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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 3\00' of lake,pond, river or stream 0300' of a floodplain <br /> ❑ A floodplain 0 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> A Shoreland Water body: L K e- 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 ❑General floodplain ❑Flood storage <br /> Lot <br /> - 'Existing ❑ Existing non-conforming ❑New <br /> C CO �) ) <br /> Impervious Surface Calculations <br /> Area (square feet): Sq Ft <br /> Total Lot: <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious <br /> Total impervious 6' 1-4- (I 9. 3) <br /> Percent impervious <br /> Project meets shoreland standardsYes ❑No Shoreland zoning permit denied: ❑Ye °No <br /> Additional Dane County permits needed: <br /> )0'Shoreland Erosion Control Permit Shoreland Mitigation Permit .Variance <br /> ❑Floodplain development permit ..Zoning Permit Coro)- De V o r <br /> Additional information required: <br /> STATUS: ❑ Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> 1'Shor- and .• • g permit),I hold for other permits <br /> Issued by , i Date <br /> Assistant Zonmg Administrator <br /> II <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 1 <br />