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HomeMy WebLinkAbout26-0267Docusign Envelope ID: 1C429A4E-0A13-8C1D-83E1-4977CDE86629 117 E 6« Street 13AFIELD PO Box 403Y Washburn, WI 54891 (715) 373-6109 permits o),bavfieldcounty.wi.gov Health Zoning Submission # DO Fee Paid Refund Permit # -Oa 7 Date Issued ao_t Short -Term Rental Application Packet This application packet contains information for both a Tourist Rooming House license through Bayfield County Health Department and a Short -Term Rental permit through Bayfield County Planning and Zoning Departf application and applicable fees can be mailed/emailed to the address/email above. Prope Tax ID can oun t rough NOVUS (his://novus.bayfieldcounty.wi.gov/access/master.asp). MAY 1 1 2026 City of Washburn, City of Bayfield, Town of Pilsen: License through Bayfield 4 th Deparequired. Please review and fill out pages 1-4. Planning and Zoning Agency All Other Towns: A license through the Health Department and permit through the Planning and Zoning Department are required. Please review and fill out pages 1-5. SECTION A: ESTABLISHMENT INFORMATION Establishment Name Bayview Lodge Property Tax ID # 6698 Town/City of Town of Bayview Establishment Street Address 82600 State Highway 13 City Bayfield State wi Zip 54814 SECTION B: OWNER INFORMATION Property Owner MArk Miner Email Address admin@windseekerrentals.com Phone Number (715) 513-9944 Owner Mailing Address PO Box 1005, Bayfeld, WI 54814 City Bayfield State WI Zip 54814 SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership, LLC, LLP, or Inc.) Email Address Phone Number Licensee Street Address City State Zip Agent Name (if applicable) Windseeker Rentals Email Address admin@windseekerrentals.com Phone Number (715) 513-9944 Agent Street Address 215 Rittenhouse Ave City Bayfield State WI Zip 54814 SECTION D: RENTAL UNIT INFORMATION (see ke below) Unit Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories # of Bedrooms # of Bathrooms H P P P 2.5 5 3 2 3 4 Structure Type: House (H) Duplex (D) Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O), please describe Heating Source: Electric (E) Natural Gas (NG) Propane P Wood W Fuel Other (O), please describe Water Source: Public/Municipal (M) Private Well (P) Sanitary Source: Public/Municipal (M) Private Onsite Wastewater System (P) 511./26, 1128 PM Windseeker Rentals LLC Mail - ENVIRONMENTAL HEALTH Payment Confirmation WIN DSEEKE R Administration Windseeker <admin@windseekerrentals.com> RENTALS ENVIRONMENTAL HEALTH Payment Confirmation no-reply@allpaid.com <no-reply@allpaid.com> Mon, May 11, 2026 at 10:55 PM To: admin@windseekerrentals.com ailpaid AIIPaid 7820 Innovation Boulevard Suite 250 Indianapolis, IN 46278 24 Hour Customer Service #: 888-604-7888 ENVIRONMENTAL HEALTH Payment Confirmation RECEIVED PLC: BAYFIELD COUNTY HEALTH DEPARTMENT DATE: 05/11/26 MAY 1202i1 a0039y 117 EAST SIXTH STREET WASHBURN, WI 54891 Bayfield Co. FOR: ENVIRONMENTAL HEALTH Planning and Zoning Agency Business Name and Facility Name are required fields if applicable. Name: WINDSEEKER RENTALS Facility Name: BAYVIEW LODGE Lodging License: TOURIST ROOMING HOUSE (1-4 ROOMS) - $337.44 Lodging License TOURIST ROOMING HOUSE -$592.00 Pre -inspection Fees: BILLING INFORMATION NAME: WINDSEEKER RENTALS ADDRESS: PO BOX 1005 CITY, STATE BAYFIELD, WI 54814 ZIP: PHONE #: 715-513-9944 CARD #: xxxx-xxxx-xxxx-1026 The service fee is not refundable. TRANSACTION REFERENCE #: 50783197 05/11/2026 23:55:10 TRANSACTION DATEITIME: EDT PAYMENT INFORMATION APPROVAL #: 209735 PAYMENT AMOUNT: $929.44 SERVICE FEE: $27.88 TOTAL AMOUNT: $957.32 ATTENTION CARDHOLDER: If you have questions about the processing of your payment, please call AIIPaid at 888-604-7888. Thank you for using AIIPaid © 2007-2026 AIIPaid, Inc. Form #: EUP hftps://mail.google.com/mail/u/0/?i k=a950d4fa35&view=-pt&search=all&permmsgid=msg-f:1864953378487419751 &simpl=msg-f:1864953378487419751 111 Docusign Envelope ID: IC429A4E-0A13-8C1D-83E14977CDE86629 Site Plan bounty GIS"mapping too can assist with-developmen�f i site plan. Note ttiat parcel lines iii this tool can beup " to 200 feet off of the true surveyed location: https://maps.baytieldcounty.wi.gov/ZoningWAB/ Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Lake ❑ River ❑ Stream/Creek ❑ Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20% N See attached. RECEIVED MAY 112026 Bayfield Co. Planning and Zoning Agency Setbacks from furthest extent including eaves and County Use Only overhangs of structure to: verified setbacks Road Centerline ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 ft. ft. (North East South West, circle one) Side Lot Line 2 ft. ft. (North East South West, circle one) Rear Lot Line ft. ft. Septic/Holding Tank ft. ft. Drain field ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. Docu;ign Envelope ID: 1C429A4E-0A13-8C1 D-83E1-4977CDE86629 Bayfield County Health Department — State Lodging License Health Department (State Lodging License): All rental units require a Tourist Rooming House or Specialty Lodging license through the State of Wisconsin Department of Agriculture, Trade and Consumer Protection ATCP or their authorized agent (Bayfield County Health Department. t4`tCEI ED > Bayfield County Health Department issues permits on behalf of the State of WDATCP undtTclj 777AZO, 76, 78 and 79. Bayfield Co. > ATCP 72 regulates lodging facilities including hotels, motels and tourist rooming hous?slannin9 and Zoning Agency > ATCP 72.03(94): "Tourist rooming house" means any lodging place where sleeping accommodations are offered for pay to tourists or transients. It does not include hotels, motels, private boarding or rooming houses not accommodating tourists or transients, or bed and breakfast establishments regulated under Ch. ATCP 73. > ATCP 72.03 (89): "Specialty lodging" means a type of tourist rooming house with great then 400 square feet but less than 1,500 square feet in area, typically located in rural or natural settings, and provides an unconventional lodging experience with no liquid or water carried waste plumbing fixtures. > Wis. Stat. § 97.67 (5) and § 97.605 (1)(c) "No license may be issued until all applicable fees have been paid." ➢ Wis. Stat. § 97.605 (1)(a) "No person may conduct, maintain, manage or operate a hotel, restaurant, temporary restaurant, tourist rooming house, vending machine commissary or vending machine if the person has not been issued an annual license by the department or by a local health department that is granted agent status under s. 97.615 (2)." > Within 30 days after receiving a complete application for a license, the department or its agent shall either approve the application and issue a license or deny the application. If the application for a license is denied, the department or its agent shall give the applicant reasons, in writing,for the denial. > A license shall not be issued to an operator without prior inspection. > Tourist rooming house and specialty lodging licenses expire on June 30th of each year. ATCP 72 requires an annual renewal application and fee. Failure to maintain proper permitting will result in penalties. Licenses are non -transferable, except to immediate family members as allowed in ATCP 72. APPLICATION FEES — Required for all tourist rooming house within Bayfield County Check or money order payable to Bayfield County Health Department 1 unit State Fee (14%): $41.44 County Fee: $296 Pre -Inspection: $592 Total: $929.44 2-4 units State Fee (14%): $63.00 County Fee: $450 Pre -Inspection: $900 Total: $1,413.00 ❑ Rush Fee ($100) — A one-time $100 rush fee will be charged for inspections requested within 7 business days. However, depending on scheduling, staff may not be able to accommodate all rush requests. *If property is obtaining licenses from 5 or more units please contact Desi Niewinski (desi.niewinski a bavfieldcounty.wi.gov) Your signature below will acknowledge you have received information as to where to obtain a copy of the code and will comply with applicable Wisconsin Administrative Code(s). Personally identifiable information you provide may be used for purposes other than that for which it was collected (Wis. Stat. § 15.04 1 m . Signature: °°"'.w 1 Date: 5/11/2026 ,�,wna lsal�*w, de (iliu,p.u6r K AIS Docusjgn Envelope ID: 1 C429A4E-0A13-8CI D-83E1-4977CDE86629 Bayfield County Health Department — State Lodging License TOURIST ROOMING HOUSE REQUIREMENT CHECKLIST • Private wells shall be tested once per year for coliform bacteria and nitrate and a copy of the results provided to the Health Department. Bayfield County Health Department can collect samples during inspection. • Private well and private septic systems must be properly constructed and code