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ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> N1000' of a lake or pond A 300' of lake, pond, river or stream A.300' of a floodplain <br /> A floodplain ❑ 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> Shoreland Water body:yot,c,,o, k,\,4,✓ Identification: R V,e ✓ DNR designated?-4 Yes ❑No <br /> m Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland<2 acres <br /> Floodplain FEMA map panel: 55025C 0 GO-7 N Flood zone: A E <br /> ❑Floodway Flood fringe ❑General floodplain CI Flood storage <br /> Lot RFr- = 'L/s S°i l9�,a'„M Sf„'F7 - _ <br /> N AVW4- N <br /> RExisting ❑ Existing non-conforming ❑New ,o J 0 q 1st-AUDs`� <br /> Impervious Surface Calculations <br /> Area (square feet): Sq Ft <br /> Total Lot: 10 S 7 0 Q <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot 10S -700 <br /> Primary building <br /> footprint <br /> not <br /> Accessory building(s) —7 Z Z <br /> Driveway -/`7 i S/ S -X 0.1-7 <br /> Any other impervious 114W5 /q 0 <br /> Total impervious H/ 914 $1§1V 9'ZSa- <br /> Percent impervious 70 <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 El 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 /> ❑ Shoreland zoning permit on hold for other permits <br /> 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 />