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HomeMy WebLinkAbout26-0431Return to: County Use Only: cap 117 € 5'" Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: ________ ! l� Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: — Ou permits@bayfieldcountV.wi.gov Date: 9 J' I'•: General Information Property Owner Name: Authorized Agent Name (if applicable): Telephone Number: Telephone Number: RECEIVED 0$ 5751 1'O E -Mail Address: + tds,ne- E -Mail Address: AUG 1 8 2026 r r. Mailing dress: r +e Dr— Mailing Address: Bayfield Co. Planning and Zoning Agency O a 7t r, City, State, Zip: �Zip: 3 ` tA1r S7, City, State, Zip: O' ✓1 O n o— Contractor: Telephone Number: E -Mail Address: SECTIONB.Property Information-_ _ Project Address (if different from mailing address): J00 LW-ei7 rtis,ntos W Legal Descri tion (if additional space is needed attach a separate sheet): he. mnr, e L J.nj T7 u OR r, gr�p9 IU 97.6 uT Lv f- G; I oc 2-mi R-5'72 /i R o Section, Township, R ge: Town of: rn e s Tax ID #: /(p 9 7 Lot Size Acre Square Feet): 5.00c) SECTION C: Project Information (check all that apply) Project Use is: 54esidential ❑ Commercial ❑ Municipal Project Type is: thew Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required (Total sft): required _ SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: ❑ Residence ❑ Principal Structure (describe): 'Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured (Lisa q date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement C8lab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: 1" Floor Sq Ft: Loft Sq Ft: 2n° Floor Sq Ft: 3'd Floor Sq Ft: Garages Sri Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): hit Total Sq Ft: Overall Height (finished grade to peak): 0 # of Stories: f Existing # of Bedrooms on property: 'L Proposed # of Bedrooms in project: O e SECTION E: RV and Sign Information (check all that apply) Sign is: RI/is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin 41: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model:. SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application Information for information that is required to be provided on siteplan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake El River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N RECEIVED AUG 18 2026 Bayfield Co. Planning and Zoning Agency Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline So p ft. ft. Notes/Comments: t7 v Front Lot Line/Right-of-Way yo o ft. ft. Side Lot Line I (North East Sou est, circle one) , ft. / ft. Sid Lot Line 2 o ast South West, circle one) ft. 700 ft. Rear Lot Line ft. ft. Septic/Holding Tank g a' ft. ft. Drainfield ,' ft. ft. Privy ,� ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) app ft. ft. Other (describe) ft. ft. Li AUG 18 2026 I �1 J D2 N' IaL 1 I) i 1 i l I l 1 SECTION C: Additional Questions -_ - -- _ Yes -I No Has the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: 'VYes ❑ 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 K No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑Drainfield ❑Holding Tank ❑ Municipal/Public ❑Other (describe): ❑ Yes gNo Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approva and inspection requirements. All Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: nn,: r,y ❑ Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: OR ❑ Email to: ❑ Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address): 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. 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.gov/topic/wetlands, 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. 1(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 1(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 reason a rim for the rpose fin don. Owner(s) or Authorized Agent Printed Name• Owner(s) or Authorized Agent Signature: %77 tT Date: C NOTES: 1. If you are signing on behalf of the owner(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. AFFIDAVIT OF AUTHORITY (Trust) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a Trust. STATE OF WISCONSIN )ss. AUG 18 2026 BAYFIELD COUNTY ) The undersigned affirms and states as follows: 6ayneld Co. planning and Zoning Agenq 1. Address of Subject Property: oC OOQ ct £Lke ICd 5a. c ryes W T .Y'5 72 2. The Subject Property is owned by: Fi rli ke - L; s;,, c 1 r vsl- cLls -d. At j3, PC' (Name of Trust) 3. The name(s) of the current Trustee(s): ptS. Q c, /'n f� a Jtt1Y ne M F� n' r t �A�-2.. r.. 4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Trust 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 Trust to apply for and bind the Trust to the terms and conditions of any decision or permit that may be 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: %-Zm -p(, , 4"'.4%� GG>s A 9- K Gr0.Yc� S U n ne / tC l r. Print Name Subscribed and sworn to before me this Z r „o°�tp:HUFj� day of 2O2(c r� 5' Notary Public, ' e l County, Wisconsin 9`. AUBOC %_ `w OF WIS�'.0 e My commission: ( (o7 0y! Zotl PROCESSING INFORMATION INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for completeness. If the information is not complete, the department may reject your affidavit and the application. REQUEST FOR MORE INFORMATION. The department may request that you provide more information or evidence to support your affidavit. DECISION. The department will review all documents submitted as part of the application for registration and title, this form included, and may approve, deny or request more information. AUG 182026 hayfield Co. Planning and Zonino Agency v!" Bayfield County Impervious Surface Calculations These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c) and 13-1-40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes application for construction, reconstruction, expansion, replacement or relocation of any impervious surface within 300 feet of the ordinary high-water mark and agrees that all activities shall be in accordance with the requirements of the Bayfield County Code of Ordinances and all other applicable ordinances and the laws of the State of Wisconsin. The calculations are also REQUIRED in the case of a land division where the lot to be created or reconfigured will be reduced in lot area. Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and Zoning Department employees assigned to inspect properties shall have access to said properties to make inspections. Property Owner(s): d Ck f� GL n rl t t— e- nn r1 %C / (_ remn-Jc L;vin f s f Mailing Address: Property Address: /) 30j F.2m .+e h� �53-7u. dnl o1. w- ZaO9 / p t/ GCJL fed //d2t-rtr-5 WL Legal Description: Section, Township, Range 1/4, 1/4, c7 ©a ec &7p -j q,45 m w q1 (pud—(�f Sec Township N, Range W Authorized AgenUCon ractor U Gov't Lot Lot # CSM# Vol & Page Lot(s) # Block(s) # Subdivision Town of: 13 G-' Parcel ID # (PIN #) Tax ID # Date: is 04- (p;n P7aC y$ -5 nfl 4`fo AUG 18 2026 • Impervious Surface: An area that releases as runoff all or a majority of the precipitation that fa s r Ito. "Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots andlstreets NWifically designed, constructed and maintained to be pervious. Impervious surface standards shall apply to the construction, reconstruction, expansion, replacement or relocation of any impervious surface that is or will be located within 300 feet of the ordinary high water mark of any navigable waterway on any riparian lot or parcel and any nonriparian lot or parcel that is located entirely within 300 feet of the ordinary high-water mark of any navigable waterway. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of the existing and proposed impervious surfaces on the lot or parcel by the total surface area of that lot or parcel and multiplying by 100. If an outlot lies between the ordinary high-water mark and the developable lot or parcel described in subd. 1. and both are in common ownership, the lot or parcel and the outlot shall be considered one lot or parcel for the purposes of calculating the percentage of impervious surfaces. Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% impervious surface on the portion of a lot or parcel that is within 300 feet of the ordinary high-water mark. A permit can be issued for development or land division approved that exceeds 15% impervious surface but not more than 30% impervious surfaces with a mitigation plan that meets the requirements of the Bayfield County Ordinance(s). Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed but that do not comply with the standards in Section(s) 13-1-32(c) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair all impervious surfaces: b. Replace existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocate or modify existing impervious surfaces with similar or different impervious surfaces, provided that the relocation or modification does not result in an increase in the percentage that existed on the effective date of the county shoreland ordinance and meets the applicable setback requirements in Section 13-1-22. Impervious Surface Item Dimension Area (Square Footage) Existing House ^fj RkRL• /_[ e .! / 72, c0 .Eviting n �o�Ta alalfGarage Existing Sidewalk(s), Patio(s) /_ Existing Driveway 'h7 31 �� yaou f fA�E ¢5 Other Structures -5 p x /. R'EcED b Proposed Addition/House AUG 18 2026 9d Proposed Accessory Building/Garage 70 X [1/t 6ayiielo J T (l Planning and Zoning Age /3c. y Proposed Sidewalk(s) & Patio(s) 6 X / Z %2 Proposed Covered Porch(s) & Deck(s) ..._. Proposed Driveway / /- 9 x 6 ,?Z /7i 7�y 7 q d8 _ / /�. Proposed Other Structures Total: 9S—(6 S a. Total square footage of lot: .S ff e ee t ;Z /' qo' , b. Total impervious surface area: c. Percentage of impervious surface area: 100 x (b)/a = If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% @ 30% I (County Use Only) Date of Inspection: Inspection Record: Zoning District ( ) Condition(s): Stormwater Management Plan Required: D Yes ❑ No Signature of Inspector: Date of Approval:._. u/forms/impervioussurface Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by: r.ry r pi , � � �� c.