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 2\300' of lake,pond, river or stream ❑ 300' of a floodplain <br /> LI A floodplain ❑ 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> Shoreland Water body: kosLk A0 v,3 Identification:6f-- e k— 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 /> - existing ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): 3 Sq Ft <br /> Total Lot: 1 a'�'� <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot 6)- <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious <br /> Total impervious <br /> Percent impervious S o <br /> Project meets shoreland standards: Yes ❑No Shoreland zoning permit denied: ❑Yes' 'No <br /> Additional Dane County permits needed: <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 /> ) i'Shorelan. ining pe it on hold for other permits -- <br /> Issued by .��. Date / / I r <br /> si'ant onmg Ai minis ator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />