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Home My WebLink About26-0258Return to: 117 E 5t" Street, PO Box 58 t Washburn, WI 54891 V per miis(aba fleldcountvwi.Rov "SECTION A: General'Infotvrt fl Property Owner f C C5 r, E -Mail Address: Mailing Address• City. State, Zip. LDe� ga eld County Planning and ZoningDepartment LANDUSE PERMIT APPLICATION permi don Authorized Agent ame (if a licab k 'I VF Telephone Number 7^ ctC-2- ��- Legal Description (ifaddtnonat spa Section. Township. Range: 5,;. Tax ID 'a: /098N SECTION C• Project Informatio Project Use is -Residential Project Type is: ❑ Change Use (existing structure) ❑ Sign ❑ Shoreland Grading. Class A rcq jred (Total sq ft): required -- - - SECTION D: Structure Information (Does not apply to RVs and Signs, o to Section E) Structure Type is: ) Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured date): ❑ Shipping Container 0 Other (describe): Foundation Type: ❑ Basement 0 Walkout Basement 'Slab O Crawlspace O Ground O Skids O Other (explain): Existing Structure: Length: Width: Height Proposed Structure (Prgvide Sq Ft base/ an outside dimensions. tncdu d g unfinished areas, attached garages/above grade decks/ rches : L X a& I.J S a Basement Sq t'b 1" Floor Sq Ftq@ 8 � o Loft Sq Ft: N'/ 2m Floor Sq Ft:, //� 3"' Floor Sq Ft:N/j, Garage Sq Ft: A Porch Sq Ft/4 'V Deck Sq Ft: A l Other Sq Ft (d)' ): Other Sq Ft a rite):: Total Sq Ft: 988 Overall Height (finished grade to peak): f C r of Stories: Existing t.' of Bedrooms on property: Proposed # of Bedrooms in project: .. SECTION E: RVaud Sign Information (check all that apply) _`- Sign is: RI' is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided 0 2 -sided Year: Vin r: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: JUN 0 2 2026 @ay fjyld Co. Mailing At Rana np . ity,�tate Telephone Number: O iiIvtr (3 Fr'-'' r'r- tz#:S do o-�-Pkyt- ❑ Relocate (existing structure) ❑ Establishing a Business ❑ RV Placement 4+ months, Class A t�. Coy" Size (Acres/Square Feet): - g,j ((mac imated cost of construction: $ ❑ Addition/Alteration (existing structure) ❑ RV Placement 21+ days ❑ Temporary (12 or less months) ❑ Other (describe): Application Page I SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use rentut /%ppiicuutns information for information that is required to be rovided on site Ian Show location of: Septic Tank (ST) Q Drain Field (DF) $. Driveways Frontage Roads (include name) ❑ Existing Structures Wall (W) ❑ Hol in O Pri P) ❑ Lake O River ❑StreamlCreek ❑Pond ❑Flood lain ❑ and> to es o Tank (HT)ver 20% c ,+ AJ C " Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): Road Centerline Q ft. Front Lot Line/Right-of-Way 6 ft. Side Lot Line I/D tl (North East South est, circle one) Side l.ot Line 2 ft. /v ft. .165.76 rl JUN 0 2 2026 Bayfield Co. Planning and Zoning Agency Use Only I setbacks ft. I Notes/Comments: Rear Lot Privy Elevation of Floodplain Ordinary High -Water Mark (OHWM) Other (describe) (( % ft. `7 ft. Ii') ft.(Cl ft. 75 R. 7Jft. Jr/kft ft. / c ft. O ft. il/A ft. ft. v/Aft. ft. f/Aft. ft. / ft. ft. ft. ft. Application Page 2 G: Additional SF 'ION uestions Has the location of the proposed project' been staked" If no, what date will this be completed: %Yes ❑ No Note: The site will not be inspected nor permit issued until after the staking date listed above. licensed surveyor mark lot line(s) if project is within 10 feet of required tback? See page 2o, (.gnd Use Yes ❑ No Did a Application Information for required setbacks. T 2 S ) II ❑ Yes f4o Did property owner or applicant mark lot line(s) if project is within 30 feet of required setba . See page 2 of Land Use Application Information for required setbacks. ❑ yes .j4o Is there an existing sanitary system on the property? If yes, what kind? 0 Drainfield 0 Holding Tank ❑ Munici al/Public ❑ Other (describe): If what kind of sanitary system will be installed or used IYes ❑ No Will pressurized water be installed in the structure? yes, to manage wastewater? rainfield 0 Holdin Tank ❑ Munici al/Public ❑ Other (describe): Yes ❑ No Will sleeping occur in the structure? If yes contac loc Uniform Dlling Code (UDC) fo4r approval and 'or inspection requirements. UPct b' Jsf Is the project associated with any of the following: ❑ Rezone O Class A Special Use O Class B Special Use O Conditional Use O Variance Fee payment will be made via: ❑ Check (attached) 0 Cash (attached) de bit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? WL w e1 C for Mail to: OR Email to: roperty Owner Address O Agent Address O Contractor Address 'Other (provide name and email or address): 'Inductee ,vL. overhangs. sanitary s)smm, and well in stakinc ntcasurcmcrs Section H: Acknowledgement and Signature All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. am . r&i issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or starting constru,qtion20�6 without a L permit will result in penalties. rl Town, Village, City, State or Federal agencies may also require permits. The new constructilgM 'noA@ family The local n dwellings and approval by the local Uniform Dwelling Code (UDC) authority. Additions anr� a era�ror%Jg a&_ requires review 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.gov/topj�st or contact a Department of Natural Resources service center (715)685-2900. I (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 1 (we) are providing and that will be relied upon by Bayfield County in determining whether to issue a permit. l (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 access to the above -described property at any reasonable time for the purpose of inspection. �� 7{ rt✓ O ✓Gmetic) LLG S�c�r\ ' j° / Owner(s)orAuthorizedAgent PrintedName: Date: tS Owner(s) or Authorized Agent Signs _ NOTES: 1. If you are signing on behalf of wner(s) a letter of authorization 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. Application Page 3 Mueea�iw -. -. fl tc wvma ysyy �'y.. O13 00 00 LEFT ELEVATION cn eueaavw yyi r �y-�ly3y O x yyysy yyy sr' Wyly w I I 2 i I RECEIVED IJ1 I JUN 0 2 201-6 SAM OWA Bayfield Co. Planning and Zoning Agency aT MO Al 0 mt. uweems Nfl I az lla. Wm yfr trot ea.w.Nasr annwr.MooYro*'rrr ? T f�C7'Tf{ I. �I I} I -C_ F'2, Iar 11 J cti I / LI-j.. _ I _. __ EEI 31 IV! 0 I ti I I -I — ROM FQUWATI00 VI .;.` a".r.r +:tF 212 G —J —Gtrot INZa'a — t �C'rCcii�'�6 JUN 022026 Planning a d Z n ng Agency 5463 ET IOM A2 I d I 1 i I a LOP marrllaenavamw vW wro lin Lmcw�eurla'[m•IM•V AW IIn wn art aln lun t fl ml TI Si Kafvtl�a aaO atMML I1MIa0tl MYMY r. rmlaaulallvl In us• wn Cat*'a5 _(W Iin �aerm av V • yraay Gall, IPOL . mwuwrnlS • M•16r autaa • At I auearnu a' m • Man _�.r>.•. ate r/fJ Mla r lm,ru aa,wi 'yymf•�iu•ra•Yu•Yn[ 18I• mrI'a Hf im°Mmawa aarsa aaalM • Yartl M.11•I1YY O a'�MJ! K • Bma •• b S*IA MMIaOm.al • enaw� o m�aaMr •a71TM6 a MMIITSJT ••d~ • St fl lY•m MWYYf pm1tWMV . irc.maMw rareal -T yr vlo•aM • r w ML/aaLt a raaua MaMS Yar•,Maaaa • n••a.M a•• vl *1.1 eanwae alns,Itm • Mm1 OIVCi D • N'aa•GMISO Ms 6RO55 SECTION 5CNL i/r•Ib• RECEIVED JUN 022026 QNo 5.EGTION ONnusE_secnou Bayfield Co. Planning aid Zoning Agency Cl) I- U W N en In O ac U 2s 5489 A4 ngw.rx..a n Method P1- - Postal Frame Brace t onsllwrlua ---mr a+M.. a•,:r ,'(a.r. ,wc: ,.., 1rcy.nxa. v.o+awrw _r.m.a I��+ oru..ava.. Bar: _,< � _ iI t Ywa.rAa a _ . :...-rlr.6...8 II w. r . / I NCIC�.N Yc• i'!rC'aA'lrrgrYrb' ), G4tt l4QL toot, V pw rMlq:].L.Y.'. I1t ..fNM M. v.eY • I / _ .0 '9Nlitx)'4lgp,w z., - II O.a .. r.d. t; YOF.r>o1✓d^r 1aO MC.r*o OCRIrI.D• � FW (JrK:'•fM. (CN tWYCY I 1) AT14JDl: t p:r.: WY.M wM:SWJbI CL�.wwG(.M {I .wnnVY fl... PitSiFFARC � II -'e. WI QC 1, aT4 w.n% wrrlmt stM'Y. moManrx. rrr..wr.ra a Ni P.0 arl cr w4: +Mn cnc: I it .wG.W ' w(C/Y Y.].M II II \�I ! "Ora nmJal MYf MO w'+ I.tlR tIVr+Y. Y Iix otimlisal 11 5tlJataTtsn9a .CSItwa. YV.M 9w: 1— :.man.. sn -a:. :... AtlrwRaoa .` r. ..nacxxan x w.o, moca r nrr.r.or -,rwwm.Aoc.: ..' r'".il.t II -11 - .._MM y;y vaOrs:.. It _.c�rc'ntnP' — vAy:aarWr:o 'I.- tat nv^a to.': ne ::xt :-v `( -� •ar:nnrre i 1 n.. 'i'. I a.[rryr—.. W1Rl T.VSC L: AM'Cx' �.. -. - AY?.lK rr.ac.Ac Alm—;-- OVa.arwalaanwmr....AamaA' rim. •c"* -- .r.m. .uc .n...aea,wt .YC S.w.IA.a 1M1 rUE HJTI,V I; �: WGO aY IIi".'! ...r,:.r.r+'r. ras: rrr:sxtx c;u.U,wu:.•: ( war' rawwac<.rt. u't ARf:nE _. I': .:.r wac.+w �., L910Ftr Rt afr E __:b,_ t.VIflDS #4a ).QK1uaLL.W �. P1010 ELEIATICII -i4.C 11CM 2,'rllaf 12-6, "31 r I L BRACED WALLPANEL BRACED Bracalg appied b walls visible le elevation -' WALL. PANEL to each side of floor an at each sbrylevel RCEIVED 1022026 8ayfield Co. Planning and Zoning Agency Table 321.2411 Silsl\I1:31 W iIr1IIS OI %iC I I IOD f s P sP 1Nn (S -Sill BR\c'ED R %I I. 1.\.I:I IS __,--- -- \laaimavv OpealaR ll.labl 3linimum l eaasA nr 0rK d 1%all l m i t lvrhnl df areal 1. Brave.] Wall 'api II'wl nail 9111 nail f 10ldl wail 12 tail wall iI }:. � - 2' ur air If1 I }� n :u r. 1I L+ -IS 11 :F -. I jr I-, IPI - _ I.n IS Hill I SALES 01BFA 5183 swu INIBEII WB-1 H Slate Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number fl Document Name THIS DEED, made between l'e,nela L. Jereens ("Grantor," whether one or more), and Duffy Development LLC one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in HAYFIELD County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): DOCUMENT NUMBER 2026R-612181 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. W RECORDED O5/15/2O26 AT 1 1:2O AM RECORDING FEE: $30.00 TRANSFER FEE: $31.50 PAGES: 1 ELECTRONICALLY RECORDED Recording Area flame and Return Address Duffy Development LLC 5702N Hum Lake Lane Lot Ninety (90), Woodcrest Addition to Wilde River, Town of Cable, Bayfield Stone Lake WI 54876 County, Wisconsin. 21309-26 04-0I2-2-43.07-23-2 00-319-09800 Parcel Idenlifieman Number(PM) ---- This IS NOT haneslmt property (is) (is not) _ RECEIVED Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: JUN 0 2 2026 EASEMENTS;'ERVA11ONS AND RESTRICTIONS OF RECORD. Dated IS 7 r_ _• Bayfield Co. —� Planning and Zoning Agency AUTHENTICATION Signature(s) authenticated on (SEAL) Pamela L. Jergens STATEOF,iiNIn441 I- 1 Notary AMA o -Minn TECH Notary Publlo•MJnneeota \� C` ` A 10omNWan Bg1MJN.atr7aaa Personally cane before me on ✓7414 2, 2-07. to TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Pamela L JereerTts (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Slat. § 706.06) instrument and acknowledged the sane. THIS INSTRUMENT DRAFTED BY: Attorney Matthew F. Anich SBN 1017169 Notary Public, State of $� q Anich Wickman & Lindsey, S.C.. Ashland WI 54806 My Commission (is permanent) expires: Ci' I -31Zed (Slgaalura map be aalhentieated at axanowltdCed. Both are not accesary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED O2003 STATE BAR Of WISCONSIN FORM NO. 1.2003 •'type name below signatures Bayfield County Register of Deeds Document #2026R-612181 Page 1 of 1 AFFIDAVIT OF AUTHORITY (Corporation, LLC, etc.) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a corporate/business entity.FttGC IVED STATE OF WISCONSIN ss. JUN 0 2 2026 BAYFIELD COUNTY ) Bayfield Co. The undersigned affirms and states as follows: Planning and Zoning Agency 1. Address of Subject Property: L.0 4- 9a S-iyer J U' -;s1 4/ct' t'j S7UW rC nkr'kr 2. The Subject Property is owned by: £1M Def/t'/a/9nozT tGC 1W D (Name of Company) (� 3. The name(s) of the current President or Managing Member: 4. I certify that the company named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Company named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to the Bayfield County Zoning Department concerning the Property described in paragraph 1. I further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. I am authorized by the above -named Company to apply for and bind the Company to the terms and conditions of any decision or permit issued by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnify Bayfield County or such person or legal entity suffering a damage resulting from any illegalities of the application. Dated: —! —. L6 LC Print Name Subscribed and sworn to before me this (' day of� (r�P 20Zfp 'PGK1E6l�O, Notarymublic, County, Wisconsin My co WISCO,•• Land Use Permit Application Review Checklist `Submission #: Lt — "L What zoning district is the project located in? ❑R-1 ❑R-2 ❑R-3 ❑R-4 -RB ❑C ❑I ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes ?-Poo Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ 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 Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes,C110 Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes o Is project associated with a nonconforming use or structure? ❑ Yes &qNo Is project associated with a variance? Case #: ❑ Yes No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes o Is the project associated with a Special A Use Permit? s ❑ No Does the project require sanitary? ❑ Existing '6New ❑Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public SanitaryPermit #: ≥-6 &S # of Bedrooms: a- ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: Ye ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes �i Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? esidential O Commercial O Municipal Project type (sj,Siew Construction O Addition/Alteration O Change Use O Relocate 0 RV Placement 0 Sign ❑ Establishir1g a Business O Temporary O Shoreland Grading 0 Other, describe: Structure Type is: esidence O Principal Structure ❑ Accessory Structure ❑ Boathouse (one story only) O Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Oth r, describe Total Sq. Ft. of Project: Number of Stories: Overall Height: n Fee Type Calculation Fee Amount Residential Principal and Accessory C (minimum $125) ,,Habitable Structures - Enclosed Areas — all enclosed areas within $0.50 x sq ft $ dwelling except attached non -habitable garages ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 x sq ft (minimum $125) Attached Non -Habitable Garages $ ❑ Non -Habitable Residential Principal and Accessory $0.20 x sq ft (minimum $75) Structures $ ❑ Commercial Principal Structures $250 + $0.005 x (minimum $250) cost of construction $ ❑ Commercial Accessory Structures $150 + $0.005 x (minimum $150) cost of construction $ ❑ Municipal Principal and Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection O Land Use Revisions O Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: ft /[ > Date of Inspection: r �� Re -Inspected by: Date of Re -Inspection: Denied by: I Date of Denial: Reason for Denial: Date Denial Letter Mailcrl- Approved by: y Date of Approval: Condition(s): 1/lust meet and maintain setbacks from furthest extension of structure including eaves and `overhangs. ❑ For personal storage only. For personal residence only. O Not for human habitation or sleeping purposes. Town/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). 'Fuse 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. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. , ro 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 (L7 Land use permits shall be obtained prior to the initiation of construction or a change in land use equirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required aSanitation requirements must be met (if applicable) 1❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: K: Applications and forms/Applications/land Use/Updated 2/25/2026 mdk 1YFIELD 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: Submission Number: DUFFY DEVELOPMENT LLC LU-02311 5702 N HAM LAKE LN STONE LAKE, WI 54876 Transaction Number: LU-02311-47E1E Description Amount Habitable Residential Principal & Accessory $494.00 Structures - enclosed areas $0.50/square foot (minimum $125) Total: $494.00 Payment Amount: $505.76 Reference: 1230387675 Paid by: Jordan Duffy Payment Type: Credit Card Transaction Date: 6/17/2026 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 — No / Nonconforming — No Shoreland — No / Impervious Surface — No Floodplain — No! Wetlands — No Mitigation — No / Affidavit #: LAND USE —X X SANITARY — New 26-63S SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0258 Tax ID: 10984 Issued To: DUFFY DEVELOPMENT LLC Location: S23 - T43N - R07W Town of Cable BAYFIELD COUNTY �i:1Jdhi WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: WOODCREST ADDITION TO WILDE RIVER LOT 90 1568 IN V.901 P.926 IM 2004R-494519 Residential Structure in R-RB zoning district For: New Construction [1 - Story ], Residence on a Slab [988 Total sq. ft. ] Height of 16' (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 work or land use has not begun. 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. This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Scott Roush Authorized Issuing Official June 17, 2026 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. 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. 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).