} e.3'I ♦ kM `h ar. 1 fix. { r ,. ' n. o. ma�,,,. - r •mss ______ • ' t ,;gig:. �K ,} LTTTh ,n i• At 1p Barnes. s ' ' 7j.y rt r}� •a X , $ - •- is tY� (� . ` ,.. Mat • : k 8/19/26, 7:52 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 8/19/2026 Created On: 3/15/2006 1:14:45 PM ff La Description Updated: 3/15/2018 'M Ownership Updated: 3/15/2018 Tax ID: 1697 RICHARD S & JEANNE M FEMRITE MONONA WI PIN: 04-004-2-44-09-08-3 05-006-18000 TRUSTEES Legacy PIN: 004108410000 Map ID: Municipality: (004) TOWN OF BARNES STR: 508 T44N R09W Description: W 97.6' GOVT LOT 6 IN DOC 2018R- 57217 490 (FEMRITE LIVING TRUST DTD 03 /2018) Recorded Acres: 5.000 Calculated Acres: 5.034 Lottery Claims: 0 First Dollar: Yes Zoning: (R-2) Residential -2 ESN: 104 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 004 TOWN OF BARNES 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE Recorded Documents Updated: 11/7/2013 © WARRANTY DEED Date Recorded; 3/13/2018 ® WARRANTY DEED Date Recorded: 7/27/2016 ® CONVERSION Date Recorded: 3/15/2006 2018R-572178 2016R-564553 1164-271 Billing Address: Mailing Address: RICHARD S & JEANNE M RICHARD S & JEANNE M FEMRITE TRUSTEES FEMRITE TRUSTEES 301 FEMRITE DRIVE 301 FEMRITE DRIVE MONONA WI 53716 MONONA WI 53716 P Site Address * indicates Private Road 2009 LAKE RD BARNES 54873 ® Property Assessment Updated: 10/4/2016 2026 Assessment Detail Code Acres Land Imp. GS -RESIDENTIAL 5.000 180,000 16,100 2 -Year Comparison 2025 2026 Change Land: 180,000 180,000 0.0% Improved: 16,100 16,100 0.0% Total: 196,100 196,100 0.0% Property History N/A https:/Inovus.bayfieldcounty.wi.gov/access/master.asp?paprpid=1697 1/1 Land Use Permit Application Review Checklist Submission #: Q Why zoning district is the project located in? 1 ❑ R-2 ❑ R-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 mee current zoning dimensional requirements)? Deed of record: es ❑ 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 ❑ No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes 21io Is the project located in the Floodplain? Zone: ❑ Yes l io Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes g110 Is project associated with a variance? Case #: ❑ Yes 4o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes .ElNo Is the project associated with a Special A Use Permit? ❑ Yes 'No Does the project require sanitary? ❑ Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes j7'No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes )7'No Does the project require an affidavit? Affidavit #: Yes D 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 0 Commercial ❑ Municipal Project type is?J24Iew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence 0 Principal Structure ,2'Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other describe Total Sq. Ft. of Project: i? Number of Stories: I Overall Height: 27 Fee Type Calculation Fee Amount ❑ Habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas — all enclosed areas within $0.50 x 7 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 ❑ Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain horeland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower C location 2 0 Metallic Mine ❑ After -the -Fact (ATE) $ Inspected by: Date of Inspection: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and over ngs. or personal storage only. ❑ For personal residence only. Not for human habitation or sleeping purposes. wn/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. 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. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. Z i o 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: K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk B-=YFIELD 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: FEMRITE TRUSTEES, RICHARD S & LU-02493 JEANNE M 301 FEMRITE DRIVE Transaction Number: MONONA, WI 53716 LU-02493-4C66C Description Amount Shoreland - Impervious Surface $25.00 Non -Habitable Residential Principal and Accessory $345.60 Structures - $0.20/square foot (minimum $75) Total: $370.60 Payment Amount: $370.60 Reference: 20167 Paid by: Richard S Femrite / Jeanne M Femrite Payment Type: Check Transaction Date: 8/19/2026 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 — Yes I Nonconforming — No Shoreland — Yes / Impervious Surface — Yes Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - RAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0431 Tax ID: 1697 Issued To: FEMRITE TRUSTEES, RICHARD S & JEANNE M Location: S08 - T44N - R09W Town of Barnes Legal Description: W 97.6' OF GOVT LOT 6 IN DOG 2018R-572178 490 (FEMRITE LIVING TRUST DTD 03113/2018) Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [1728 Total sq. ft. ] Height of 20' (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. August 19, 2026 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 storage only. Not for human habitation or sleeping purposes. 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 (if applicable). To be constructed per plan.