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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 ❑ A wetland ❑ The vegetative buffer zone <br /> & Shoreland Water body: vv,ty‘q,, Identification:p, 3,71e-✓ZDNR designated?Ares ❑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): p� 3 C' � n Sq Ft <br /> Total Lot: !I <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot S`7t <br /> Primary building , 635 <br /> footprint <br /> Accessory building(s) <br /> Driveway IW3� <br /> Any other impervious I c?O <br /> Total impervious <br /> Percent impervious 7, <br /> Project meets Shoreland standardsi4Yes ❑No Shoreland zoning permit denied: ❑Yes( lNo <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 /> S re nd z > g rmit on hol for other permits <br /> Issued by Date I /10 <br /> Assistant °rung Administrator <br /> H.\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />