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ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> J1000' of a lake or pond 7300' of lake, pond, river or stream ,300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> Cgi Shoreland Water body: LoN Identification: vZQ, DNR designated. es ENo <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland <2 acres <br /> ❑ Floodplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe EGeneral floodplain EFlood storage <br /> Lot <br /> ;Existing ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area(square feet): Sq Ft <br /> Total Lot: j ) ��� <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot ) j 1 <br /> Primary building <br /> footprint <br /> Accessory building(s) • <br /> Driveway <br /> Any other impervious <br /> Total impervious 3 S('( SC. ( <br /> Percent impervious <br /> Project meets shoreland standards;-- Yes ❑No Shoreland zoning permit denied:0S]Yes ENo <br /> Additional Dane County permits needed: <br /> Ctig-Shoreland Erosion Control Permit ❑ Shoreland Mitigation Permit ❑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 b ���� Date / <br /> • sistant Zoning Administrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />