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s DANE COUNTY <br /> .� _ LA N N I N Zoning Division <br /> '•. . D E V E LO PM N E N T R , City-County Building <br /> t n Luther King Jr. Blvd. <br /> r. Madison, Wisconsin 53703-3342 <br /> Floodplain Development Application Phone: (608) 266-4266 <br /> Flood <br /> p p pp 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 <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 e4• . <br /> �,c/ /111 /4.d_ Contractor's Name <br /> Address eq3 e/3 V f`t c°" j Lilo /l ress <br /> €.l /t2, I 1,--2/, 5- c ;5' <br /> Phone <br /> Phone <br /> Email .30 e g e' - &° 30 Email <br /> 7 T57 . /2 r Town. <br /> Parcel numbers affected: y', ,/-1.ge'_Se Section: fir...5— <br /> Property Address: <br /> FEMA Panel Map: Floodplain District: Flood Elevation: <br /> Sco e of work: (Describe development in detail) 7... ..71,_ <br /> e„e� , " " l�,',<"', <br /> j :-<' _--'12 ` ..1.1 .. .�.'.�:,I., ,e.... * rt,.. ex-ur '.. tom'' ,� t. Lev .S <br /> ,, —e-e-W T 4,/,,,c4,..{r . -Kr' /gyp ? "-- d 4 / <br /> .14,t l..^,e`-r . "e. 1C«.!.+....e...._._ 744..." .L.:.. �e,:ejf ✓ -+C-- c;r 27 G.. <br /> I authorize thatflam the owner• 'lye per eion to act f beh o the owner of the property. �/ <br /> Submitted{By` Date: ,42/1` // <br /> f <br /> f <br />