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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 El A wetland ❑ he vegetative buffer zone <br /> ' M <br /> horeland Water body: I t -)0"—N Identification: t J DNR designated?Yes ❑No <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland <2 acres <br /> El Floodplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe ❑General floodplain ❑Flood storage <br /> Lot <br /> 1 xisting ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): , Sq Ft <br /> Total Lot: ►� <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot 00 <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious <br /> Total impervious 1-6C00 Sinn Z()-1/ 0 r� <br /> Percent impervious 1 1.�' <br /> Project meets shoreland standards: fixes ❑No Shoreland zoning permit denied: ❑Yep No <br /> Additional Dane County permits needed: 11 <br /> 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 zon'n permit on hold for other permits 9/),Issued by Date /C� <br /> Assistant oning Administrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />