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Dane County Land Conservation Division <br /> DZNAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Ed Anderson Phone#: 608.437.7534 <br /> Landowner: Raymond Jast Phone#: <br /> Contact email: NA <br /> Project Address: 8466 Miller Rd <br /> Location:Township: Primrose Sec:05 y, NW <br /> Parcel#: 0507-112-8500-0 <br /> Project Description: 12 x 16 Screen Porch (addition) <br /> Planned Size of Disturbance: < 5 ft2 Planned Size of New Impervious: 192 ft2 <br /> Land Conservation Division Response: <br /> Based on information above the project: []DOES* ZDOES NOT require a permit <br /> Determination Made By: DJAH DJAS DDB DIRT DRLS <br /> *Type of permit required: DEC DES []SM USE QSS <br /> ā¯‘Disturbance >4000 ft2 Slopes>12% ['Excavate/Fill>400 yds' <br /> 0 Disturbing 100' of ditch/channel 0125'New road/driveway ['Shoreland Zone disturbance <br /> Addition of 20,000 fie New Imp. ['Subdivision Plat/CSM []Other: <br /> Basis for Determination: meets post holes exemption - no land disturbing activity will occur <br /> Permit determination based upon information provided by caller/landowner. Changes in project size,scope or <br /> location may trigger changes to permit requirements. Tt is the responsibility of the owner to ensure all required <br /> permits have been obtained prior to conunencing work_ <br /> Z0/Z0 39dd Ad3SN00 QNd"1 03 3Ntva SDL£-bZZ-809 8Z:60 6002/0E/£0 <br /> I 'd BESLSir8 B09 'sail 'g 2u i p l t ng R4 t u2a4u l ea6 :0I 60 b i udd <br />