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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 CV 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 /> 5LShoreland Water body:_ 1 . Identification:V/k-vv'■ DNR designated? es ❑No <br /> ❑ Wetland El Shoreland wetland El Inland wetland ❑Wetland <2 acres tt <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 y �� <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious <br /> Total impervious U 4S % S '7 7 <br /> Percent impervious ' . 9 / e 1 I. —7 2 <br /> Project meets shoreland standards:.NYes ❑No Shoreland zoning permit denied: ❑Yes(N*No <br /> Additional Dane County permits needed: <br /> N'Shoreland Erosion Control Permit ❑ Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit [ 'Zoning Permit ❑ <br /> I I//1// I _ \ I - I <br /> Additional information required: Lo r..a. r/ri1,,. o4 1 ,p1('l1c �l+-.(,/VSPeAs <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 by Date i 1 i <br /> Assistant Zoning Administrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />