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DANE COUNTY Zoning Division <br /> PLANNING yDEVELOPMENT Room 116, City-County Building <br /> t 210 Martin Luther King Jr. Blvd. <br /> `� Madison,Wisconsin 53703-3342 <br /> FloodFloodplain Development Application Phone: (608) 266-4266 <br /> p P pP l=ax: (608)267-1540 <br /> Items required to be submitted with application: <br /> o Site Development Plans <br /> Plans shall include scaled drawings of existing topography of the area and proposed final grades of <br /> development. All topographical information shall be in NAVD 1988 and be referenced to a known <br /> benchmark. The plan shall show all existing and proposed building footprints and elevations of lowest <br /> floor elevations. The plans shall include dimensions of ditches,culverts,or other structures existing or <br /> proposed. All plans shall be stamped and signed by a professional engineer or architect. <br /> o Engineering Analysis <br /> The analysis shall include calculations or modeling that shows that the development will not obstruct <br /> flow or will not increase the floodwater elevation 0.01 of a foot or more.All calculations shall be <br /> stamped and signed by a professional engineer or architect. <br /> Owners Name l � Ca55 '�(s,�5 Contractor's Name N1A <br /> Address 313.4 C0-w,4- Zo4c12 i Address <br /> Phone CrDSS PL s 1,1% 535 z.6 Phone <br /> (608) 158 - 0189 <br /> Email n Email <br /> '}c.Fc-kru.rt/] 1t `s.�l. <br /> Parcel numbers affected: 61011 o ri 80038 (Air ,-(-) Town:Gress Ala ,S Section: 10 <br /> Property Address: )44/A <br /> FEMA Panel Map: 55025C 0351 H Floodplain District: e- A Flood Elevation: IV <br /> efc'. 611612416 <br /> Scope of work: (Describe development in detail) o.A Ce.c„�S r'' 0 ..4,cLeoK <br /> $ . GoNs/ <br /> • <br /> : BRADLEY S. <br /> * BE.t S IL <br /> I authorize that I am the owner or have permission to ad on behalf of ner ofFtne ©69 k► - <br /> Submitted By: � � •` $: Date: ��9/ <br />