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PLAhINING II <br /> Zoning Division <br /> DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. l <br /> , scoe Madison, Wisconsin 53703-3342 <br /> Floodplain Development Application Phone: (608) 266-4266 <br /> p p pp Fax: (608) 267-1540 <br /> Items required to be submitted with application: <br /> o Site Development Plans <br /> Plans shall include scaled drawings of existing topography of the area and proposed final grades of <br /> development. All topographical information shall be in NAVD 1988 and be referenced to a known <br /> benchmark. The plan shall show all existing and proposed building footprints and elevations of lowest <br /> floor elevations. The plans shall include dimensions of ditches, culverts,or other structures existing or <br /> proposed. All plans shall be stamped and signed by a professional engineer or architect. <br /> o Engineering Analysis <br /> sis <br /> The analysis shall include calculations or modeling that shows that the development will not obstruct <br /> flow or will not increase the floodwater elevation 0.01 of a foot or more. All calculations shall be <br /> stamped and signed by a professional engineer or architect. <br /> Owners Name ev o,- Contractor's Name d <br /> o,/I� � <br /> t <br /> /� <br /> Address �" () R, 3 SS Address <br /> Phone <br /> -___. <br /> Phone <br /> Email Email <br /> Parcel numbers affected: C, 0-7 - 0 Ffa - '9 S 00-c1( Town: Reif'/ Section:_ <br /> aii 1 1 <br /> Property Address: <br /> FEMA Panel Maps 9 Floodplain District: A Flood Elevation: " 2 <br /> I�I <br /> Scope of work: (Describe development in detail) A ,#` Co t.d0 <br /> n r- <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. <br /> Submitted B Y Date: <br /> �-� <br />