compliant. • All bathroom facilities must include a toilet and sink, and at least one bathroom with a bathtub or shower. • Bathtub and shower flooring must be slip -resistant (have texture), or an anti -slip mat provided. • Hot and cold running water shall be available at all sinks and washing facilities. • All garbage and recycling shall be kept in separate, leak proof, nonabsorbent containers with tight fitting covers, and shall be emptied often to prevent decomposition and overflow. • Appliances and furnishings shall be clean, in good repair and installed to facilitate cleaning. • Eating and cooking utensils shall be in good repair and cleaned by washing, rinsing, sanitizirR lit Ewtu1e, quaternary ammonia), and air -drying. • Mattress protectors must be provided, cover the mattress, and be of non-absorbent material. MAY 1 1 2026 • Linens (sheets) shall be washed between guests and be of sufficient size to cover the bed. Bowleg Co. • Blankets, quilts, and bedspreads shall be washable and maintained in a clean condition. Planning and zoning Agency • Housekeepers with communicable diseases shall refrain from working. • Lodging facilities shall meet the Wisconsin building code pursuant to chap 101 and 145. • Fuel burning appliances shall vent to the outdoors in accordance with manufacturers instructions. • Smoke alarms are required on each floor, outside separate sleeping areas, and inside each sleeping room. • Beds shall be arranged to provide an aisle of at least 2 feet in width on one side of each bed. • All sleeping areas shall have 50% or more of the floor space with a ceiling height of at least 7 feet high. • Bunk beds shall be no more than 2 high with a 2.5 foot separation between bunks and to the ceiling. • There must be at least two directions of escape from every floor. • All exterior doors shall have key locking from the outside and non -key locking from the inside. • Each sleeping space shall be provided with an evacuation diagram indicating 2 evacuation routes. • Windows shall be screened. Openable windows are required in dwellings that lack air conditioning. • Adequate guards & handrails are required on stairs with more than 3 risers and elevated platforms or decks exceeding 30" above the floor or grade. Space between guards shall be equal or less than 6". • Adequate ventilation must be provided to all bathrooms. • Pressure release valves on hot water heaters must be piped to within six inches of floor. • There shall be no plumbing cross connections that may contaminate potable water supply. • There shall be no electrical shock hazards (exposed wires within reach and missing plates). • There shall be directions for use of fireplaces and wood stoves. • All dwellings shall be maintained and equipped in a manner conducive to the health, comfort, and safety of all guests. They shall be kept in good repair and sanitary condition. • Effective measures shall be taken to minimize the presence of insects and rodents. • A guest register shall be maintained and kept available at all times. Register shall include name, contact information, arrival and departure dates, number of guests. • No food items, alcohol, or other personal goods shall be accessible to guests beyond shelf stable prepackaged single service food items. • Carbon monoxide detectors shall be installed within 21 feet of all bedrooms, in sleeping rooms with fuel fired appliances and in the basement if there is a fuel fired appliance present. • A report forms shall be completed after death, injury, or illness reports where an EMS response is initiated. Docu;ign Envelope ID: 1C429A4E-0A13-8C1D-83E1-977CDE86629 Floor Plan e a'@ailable fo renters. Please needed. Provide exterior dimensions sufficient to calculate floor area (square feet) for each level. Label each internal room and indicate if it See attached. RECEIVED MAY 112026 Baylejj Planning and Zoning Agency NOTE: Please indicate "see attached" on this page it submitting noor plan as a separate aocument. Docusign Envelope ID: 1C429A4E-0A13-8C1 D -63E1 -4977CDE86629 Bayfield County Planning and Zoning Short -Term Rental Permit PLANNING AND ZONING QUESTIONS I. Is the property in the shoreland, within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater? Yes ❑ No El Unsure 2. Is there a wetland located on the property? El Yes 51 No ❑ Unsure 3. Is there a floodplain located on or near the property? ❑ Yes ( No O Unsure 4. Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use El Special Use ❑ Variance 5. Did you contact the town to see if any ermits/re uirements apply to your project? ll Yes ❑ No Zoning Department Use Permits: Short -Term Rental permits through Bayfield County Planning and Zoning Department are non -transferable, except as per the exemptions identified in ATCP 72.04(3). Short -Term Rental permits are regulated by Bayfield County Ordinance Section 13-1-35. APPLICATION FEES — Required for Short Term Rentals where Bayfield County Zoning Regulations apply Check or money order payable to Bayfield County Planning and Zoning I unit: $500 2 unit : $1,000 3 unit: $1,500 4 unit: $2,000 To ensure your application is complete and can be processed by the Department, check you have flns: ❑ Applicant Information (Page 1) MAY 11 2026 El Site Plan (Page 2) ❑ Floor Plan (Page 5) Bayfield Co. Planning and Zoning Agency ❑ Fees paid — Health Department and Zoning Department 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 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 access to the above -described property at any reasonable time for the purpose of inspection. Owner(s) or Authorized Agent Printed Name: Jenna Galegher, do Windseeker Rentals rOeeusbn•ssv: OOwners or Authorized Agent Signature: I u'ts'a 6ah.4u, do Ui suktr Kcafals wner(s) g Bn �twlhn3ac ma Date: 5/11/2026 NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. Bcyvicw Town. hip 17© a © 7V %R2 WASHBURN, WISCONSIN 54891 Town of Bayview Short -Term Rental Permit The person, firm, or corporation whose name appears on this certificate has complied with the provisions of the Town of Bayview Ordinance 01-01 Accommodations Tax (revised 11/12/2024) and is hereby authorized to furnish rooms or lodging as follows: Name and Address of Short -Term Rental Property Name and Address of Owner 3ailU(e,w Lod a 1vlaysk YYlIvler 8ac�oo s+, Hwy l� mark,vttfvler & porknj�,1I# 3r a�Pie1A, u3 5981L RECEIVE© For the Period beginning July 1, Kand ending June 30, QA. 6, MAY 112026 BaYfield Co. Planning and Zoning Agency �A )0 AA 0.12_ a - q - a (n This permit must be posted on -site. Kelly Warren, Treasurer Date Town of Bayview �r©PeN 1Y�avla�e� L) LVset&r12t*Q/5 sJ'}VtQ Galeqq p R10 B©Me �BoyPIe1j) Lo� 51)j- sccjL4L clmlr j&)*.dseeRft ren-Fals.tow. tFY � c:..^ ` � '�t /i wY-eta i\t. \,f �. •` '.. �ayis �-y',� / � J' �OS�.�f�1.,Rla`Zr'/•;5 .s4^r t t Or.'J 1 i t Ta D.Y 353E7, i `41fl.��h .I IN R w}�. ��fj���•j kt,41 li .S F'ICL 1FjTFUt T1 � iM of :� .`rs„� •.rlr„` � _.�°' Jr � mate Parcel Boundary Survey Maps Building Footprint 2009-2015 MAY 112026 Bayfield Co. Planning and Zoning Agency 0 0.01 HAYFIELD COUNTY CERTIFIED SURVEY MAP NO. C:'CJ' %� Located in Gov't. Lot 1, Section 33, T. 5i: N., R. 4 W., in the Town of Bayview Bayfield County, Wisconsin. r0. LEGEND <J o^ o� miv m . Monument, as noted, found in place.. o 1-1/4"(outside diameter) x 3'i", weighing 1.68 lbs/lin. It., seti❑ / a place. 5/' Scale: One inch = 100 feet. 0ti 100 0 100 200 / oeo / -� Bearings are continued from Wis. D.O.T. Project No. 8161-1-21 and oriented to the Wisconsin "/ ;// Coordinate System, North Zone, with ., degrees, ° 0"4' 0 minutes, 0 seconds being grid n rth. qJ/..! Survey and map by: ar.ry T Nelson ,.."•f '-Q Wis. Reg. No. S-1276 „L/ a 0 RECEIVED % K) P" ffl NELSON SURVEYORS .4Y 112026 ROUTE 1, BOX 53 SANBORN AVE. Bayfeo Planning and Zoning Agency ASHLAND, WI. 54806 NOTE: Outlot 1 is not a buildable lot. it must be combined with Lot 1 of this Bayfield County Certified �. Survey or Lot 4 of Bayfield County ev Certified Survey No. 000553 which is recorded in Vol. 4 of CSMs on Pages 102-103 incl. p°``/ to r ,y * / O y0 V ° p0 r.crzscYg4,d o�3 � o `yea ......... LARRY T. oo / NELSON a M5°• £.1276 `,. 'o ASHLAND, t 1t :; • ti 00 , . N N PN , D°`�, ei d0 ¶ 0 '0 N N W h O V H P a C y 0' e O � 2s ti • N — a 3fi773! REGISTER'S OFFICH S Boyfield County, ➢Vig, RECORDED AT . ,'. "JC. %- F ON DEC 1 7 IM6 IN vole of (c/(, Page; • J - BAYFIELD COUNTY CERTIFIED SURVEY MAP NO,. Located in Gov't. Lot 1, Section 33, T. 50 N., R. 4 W:, in the Town of Bayview, Bayfield County, Wisconsin. RECEIVED SURVEYOR'S CERTIFICATE MAY 112026 I, Larry T. Nelson, registered land surveyor in the State of Wisconsin, hereby certify: PlanningBandZoning1ganq That on the order of :itdln Gl..lva nR Otl, 1:I�OIII I Or the owner, i nave surveyed, divided and mapped the following described property located in Gov't. Lot 1, Section 33, T. 50 N., R. 4 W., in the Town of Bayview, Bayfield County, Wisconsin. To locate the Point of Beginning, commence at the NE corner of said Section 33, which is marked by a 2" iron pip, anti run S 00 -44'-45" W, 1731.14 feet, along the cast line o: said Section ";3, to a 1-1/4" iron pipe on the southerly right-of-way line of Stat,> Trunk highway 13, which is the Point of Beginning. Thence from said Point of Beginning by metes and bounds. Southwesterly, along said right-of-way line, along the arc of a curve to the right, having a central angle of '_1 -36'-17", a radius of 1889.90 feet, a chord which hears S 29 -21'-25" l%, and measures 382.13 feet, 382.78 feet to a 1-1/4" iron pipe; Thence. S 35 -11'-28" W, 681).97 feet to a t-1/4" iron oipe on the south line of said Gov't. Lot 1, as monu:nented by Larry Bishop, registered land surveyor no. S-1307; Thence leaving said right-of-way lilac and along said south line, S 88 -08'-47" E, 167.39 Ceet to a 2" capped iron pipe near the water's edge of Lake Superior; Thence along a meander line near said water's cadge, N 45 -07'-18" E. 207.62 feet to a 1-1/4" iron pipe; Thence N 53 -49'-41" E, 155.26 feet to a 1-1/4" icon pipe; Thence N 37 -36'-17" E., 182.37 Ceet to a 1-1/4" iron pipe; Thence N 48 -03'-5G" E, 36.94 feet to a 2" capped iron pipe on the east line of said Section 33; Thence N 00 -44'-45" E, 495.08 feet, along said east line, to the Point of Beginning. Parcel contains 188,800 square tent, which is 4.33 acres, more or less, including that land lying between the meander line and the water's edge of Lake Superior and the extension of the east and south lot lines to said water's edge. That this Certifi exterior boundaries of That I have fully the Wisconsin Sts ?d Survey the land complied and the: Map is a correct ropresentatl-pa"ibbr,,ll the surveyed and thc' subdivisip'il € 4?nd 4 with the provisions o% rh,79,�ti�` Subdivision Ordinance of {ay 1 _.jRfQut`\Y% j Dated this id'stt f E X198` . �Gari�y T. Nels n - Wis. Reg. No. S-12.76 Y' � ASHLAND, 1� Z \ Wis. BAYFIELD COUNTY ZONING COMMITTEE APPROVAL V•.,, v �� Resolved, that this Bayfield County Certified Survey Ma�42.ed by the Bayfield County Zoning Committee. Dated this n.,flay oEl\ct-. , 198G. Carolyn Sneed - Chairperson Sheet 2 oC 2 sheets Land Use Permit Application Review Checklist Submission #: S ...- oo3g3 Tax ID: 6 &q S -T -R: 33-S°- 1f Town: g9i What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes KNo Does lot meet the zoning dimensional requirements or is it substandard? 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 XNo Is the project located in the Floodplain? Zone: ❑ Yes' No Are there wetlands on the property? Yes O No Is project associated with a nonconforming use o structure XYes ❑ No Does the project require sanitary? Sanitary Permit #: 33 9 3°1Cj Public System: # of bedrooms: oa, ab%O cal ho\tll r ❑ Yes No Does the project require an affidavit? O LLC O Trust Affidavit #: Number of Units: ( Number of Bedrooms: Number of Bathrooms: 3 Number of Stories: 3 ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: , Date of Inspection: AS Inspection Notes: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: D; J Date of Approval: _ p - 2lP P �r O \ Condition(s): Town/State/DNR/Federal may require permitting. ❑ 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. ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: Town, City, Village, State or Federal Permits May Also Be Required Shoreland LAND USE -X SANITARY - 389399 SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0267 Tax ID: 6698 Issued To: MINER, MARK A BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S33 - T50N - R04W Town of Bayview Legal Description: LOT 1 CSM #575 (LOCATED IN GOVT LOT 1) IN DOC 2023R-598170 Residential Structure in R-RB zoning district For: [1 -Unit] Short -Term -Rental (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Town may require permitting. Short -Term Rental is for a maximum occupancy of 8 persons. NOTE: This permit expires two years from date of issuance if the authorized construction Desi Niewinski 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. June 18, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.