <br /> Total impervious E L.-! <br /> Percent impervious )-9 , `j-1 �= <br /> Project meets shoreland standards:- Yes ❑No Shoreland zoning permit denied: ❑YestNo <br /> Additional Dane County permits needed: <br /> \!(3C <br /> ,Shoreland Erosion Control Permit Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit $ Zoning Permit ix ('m f Z P <br /> Additional information required: <br /> STATUS: ❑ Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> •re : d zo•' permit on hol i or other pe��uits <br /> Issued by .4 S Date 4/ <br /> Assistant oning Aimrmstrator V <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />