Laserfiche WebLink
, 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:e t St Cru k Identification: /'c,4.v- DNR designated?I1 Yes ❑No <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland <2 acres <br /> Floodplain FEMA map panel: 55025C OI.S /1 Flood zone: <br /> ❑Floodway ❑Flood fringe ❑General floodplain ❑Flood storage <br /> Lot <br /> 171Existing ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): Sq Ft <br /> Total Lot: e-7)- G <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot G7 G-7 <br /> Primary building <br /> footprint 3 J a rj <br /> Accessory building(s) <br /> Driveway 3 6 11,1 <br /> Any other impervious <br /> Total impervious C tf S <br /> Percent impervious , 6% 9. E7 (, <br /> Project meets shoreland standards:, Yes ❑No Shoreland zoning permit denied: ❑Yes WNo <br /> Additional Dane County permits needed: <br /> Shoreland Erosion Control Permit ❑ Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit I Zoning Permit ❑ <br /> Additional information required: <br /> STATUS: ❑ Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> ysr Sh. e : d a ni permit on h• d for other permits <br /> Issued by Date ~ <br /> sis .nt Zoning A.ministrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL Application.docx Version 1.1 Created 12272013 <br />