Laserfiche WebLink
I ' <br /> ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> 521000' of a lake or pond 300' of lake, pond, river or stream 300' of a floodplain <br /> A floodplain 75' of a wetland )NA.wetland The vegetative buffer zone <br /> A Shoreland Water body; ako,re-N Identification:g>r,>�.,r- DNR designatedYes ❑No <br /> ❑ Wetland Shoreland wetland ❑Inland wetland El Wetland<2 acres <br /> ^, � Floodplain FEMA map panel: 55025C 9 60--14 Flood zone: A f.. -_,- <br /> AFloodway NFlood fringe ❑General floodplain cFlood storage <br /> Lot <br /> - .Existing ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): ' 1 <br /> Total Lot: 1 i'7 S Q-1 Sq Ft <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot I /l SQom' <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious <br /> Total impervious <br /> Percent impervious <br /> Project meets shoreland standards: XYes ❑No Shoreland zoning permit denied: III 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: Edj04 "-em AG S-74' it v4.--. (3- i'A '01 <br /> � � l� o►� n a p -svr0 J 6 a .-llr� <br /> STATUS: 'Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> ❑ i or- ann' g permit on hold for other permits <br /> Issued by t-miro,, p Date <br /> Asses t onmg ••mmistrator w <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL Application.docx Version 1.1 Created 12272013 <br />