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ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> ❑ 1000' of a lake or pond 0 300' of lake,pond, river or stream 0 300' of a floodplain <br /> • <br /> ❑ A floodplain 0 75' of a wetland 0 A wetland 0 The vegetative buffer zone <br /> ❑ Shoreland Water body: Identification: DNR designated? ❑Yes ❑No <br /> ❑ Wetland 0 Shoreland wetland ❑Inland wetland ❑Wetland<2 acres <br /> ❑ Floodplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe ❑General floodplain ❑Flood storage <br /> Lot <br /> ❑Existing 0 Existing non-conforming ONew <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 <br /> Primary building <br /> footprint <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious <br /> Total impervious <br /> Percent impervious <br /> Project meets shoreland standards: ❑Yes ❑No Shoreland zoning permit denied: ❑Yes ❑No <br /> Additional Dane County permits needed: <br /> ❑ Shoreland Erosion Control Permit 0 Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit 0 Zoning Permit ❑ <br /> Additional information required: <br /> STATUS: 0 Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> 0 Shoreland zoning permit on hold for other permits <br /> Issued by Date <br /> Assistant Zoning Administrator <br /> H.',zoningShoreland-Wetland Zoning':Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />