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()CP f O 40/ 00001 <br /> �rn DANE COUNTY <br /> Zonin g <br /> Division DEVELOPMENT Room <br /> 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> Phone: (608) 266-4266 <br /> Floodplain Development Application Fax: (608) 267-1540 <br /> Items required to be submitted with application: <br /> c 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 II <br /> proposed. All plans shall be stamped and signed by a professional engineer or architect. <br /> c Engineering Analysis !I <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. it <br /> Owners Name Contractor's Name <br /> Address Sca AV: WI ess <br /> /�� J S-3 S-3 <br /> Phone � V I �=�' hone <br /> CC <br /> &i-A3 YA>•IN ag c I S •tr,v1P� ii <br /> Email J Email <br /> ii <br /> Parcel numbers affected: Town: ),wNiti'r Section: 0-6 <br /> gS00-(7. J-10 Property Address: <br /> • <br /> • II <br /> FEMA Panel Map: Floodplain District: Flood Elevation: <br /> • <br /> Scope of work: (Describe development in detail) 1 rr , II <br /> `- Sc �Y� i�' )*(311-'e 1�� � � � �SSlllor� <� �� M� <br /> 11��__ (( ( c�S <br /> 1 <br /> Pvv1 , <br /> I authorize.that I am the o ,er or have permission to act on behalf of the owner of the property. <br /> Submitted By: � . Date: ( I( I ))K <br /> ii <br /> II <br /> ii, <br />