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ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> Z1000' of a lake or pond 300' of lake, pond, river or stream El 300' of a floodplain <br /> ❑ A floodplain I❑ 75' of a wetland CI A wetland CI The vegetative buffer zone <br /> ❑ Shoreland Water body: Y Z Identification: Fsorsc..-- DNR designated? Yes ENo <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland ❑Wetland <2 acres <br /> ❑ Floodplain FEMA map panel: 55025C_ Flood zone: <br /> ElFloodway ❑Flood fringe ❑General floodplain ❑Flood storage <br /> Lot <br /> Existing ❑ Existing non-conforming ElNew <br /> Impervious Surface Calculations S — / 9. <br /> Area (square feet): <br /> Total Lot: � Sq Ft <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot e313c <br /> Primary building <br /> footprint s n <br /> Accessory building(s) Gq <br /> Driveway Th;'40I 0 umi <br /> Any other impervious .o\ci / <br /> Total impervious o°1' ----- <br /> Percent impervious 33 _SS <br /> Project meets shoreland standards: Wes ❑No Shoreland zoning permit denied: ❑Yes f No <br /> Additional Dane County permits needed: <br /> 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 /> Sho elan. oning permi on hold for other permits <br /> // <br /> Issued by ' `/ Date / <br /> • sistant oning • minis :tor <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />