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25-0804
llelnrn to: County Use Only: 117 E 5'h Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LV'od'olq Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a5-�ON permits(aibavfieldcountv.wi.aov ^ Date: 1a/J•H/_'oa'S SECTION A: General Information Prop r$y Owner Name. - Authorized Agent Name (if applicable): 14 Telephone Number: 3 Telephone Number: RECEWED E -Mail Address: E -Mail Address: Mailing Add, s: Mailing Address: Planning and Zoning Agency 22110 4c`� t��� City, State, Zip: _ City, State, Zip: Number: E -Mail Address: Project Address (if different om n cling address): w) sq& 3 Legal Description (if additional s ace is needed ch a separate sheet): ie c c 4/5 b L /n! Z ''29 ≤- Section, Township, Range: (,Jg' Town of: Tax ID #: / y S 2. Lot Size (Acres/Square Feet): 3o sZ Project Use is: if Residential El Commercial El Municipal Project Type is: ❑ New Construction Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) El RV Placement 21+ days ❑ Sign ❑ Establishing a Business El Temporary (12 or less months) El Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): Structure Type is: - Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container El Other (describe): Foundation Type: ❑ Basement El Walkout Basement El Slab ,0 Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: C' Length: "' Width: 3, Height: l Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: l" Floor Sq Ft: Loft Sq Ft: 2°a Floor Sq Ft: 3'a Floor Sq Ft: Garage Sq Ft: Porch S Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): (7X� Total Sq Ft: O Overall Height (finished grade to peak) 13 # of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: n O Ckqsp n SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement El On -premise El Off -premise ❑ 1 -sided El 2 -sided Year: Vin #: ❑ On -building El Multi -Tenant Length: Width: Height: Make: Model: 1 RECEIVED SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): Road Centerline Ibo t ft. Front Lot Line/Right-of-Way ft. Side Lot Line 1 ft. (North❑East South❑ West❑, check one) 50 Side Lot Line 2 . / ft. (North❑EastflSouth®West❑. check one) 7S 2c10C County Use Only Verified setbacks TftNes/Comments:Ap Rear Lot Line u ft. / ft. Septic/Holding Tank / ft. / ft. Drainfield v / ft. ft. Privy ft. ft. Well le S ft. ft. Existing Structure/Building 2_ / ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) r D ft. ft. Other (describe) ft. ft. 2 RECEIVED OCT 2 % ?:r,-:) SECTION G: Additional Questions )S] Yes ❑ No I-las the location of the proposed project including eaves and overhangs and the saniR1r rsysteinand„well;hcen staked? If no, what date will this be completed: ❑ Yes ❑ No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. Yes ❑ No Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of Land Use Application Information for required setbacks. Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes '1 No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used // to manage wastewater? 5ZI Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes 4No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use O Class B Special Use ❑ Conditional Use O Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) debi re ' echeck (department to call once payment is ready to be taken) How would youlike to receive your permit card? I�IMail to: O1yry.Email to: Property Owner Address ❑ Agent Address ❑ Contractor Address O Other (provide Name and Email or Address): Section H: Acknowledgement and Signature All Land Use Permits expire Two (2) Years from die date of issuance if construction or use has not begun. Sanitary Permit issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or starting construction without a permit will result in penalties. The local Town, Village, City, State or Federal agencies may also require permits. The new construction of one- & two-family dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and alterations to one - and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the UDC. If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the property is located, and all other rules, regulations and requirements pertaining to that Condominium Association. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources wetlands identification web page, dnr.wi.tiov/tonic/wetlands, or contact a Department of Natural Resources service center (715)685-2900. 1 (we) declare that this application, including any accompanying information, has been examined by me (us) and to the best of my (our) knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the detail and accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in determining whether to issue a permit. I (we) further accept liability which may be a result of Bayfield County relying on this information I (we) are providing in or with this application. I (we) consent to county officials charged with administering county ordinances to have reaso access to the above -described property at any reaso ble time for the purpose of inspection. Owners) or Authorized Agent Printed Name:Walett'e'r Owner(s) or Authorized Agent Signature: Date: A'2�Z NOTES: 1. If you are signing on behalf of the o er(s) authorize must accompany this application. 2. Specific conditions/instructions may be stated on the face of the issued Land Use Permits. Owners, agents, & contractors must all be aware of permit details & conditions and permit card must be posted on property prior to start of project. State Bar of Wisconsin Form 3-2003 QUIT CLAIM DEED Document Number 2022R-597370 Daniel J. Heffner Document Number Document Name Register of Deeds Bayfield County, WT THIS DEED, made between Kenneth D. Schempp and Cynthia D. Schempp ("Grantor," whether one or ("Grantee," whether one or more). Grantor quit claims to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Bayfield County, State of Wisconsin ("Property`) (if more space is needed, please attach addendum): See Addendum A, attached. RECEI Y 4✓ OCT 212025 Bayfield Co. Planning and Zoning Agency Dated r1/0✓eMOU Ot' O20)? Recorded 12/02/2022 at 11:15 AM Recording Fee: $30.00 TF Exempt a#: 16 Pages: 2 Recording Area Name and Return Address Johnson Law Group, P.A. 6465 Waynta Boulevard Suite 304 Minneapolis, MN 55426 04-004-2-44-09-05-I 05-001-05000 Parcel Identification Number (PIN) This homestead property. (is) (is not) Todd Srhoenweldor t1L4 NOTARY PUBLIC MINNESOTA :-s• Ry CwerisshnEsDies Jut31,2027 AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WfSGGNSCON 91F )ss. authenticated on rsPA�NPds+✓ COUNTY ) TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: David W. Huart, Johnson Law Group, P.A. Ibmtl 1610 Maxwell Drive, Suite 200, Hudson, WI 54016 Personally came before me on 4m,ie 'a,, a1cZ2.,Z� the above -named Kenneth D. Schempp and Cynthia D. Schempp, husband and wife to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. s ✓ Mary Public, State of Wisconsin My Commission (is permanent) (expires:_____________________ ) (Signatures may be authenticated or acknowledged. Both are not necenaryj NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED O2003 STATE BAR OF WISCONSIN FORM NO. 3.2003 e Type name below signatures. Bayfield County Register of Deeds Document #2022R-597370 Page 1 of 2 ADDENDUM A Legal Description for Kenneth D. Schempp and Cynthia D. Thorp That part of Government Lot One (1), Section Five (5), Township Forty-four (44) North, Range Nine (9) West, Town of Barnes, Bayfield County, Wisconsin, described as follows: Commencing at the Northwest comer of said Government Lot One (1); thence running South, along the West line of said Government Lot One (1), 58 feet, to an iron pipe, which is the first point of determination; thence angle to the left 87°45', a distance of 2,187.4 feet to an iron pipe; thence angle to the right 90000, distance of 348 feet to an iron pipe; thence angle to the left 44°25', a distance of 200 feet to an iron pipe located on the lakeshore of Pickerel Lake, which is known as the place of beginning; thence retracing on the same line to the first-point•of determination; thence angle to the left 92°15',-a distance of40 feet to an iron pipe; thence angle to the left 87°45', a distance of 2,106.9 feet to an iron pipe; thence angle to the right 90°00' a distance of 308 feet to an iron pipe; thence angle to the left 12°14', a distance of 157 feet, to an iron pipe located on the lakeshore of Pickerel Lake; thence Easterly, along the lakeshore a distance of 200 feet to the place of beginning. All angles are deflection angles. RECEIVED L:L:i 212025 Bayfield Co. Planning and Zoning Agency Bayfield County Register of Deeds Document #2022R-597370 Page 2 of 2 WN North Quarter Comei section 5 Found S Verfed 3' Capped Pipe W b -ry c. 0 0 -t 11N•P 0 (a POE W / a o S88'01 N pp J O - N trz•P ID J MAP OF SURVEY located in Government Lot 1, Section 5, Township 44 North, Range 9 West Town of Barnes, Bayfield County, Wisconsin '03"E 2177.70' (2187.4') NE AN Li 11.6 L2 15.73 13 12.61 L4 39.76 L5 21.74 LS 11.64 S ea(,mae mE awe wcsetmtai4 aSi as Neel ee r(ee6m5 masts to—les'IAsa1v LEGEND O Well Q Found Section Corn, O Set1'ODxlWlmn ■ Found 2' Icon Pipe 0 Found 314• Icon Pipe () Recorded As My hut boost OW o,fvrtvy rigs, ale nuM ale W., CC a nav¢rl march a,tf a tithe wife tots, to„zvq.bu .aeon L' em.ra.d its., eon. of a.a., I rcx state re,rca.a r, cemew hunt, wav,vn toaa�ae ss Z O (A e oad 143-4T p;ivc•e 33' 369,392 Sq. Feet 3159 Acres mckldmg land lying between the OHWM and the meander Tme OAS' 330' lad 2 R9a daLLN 0 \ 50 100 1, BROCK R. FRIERMOOD. WISCONSIN 1' -So, FOR SURVEY$ U -- n NDEjRAE-7 OF WISCONSIN __wd,,ADMINISTF DATED THIS _P DAY OF w4a-ate 20? BROCK R�IERMOOD Northeast Comer Section 5 Found & Verified Bayfeld County Monument LEGAL DESCRIPTION: part of Government Lot 1. Sections, Township 44 North, Range 9 West Town of Barnes, Sayfeld County, Wisconsin, more particularly described as COMMENCING at the North Quarter comer of said Section 5, thence So0'21'41-E along the west lure of said Government Lot 1 a distance of 40.00 feet to the point of beginning; thence continuing SO0'21'41'E along the west tire of Government Loll a distance of 18.00 feet thence S88'Ol'03`E a distance of 2177.70 feet; there Sol -10'25W a distance of 345.30 feet thence 542'48'49"E a distance of 199.41 feet to a meander comer, said comer being N42'48'49W a distance of 23 feet more or lass from the ordinary high water mark of Pickerel Lake; thence NO2 -29-13W along a meander line a distance of 121.57 feet to a meander comer, said comer being N34'24'49W a distance of 24 feet more or lass from the ordinary high water malt of Pickerel Lake; thence N34'24'49W a distance of 157.16 feet thence N01'48'11'E a distance of 257.81 feet thence NBS'0214 W a distance of 222027 feet to the point of beginning and there terminating. Subject to 4 rod roadway as constructed. 'stetson Not.. nee hue area rice Lure �Y. 000E on the eflhety no. er no em .yta O ..nn., wire,, true cam, e. puopettt.a 5* Courses n m � aete-_nameass F revue, 451,0 a<xnr mw w awae. L 1T l� _ rune, No.atnMfire FRIERMOOD S-3195 BARNES, WIS. ti) ax ER IFY THAT THIS MAP WAS MADE AT THE kND THE INFORMATION SHOWN ON THIS THE MINIMUM STANDARD REQUIREMENTS 'Jr aunvcs k:senesm ratio 4, U ttv •-110e,ean IIriver LANDS LOCATED IN Govt Lot 1, Section 5, Completion of Fletl Wodc 'Watson sm.,m,atns asalco ermx FLYIN GOOSE Township 44 North, Range 9 West, Town Atldress: ntswaswaa a.,e.msaen acoisatms.asn ��ND II of Barnes, Baylleld County, Wisconsin eriyewaBscosm„ SURVEYING Job: am r I Bayfield County, WI Es - d u. 5 yr �� PRPIbl Tox t # 1466i 4 wyW� i ~ 41F4 P T4�EO0ORE E S TPANNE IA URBAN - �r.. •n , '855 :r� :Ai: c:P. R I b? F: C' flirt f/rfl rl r A fir 10/23/25, 9:09 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 10/23/2025 Created On: 3/15/2006 1:14:45 PM 'P Descripi Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: V Tax Districts Updated: 12/21/2022 Ownership 1453 04-004-2-44-09-05-1 05-001-05000 004106305000 (004) TOWN OF BARNES S05 T44N R09W PAR IN LOT 1 IN 2022R-597370 428C (TRUST AGREEMENT OF KENNETH D SCHEMPP) 3.052 Updated: 12/21/2022 TRUST AGREEMENT OF KENNETH D MINNETONKA MN SCHEMPP Billing Address: Mailing Address: TRUST AGREEMENT OF TRUST AGREEMENT OF KENNETH D SCHEMPP KENNETH D SCHEMPP 2216 BLACK OAK DR 2216 BLACK OAK DR MINNETONKA MN 55305 MINNETONKA MN 55305 P Site Address * indicates Private Road 3.052 2905 WALTER RD 0 Yes (R-3) Residential -3 ® Property Assessment 104 2025 Assessment Detail 1 04 004 041491 001700 ,4 Recorded Documents © TRUSTEES DEED Date Recorded: 7/26/2017 D QUIT CLAIM DEED Date Recorded: 12/2/2022 © CONVERSION Date Recorded: BARNES 54873 Updated: 10/4/2016 Code Acres Land Imp. G1 -RESIDENTIAL 3.040 107,000 58,700 Updated: 3/15/2006 STATE 2 -Year Comparison 2024 2025 Change COUNTY Land: 107,000 107,000 0.0% TOWN OF BARNES Improved: 58,700 58,700 0.0% SCHL-DRUMMOND Total: 165,700 165,700 0.0% TECHNICAL COLLEGE Updated: 3/15/2006 '.(; Property History N/A 201711-569296 2022R-597370 � /� 265-244;741-277 https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=1453 1/1 Land Use Permit Application Review Checklist Submission #: 0/9 What zoning district is the project located in? ❑ R-1 ❑ R-2 -3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ,Yes ❑ No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: 2j -- A Yes ❑ No Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? ❑ Yes 126 Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes aiNo Is the project located in the Floodplain? Zone: ❑ Yes B'No Are there wetlands on the property? ,es ❑ No Is project associated with a nonconforming use or structure? // 3 ❑ Yes 210 Is