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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Ann Bjordahl Phone#: <br /> Landowner: Phone#: <br /> Contact email: bjordahlann @dishmail.net <br /> Project Address: 2273 STENJEM DR <br /> Location: Township: DUNN Sec: 22 v, NW <br /> Parcel#: 0610-222-9320-0 <br /> Project Description: construction of a 24' x 24' accessory building <br /> Planned Size of Disturbance: < 4000 ft2 Planned Size of New Impervious: 576 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ZDOES NOT require a permit <br /> Determination Made By: I JAH ❑JAS ❑JDB JRT ORLS <br /> *Type of permit required: DEC DES ❑SM ❑SE ❑SS <br /> ❑Disturbance >4000 ft2 ❑Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel ❑125' New road/driveway ❑Shoreland Zone disturbance <br /> ❑Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Project does not trigger Ch. 11 or Ch. 14 requirements <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 />