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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 ❑ 300' of lake, pond, river stream ❑ 300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland A wetland Cl The vegetative buffer zone <br /> ❑ Shoreland Water body: Identificatio : DNR designated? ❑Yes <br /> ❑ Wetland ❑ Shoreland wetland ❑Inland wetland etland<2 acres <br /> ❑ Floodplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe ❑General floodplain ❑Flood storage <br /> Lot w�� <br /> xisting ❑ Existing non-conforming ew --- 7.5t} <br /> Impervious Surface Calculations <br /> Area (square feet): I / Sq Ft <br /> Total Lot: <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed _ Post Development <br /> Lot <br /> Primary building <br /> footprint 14°714 ° , / <br /> Accessory building(s) <br /> Driveway 9 o 9 <br /> Any other impervious <br /> Total impervious z6(49 .1 <br /> Percent im.ervious . , I ° ... <br /> Project meets shoreland standards:4Yes ❑No Shoreland zoning permit denied: ❑Yes 'No <br /> Additional Dane County permits needed: <br /> AShoreland Erosion Control Permit ›c'Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit 91 Zoning Permit ❑ <br /> Additional information required: <br /> STATUS: ❑ Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> el4i oreland z. i g permit on 1,11d for other permits <br /> Issued b k_ — -- Date 1///J7//i <br /> sis ant oning . mistrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />