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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 X00' of lake, pond, river or stream El 300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> AShoreland Water body: Identification: NR designated? es ❑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 /> E Existing ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): <br /> Total Lot: O Sq Ft <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot r3 p. <br /> Primary building <br /> footprint 3z p <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious O /1 p <br /> Total impervious <br /> Percent impervious SS(7 <br /> Project meets shoreland standardsiAVes ❑No Shoreland zoning permit denied: ❑Yes'CcNo <br /> Additional Dane County permits needed: <br /> El Shoreland Erosion Control Permit ❑ Shoreland Mitigation Permit El Variance <br /> ❑Floodplain development permit Zoning Permit ❑ <br /> Additional information required: 0 • 7 ,_� <br /> STATUS: ' S••reland zoning permit and/or zoning permit issued contingent upon other permits <br /> •remand . . ,j11_ permit on hold for other permits <br /> Issued b • Date 67/A <br /> Assistant Zoning Administrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />