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• <br /> ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> �f 1000' of a lake or pond -k 300' of lake, pond, river or stream -300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland ❑ A wetland El The vegetative buffer zone <br /> R �Q <br /> Shoreland Water body:4gatx Identification: f DNR designated Yes ❑No <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 /> xisting ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): <br /> Total Lot: Sq Ft�� SS <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot ) �� 5 <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious <br /> Total impervious ��- <br /> Percent impervious <br /> Project meets shoreland standards:,�Yes ❑No Shoreland zoning permit denied: ❑Yeso <br /> Additional Dane County permits needed: <br /> 'Shoreland Erosion Control Permit ❑ Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit jg 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 /> Mstant 1-ping Administrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />