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 -It 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 /> (Shoreland Water body: //0 �c.-cci-- Identification: A A..e V DNR designated? PYes LINO <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland<2 acres <br /> ❑ Floodplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe 0 General floodplain ❑Flood storage <br /> Lot <br /> 1 xisting ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): S cl,■.— Sq Ft <br /> Total Lot: <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot O O <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious <br /> Total impervious G s-111--/ �0 0 -a Cl/ <br /> Percent impervious , S°r0 °t . S'',) <br /> Project meets shoreland standards:- Yes ❑No Shoreland zoning permit denied: 0Yest'1CTo <br /> Additional Dane County permits needed: <br /> Erosion Control Permit ❑ Shoreland Mitigation Permit OVariance <br /> ❑F000dplain development permit oning Permit ❑ <br /> Additional information required:, <br /> STATUS: I'Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> ❑ Shorel d zo''': •ermit on hol for other permits <br /> Issued by i Date 9/)// <br /> Assistant Zoning AdmimMiator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL Application.docx Version 1.1 Created 12272013 <br />