Laserfiche WebLink
ZONING OFFICE USE ONLY ZONING OFFICE USE ONLY <br /> Project includes development within: (check all that apply) <br /> 11000' of a lake or pond 300' of lake,pond,river or stream 2300' of a floodplain <br /> ❑ A floodplain ❑ 75' of a wetland ❑ A wetland ❑ The vegetative buffer zone <br /> Shoreland Water body: ( y L'L.�( tIdentification: DNR designated? ❑Yes ❑No <br /> ❑ Wetland ,� Shoreland wetland ❑Inland wetland ❑Wetland<2 acres <br /> O Floodplain FEMA map panel: 55025C Flood zone: <br /> ❑Floodway ❑Flood fringe ❑General floodplain ❑Flood storage <br /> Lot <br /> .Existing ❑ Existing non-conforming ❑New <br /> Impervious Surface Calculations <br /> Area(square feet): <br /> Total Lot: a / ('OO Sq Ft <br /> Within 300' of <br /> ordinary high water <br /> mark Existing Additional Proposed Post Development <br /> Lot / G CJ <br /> Primary building <br /> footprint / $ Y0 / 7 5 <br /> Accessory building(s) <br /> Driveway <br /> Any other impervious //_ -- 77 w /fy� G �t a Arc--k"* /4-�/ f-!y,^ ��k <br /> Total impervious r✓t H- Ori 7y,#5- 4 �`►Z j, �l,F/Ate" ,r/ c4-1,ac,,� <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 ❑ Shoreland Mitigation Permit ❑Variance <br /> ❑Floodplain development permit ❑ Zoning Permit ❑ <br /> Additional information required: <br /> STATUS: ❑ Shoreland zoning permit and/or zoning permit issued contingent upon other permits <br /> ❑ Shoreland zoning permit on hold for other permits <br /> Issued by Date <br /> Assistant Zonmg Admmistrator <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL_Application.docx Version 1.1 Created 12272013 <br />