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ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> XI 1000' of a lake or pond ;-LJ,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: L;o-•'/ <br /> .I' E i,,J CA ,Identification: _ 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 El General floodplain ❑Flood storage <br /> • <br /> Lot <br /> - Existing ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): c') <br /> Total Lot: Ci C` C( Sq Ft <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot S C er 0 1. '-J <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious <br /> Total impervious G 1-4( C}. <br /> Percent impervious 1 -7, 1 /O I . 9 <br /> Project meets shoreland standards: i'es ❑No Shoreland zoning permit denied: ❑YesNo <br /> Additional Dane County permits needed: <br /> _.14 Shoreland Erosion Control Permit .;C'Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit j21 Zoning Permit ❑ <br /> Additional information required: <br /> STATUS: ❑ Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> 20--Shore4nd zoilins permit on hold for other permits <br /> � l / <br /> /d //Issued by - . �,�-, ; -''-' _:-' Date / <br /> Assistant Zoning Administrator , <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL Application.docx Version 1.1 Created 12272013 <br />