HomeMy WebLinkAbout25-0093117E Street
PO Box 403 B._._yFIELD
Washburn, WI 54891
(715)373-6109
permitsnabavfieldcountv.wi.gov
Health
Zonin
Submission #
Fee Paid
Refund
Permit #
Date Issued
L
Short -Term Rental Application Packet
This application packet contains information for a Short -Term Rental permit through Bayfield Count), Planning and
Zoning Department. Completed application can be mailed/emailed to the address/email above.
SECTION A: ESTABLISHMENT INFORMATION 40$ low
Establishment Name Establishment Tax ID #
1 k, P Ca; t, Tlau CMG 4-
Town/City of
,Ar,1cs
Establishment Street Address
S? 3 a k,_J� LAP, k-D - -
City
- data tO c s
State
Wl
Zip
_
SECTION B: OWNER INFORMATION
Pr
petty Owner
- 4-S��� r,C�
Email Address
odz3a] ma,)
Phone Number
'715--�-5-R3
wnerMailin,Address
II( G U 2"Sbe Ito
City
14kfwnRa
State
wz
Zip
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee ]partnership, LLC, 1,1.11, or Inc.)
Email Address
Phone Number
Licensee Street Address
City
State
Zip
Agent Name (if applicable)
mail
EAddress
Phone Number
Agent Street Address
City
TState
Zip
SECTION D: RENTAL UNIT INFORMATION see key
below
Unit
Unit ID
I?fxmflr*
Structure
Type
Heating
Source
Water
Source
Sanitary Source
4 of Stories
k of
Bedrooms
it of
Bathrooms
3
4
Structure Type:
House Duplex D Cabin C Yuri Apartment A Condo CO Other O lease describe
Heating Source:
Electric Natural Gas G Propane P Wood Fuel F Other (0), please describe
Water Source:
Public/Municipal(M) Private Well P
Sanitary Source:
Public/Municipal M Private Onsite Wastewater System
'n
R 1, 91hr
Land Use Permit Application Review Checklist
Submission#: 5-rp,— 6OL'Z9
Tax ID: 7 j
S-T-R: 23- `-(S-09
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 XNo
Does lot meet the zoning dimensional reauiremepts 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 "Po
Is the project located in the Floodplain?
Zone:
❑ Yes No
Are there wetlands on the property?
❑ Yes No
Is project associated with a nonconforming use or structure?
Yes ❑ No
Does the project require sanitary?
Sanitary Permit #: Public System:
# of bedrooms:
❑ Yes XNo
Does the project require an affidavit?
Affidavit #:
Number of Units: I
Number of Bedrooms:
Number of Bathrooms: Z
Number of Stories:
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by:
Date of Inspection:
Inspection Notes:
- �rC.v\b,J� eevrr.A
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval: _I _aS
L/L�\
o25-6O�3
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 (previous 21-0109)
SANITARY — 367592
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0093 Tax ID: 2751
Issued To: DIEDRICH, JEFFREY S & SUSAN H
Location: S23 - T45N - R09W
Town of
Legal Description: LOT 1 IN DOC 202OR-583746 1188
Residential Structure in R-2 zoning district
For: [1-Unit] Short -Term -Rental
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
(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 6 persons.
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.
Desi Niewinski
Authorized Issuing Official
March 18, 2025
Date