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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 '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 /> Shoreland Water body: Pint $p-.j cle..K Identification: DNR designated? ❑Yes ❑No <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland <2 acres <br /> ❑ F000dplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe OGeneral floodplain ❑Flood storage <br /> Lot <br /> Existing ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area(square feet): <br /> Total Lot: S' v 2 3 Sq Ft <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot ‘f31 S Z 3 - O - 413,.2 3 <br /> Primary building <br /> footprint — 0 - y 7 60 y 7 C <br /> Accessory building(s) <br /> ZyOO — ( ?_ ya)) -- 0 <br /> Driveway 00 2,0 0 7 0 0 <br /> Any other impervious 0 7 0 0 <br /> Total impervious 2 6 0 0 (6-Z00 - 24 0 O) .'2 t? <br /> Percent impervious 6' �' dJ / 2 <br /> Project meets shoreland standards: ❑Yes ❑No Shoreland zoning permit denied: ❑Yes ONo <br /> Additional Dane County permits needed: <br /> ❑ Shoreland Erosion Control Permit ❑ Shoreland Mitigation Permit ❑Variance <br /> ❑F000dplain 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_Applicauon docx Version 1 1 Created 12272013 <br />