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• <br /> Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Ruby (daughter of owners) Phone#: (415) 290-1866 <br /> Landowner: Jack & Carolyn Bradt Phone#: <br /> Contact email: rubyvanderzee @yahoo.com <br /> Project Address: 8283 N. Riley Rd., Verona, WI 53593 <br /> Location:Township: Springdale Sec: 02 1/4 NW of NE <br /> Parcel#: 0607-021 -8551 -7 <br /> Project Description: Pole shed being built on slopes <12%, no disturbance except <br /> holes for corner poles. <br /> Planned Size of Disturbance: (minimal) ft2 Planned Size of New Impervious: 480 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: DDOES* QDOES NOT require a permit <br /> Determination Made By: ❑JAH OJAS ❑JDB ❑JRT ❑RLS <br /> *Type of permit required: ❑EC DES ❑SM ESE Liss <br /> ❑Disturbance >4000 ft2 ❑Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel 0125' New road/driveway ❑Shoreland Zone disturbance <br /> ❑Addition of 20,000 ft2 New Imp. Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Slopes <12%, disturbance negligent, shoreland zone is <br /> >500' away from proposed building area. <br /> Permit determination based upon information provided by caller/landowner. Changes in project size,scope or <br /> location may trigger changes to permit requirements. It is the responsibility of the owner to ensure all required <br /> permits have been obtained prior to commencing work. <br />