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ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> ❑ 1000' of a lake or pond 2/300' of lake, pond, river or stream ❑ 300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> t i(Nne7> leteu`Ahe,r �o <br /> ❑ Shoreland Water body: YA#+hoZA givEK Identification:'' 400 DNR designated? ❑Yes Cato <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland <2 acres <br /> ❑ Floodplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe ❑General floodplain ❑Flood storage <br /> Lot <br /> ❑Existing ❑ Existing non-conforming VNew <br /> Impervious Surface Calculations <br /> Area (square feet): Sq Ft <br /> Total Lot: /1,529 <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot 1 ,529 a 17,521 <br /> Primary building <br /> footprint D ?Ili'2, z, Z <br /> Accessory building(s) <br /> 0 0 0 <br /> Driveway 0 Ito 9(0 <br /> Any other impervious D /56 /56 <br /> Total impervious 0 3,338 3,33 8 <br /> Percent impervious /9•o'/. <br /> Project meets shoreland standards: Eyes ❑No Shoreland zoning permit denied: ❑Yes ❑No <br /> Additional Dane County permits needed: <br /> i Shoreland Erosion Control Permit ❑ Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit ❑ Zoning Permit ❑ <br /> Additional information required: <br /> STATUS: ❑ Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> ❑ Shoreland zoning permit on hold for other permits <br /> Issued by Date <br /> Assistant Zoning Administrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application docx Version 1.1 Created 12272013 <br />