Laserfiche WebLink
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 or stream 300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland ❑ A wetland The vegetative d e egetahve buffer zone <br /> Shoreland Water body: Sc ('1 •1e Identification: C e. ( DNR designated?.W9s ❑No <br /> ❑ Wetland ❑ Shoreland wetland El Inland wetland ❑Wetland<2 acres <br /> ❑ Floodplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe ❑General floodplain El Flood storage <br /> Lot <br /> MExisting ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area (square feet): � Sq Ft <br /> Total Lot: <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot J <br /> Primary building <br /> footprint <br /> Accessory building(s) q 6 <br /> Driveway <br /> Any other impervious <br /> Total impervious 6q I 3 6o1'- <br /> Percent impervious I '3 � I N• 1% - <br /> Project meets shoreland standards:Cl lYes ❑No Shoreland zoning permit denied: ❑Yes iNNo <br /> Additional Dane County permits needed: <br /> j Shoreland Erosion Control Permit ❑ Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit ❑ Zoning Permit t'r_ <br /> Additional information required: <br /> STATUS: ❑ Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> Shoreland zo •ng permit on old for other permits <br /> Issued by •••••,1 Date (i/i <br /> Assistant I nmg Administrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />