Laserfiche WebLink
°AFL p -4-0/S-- Dooc)� <br /> DANE COUNTY <br /> PLANNING zoning Division <br /> DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. it <br /> �sQp1i5' Madison, Wisconsin 53703-3342 <br /> Floodplain Development Application Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Items required to be submitted with application: <br /> o 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 /> o Engineering Analysis <br /> The analysis shall include calculations or modeling that shows that the development will not obstruct �I <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 M id-vA c c e y arnl 1-1.- G Contractor's Name <br /> Address ��y 7 lib/e.4 e <br /> Y /fd Address 17dr g �!� �=��'/ 14ft <br /> Phone d 7cf1r �°JD <br /> Phone 70 .3 99/ <br /> Email <br /> /". 14' k6OAfjeelerd5. 4c_r Email <br /> Parcel numbers affected: 7n7 056, � ��—"`------- ------ <br /> 9 000 a" Town: ,W,, ;,rte Section: <br /> Pro pe rty Address:y�d tl�'t-�w-r Y o d <br /> 3 FEMA Panel Map: <br /> Floodplain District: Flood Elevation: <br /> Scope of work: (Describe development in detail) �/ /�� �� lti �1 :q <br /> -d �/ �L�'I'ta+l <br /> ii <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. <br /> Submitted By: "in <br /> 1/� PG4-Y•-i �L L Date: / ('3-3— h <br /> ll �; <br />