Laserfiche WebLink
ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> 1000' of a lake or pond 300' of lake, pond, river or stream 300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> jShoreland Water body: 1.4--e_.0-<-4c4,Identification: Los&) DNR designated?,KYes ❑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 /> 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 S G Gq. 7 <br /> Primary building <br /> footprint S 99 <br /> Accessory building(s) <br /> oa-g , 01-70 <br /> Driveway A144 Sc y S OL4-.) <br /> Any other impervious k S Q S hi <br /> Total impervious i 0 /C . / S) / S /WSJ <br /> Percent impervious -, pc69Q ac 4.6--k a 9 , /6 <br /> Project meets shoreland standards:, Yes No Shoreland zoning permit denied: ❑Yes'■o <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 /> Sho elan z ing perni on hold for other permits <br /> Issued by Date ViO/ l ' <br /> Assis t Zoning Administrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />