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DANE COUNTY <br /> r �a Zoning Division <br /> P LA N N (N G DEVELOPMENT Room 116, City-County Building <br /> f 210 Martin Luther King Jr. Blvd. <br /> socs Madison, Wisconsin 53703-3342 <br /> ori � <br /> ti Phone: (608) 266 4266 Flood lain Development A pp lication <br /> Fax: (608) 267-1540 <br /> Items required to be submitted with application: <br /> Site Development Plans <br /> Plans shall include scaled drawings of existing topography of the area and proposed final grades of <br /> development. All topographical information shall be in NAVD 1988 and be referenced to a known <br /> benchmark. The plan shall show all existing and proposed building footprints and elevations of lowest <br /> floor elevations. The plans shall include dimensions of ditches, culverts,or other structures existing or <br /> proposed. All plans shall be stamped and signed by a professional engineer or architect. <br /> Engineering Analysis <br /> The analysis shall include calculations or modeling that shows that the development will not obstruct <br /> flow or will not increase the floodwater elevation 0.01 of a foot or more.All calculations shall be <br /> stamped and signed by a professional engineer or architect. <br /> Owners Name Wisconsin Dept. Nat. Resources Contractor's Name Dan Oele <br /> Address 3911 Fish Hatchery Road, Fitchburg WI 53711 Address 3911 Fish Hatchery Road, Fitchburg WI 53711 <br /> Phone 608 275 3225 Phone 608 275 3225 <br /> daniel.oele@wisconsin.gov <br /> Email Email <br /> daniel.oele @wisconsin.gov <br /> Parcel numbers affected: 0509240013 Town: 2905N09E Section: <br /> Property Address: 5804-6298 bellbrook road,brooklyn,WI 53521 <br /> (42.875325,-89.461508) <br /> li FEMA Panel Map: 55025C0590G Floodplain District: General Floodplain Flood Elevation: Zone A-no elevation <br /> determined <br /> Scope of work: (Describe development in detail) see attached narrative <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. <br /> Submitted By: `= Date: --i ( j <br /> 1 <br />