project associated with a variance? Case #: ❑ YesVo Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes JJ-No Is the project associated with a Special A Use Permit? ❑ Yes 2110 Does the project require sanitary? O Existing 0 New 0 Intercept ❑ Reconnect 0 Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: ❑ Yes Zlcio Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: es 0 No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential ❑ Commercial ❑ Municipal Project type is? ❑ New Construction Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type isesidence ❑ Principal Structure 0 Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: a Number of Stories: Overall Height: 3 Fee Type Calculation Fee Amount Dwelling Enclosed Areas —all enclosed areas within dwelling except attached non -habitable garages $0.75 x r- sq ft (minimum $125) $ 3 7, ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x s ft q (minimum $125) $ ❑ Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x sq ft (minimum $75) $ ❑ Commercial/Municipal Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial/Municipal Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Return Inspection Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface 0 Shorelan - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: /d Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: 2 Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. For personal residence only. ❑ Not for human habitation or sleeping purposes. aTown/State/DNR/Federal may require permitting ,Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). Use best management practices to limit and prevent erosion during construction. ❑ This permit cannot be transferred if property is sold. ❑ A Bayfield County Health Dept permit is required. ❑ Check with Town regarding room tax. ❑ Short -Term Rental is for a maximum occupancy of persons. ❑ SS* n must meet the requirements of Article E of the Bayfield County Zoning Ordinance. 8 To be constructed per plan. ❑ Adhere to privy agreement. ❑ Temporary permit allowing existing structure for a period of less than 1 year. ❑ RV may not be used for permanent residence or storage. ❑ RV allowed for ❑ RV must be removed by ❑ No sewer and pressurized water allowed in the structure. ❑ No plumbing or plumbing fixtures allowed. ❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s). ❑ Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered ❑ Land use permits shall be obtained prior to the initiation of construction or a change in land use ❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required ❑ Sanitation requirements must be met (if applicable) ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: B -MYFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: TRUST AGREEMENT OF KENNETH D SCHEMPP 2216 BLACK OAK DR MINNETONKA, MN 55305 Description Land Use Revisions Habitable Residential Principal Structures - enclosed areas $0.75/square foot (minimum $125) Submission Number: LU-02019 Transaction Number: LU-02019-374FC Amount $25.00 $37.50 Total: $62.50 Payment Amount: $64.45 Reference: 9727868835 Paid by: Kenneth Schempp Payment Type: Credit Card Transaction Date: 10/24/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required Substandard — Yes I Nonconforming — Yes Shoreland — Yes / Impervious Surface - No Floodplain - No / Wetlands - No Mitigation - No LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0804 Tax ID: 1453 Issued To: TRUST AGREEMENT OF KENNETH D SCHEMPP Location: S05 - T44N - R09W Town of Barnes Legal Description: PAR IN LOT I IN 2022R-597370 428C (TRUST AGREEMENT OF KENNETH D SCHEMPP) Residential Structure in R-3 zoning district For: Addition/Alteration [1 - Story ], Residence on a Crawlspace [50 Total sq. ft. ] Height of 13' (Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any future expansions or development would require additional permitting. Condition(s): See back of card NOTE: This permit expires two years from date of issuance if the authorized construction Tracy Pooler work or land use has not begun. Authorized Issuing Official Changes in plans or specifications shall not be made without obtaining approval. This permit may be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. October 24, 2025 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated. Condition(s): For personal residence only. Town/State/DNR/Federal may require permitting A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. Use best management practices to limit and prevent erosion during construction. To be constructed per plan.