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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 A'300' of lake,pond, river or stream 4300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> CR. Shoreland Water body: B i G Identification: (,q DNR designated?,, Yes ❑No <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland<2 acres <br /> O Floodplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe ❑General floodplain ❑Flood storage <br /> Lot <br /> aNiExisting ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): Sq Ft <br /> Total Lot: 64 / ..S <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot '31-139 .C <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> — <br /> Driveway <br /> Any other impervious s"6 OA <br /> Total impervious _..■■...�. ; � _ T,�,� <br /> Percent impervious 7 O rr Y'%f` ". % <br /> Project meets shoreland standards:f.yYes ❑No Shoreland zoning permit denied: EIYes 1No <br /> Additional Dane County permits needed: <br /> Shoreland Erosion Control Permit ❑ Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit Ji(1 Zoning Permit ❑ <br /> Additional information required: <br /> STATUS: ❑ Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> Shoreland z i permit on hol• for other permits <br /> Issued by Date / , g <br /> Assistant oning Administrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />