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Home My WebLink About24-0015SUBMIT; COMPLETED APPLICATION, TAX STATEMENT AND FEE TO: BayReld County Planning and Zoning Depart. < PO Box 58 Washburn, WI 54891 (715).373-6138 APPLICATION FOR SIGN BAYFIELD 6QjJNLYJWWDA Data Sump (Recel ad) JAN 04 2024 Bayfield Co. INSTRUCTIONS: No permits will be Issued until an fees are paid. Planning and Zoning Checks are made payable to; Bayneld County Zoning Department. DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUED TO APPLICANT. Permit N:.�%I 601—.5 Date:. ( ^ a& -,qocj Amount Paid: 606, l-a(a-.1w Refund: Property Owner(s) Name: Mailing Address: y3v 45"1 City/State/Zip: Phone: rc-C V -7 06� Sign Ownerls) Name: � II Addryg;,a L /O� !1L City/State/ p� , Phone: 56� 5 Add�ss of Property: dj- C y/Sta[ Zip: Contrac_ tor: Contractor Phone; Address:, rthorked Agent: (Person Slgning Application an behalf of ownerfe)) Agent Phone: Agent Mailing Address (include City/State/Zip): Written Authorlaatlon Attached ❑ Yes ❑ No PROTECT _:. Tax ID:(4or5dIRb) 3i LOCATION Le Descri flan: (Use Tax Statement) oy 03y� Govt Lot -: ,'. Lot(s) CSM VoI &Page No. I r Volume Page(s) Section ,Township N,Range 10 W mwnar, tuz arse aacreag, 91 ,A 4 7 ❑Is Property/Land within 300 feet of River, Stream Ind. Imarmatent) Distance Structure Is from Shoreline: Is Property in Are Creek or Landward side of Floodplain? If yes --continue—► feet Floodplaln Zone? Wetlands Is Property/Land within 1000 feet of Lake, Pond or Flowage Structure Is from Shoreline; Distance Stru %SO 11Shoreland ❑ Yes rah No Present? )KYes If ves --- continue --► ? feet /u ❑ No Non-Shoreland '. Value at Time Located In 'of Completion P . ✓ Project Type Length Width .Height Town of ^Include donated time (What are you applying for) -0ayfleld :amatedai ❑ On -Premise New ❑ 1-Sided ❑ Yes $/�� Off -Premise ❑Replacement j�'Z-Sided TBA is required ,� ❑ ❑ ❑ On -Building AND ❑ ❑ Multi -Tenant FAILURE TO OBTAIN A PERMIT or STARTING CONSTRUCTION W ITHOUTA PERMIT WILL RESULT IN PENALTIES I (we) declare that this aDpllnlbn pmluding any accompanying Information) has been examined by me (ut) end to the best of my (our) knowhdge nd belief It b true, correct and complete, I (wa) tatmowledee that I (we) am(are)retponsibkfor the debit and acarary of all lnformatbnl(we)am(are)provding and that it wlllberelleduponby Bayeel oil Indeterminingwhethor WUsueapemit. I(we) further accept liability which may be a rosult of BaMold Wunry retying an IN b Infor tllon I (we) am (ore) pmvding In or Wlih lhB applkatlan. (wet wine ty of@lets charged with administering county ortllnanas to have access to the above deaodbedprepertyatsny restorable tame for t moseof;ppecllen. / Owner(s): (If there are Multiple Owners listed on the Deed All O r st sign or letter(s) of autho nmusC accompany this application) Date /^2 — L, y Appllcant(s):✓f'�a� y �+'-'�� (If you are applying for ff-oremise sign; the property owners must also sign this form) Authorized Agent: Date (If you are signing on behalf of the owner(s) a letter of authorization must accompany this application) Address to send permit Attach Copy of Tax Statement If you recently purchased the property send your Recorded Deed PLEASE COMPLETE PLOT PLAN ON REVERSE SIDE NOTICE: All Land Use Permits Expire One (1) Year from the Date of Issuance if Construction or Use has not begun. The local Town, Village, City, State or Federal agencies may also require permits. J 1. Name and use frontage road as a guideline, and Indicate North (N) on plot plan 2. Show the sign location 3. Show dimensions in feet on the following: Lot Line Lot —� Line Seti7af,"* t16MCI74JGY W UIV, 41V4Gi% }JV111%) IMPORTANT Detailed Plot Plan is Neccessary Description :: Measurement < . :.. Descriptlorr ...: Measurement., • : '..., Setback from the Centerline of Platted Road ,S Feet Setback from the North Lot line Feet Setback from the Established Right -of --Way Feet :: Setback from the South Lot Line Yt>Feet Setback from the West Lot Line Feet Setback from Lake, River, Stream or Pond 22, Feet Setback from the East Lot Line Feet Setback from Other Signs Feet Sign Plan (Fill In Information Desired on Sign) spa Issuance Information (County W6 Oniy) a ermit NurmD mber P t tee ' C Permit Dented (Date] Reason W. Denial Granted by Variance {BOA) PreViously Granted by Variance (BOA ) C)Ye's o � Case #..:: ❑Yes Cl' o , � - Case #t t \ a. A. _. Was Parcel Legally Created Q�fes ❑ No 1+Vere Prpperty Lines Represented by owner ❑Yes ❑ Na .' iNas Proposed Building Site Deilneatedas 777- v No',�. = opertii S rveyed es - : D No Was Pr u inspection Record: Zoning District - (,a+ W3 I ti. Lakes Ciassi#icatlon { Date of Inspectlon�l� Inspected by. Date of: Re Inspection Conitlon(sj:7own, ommi ee or Boardondltions Attached? 1Yes No iif No they needao be a[tached` } 4, v _ 1 I Signature of Inspector. Appro / �} Date of ►® July 2016 Brushy/Treed Area ME County -R,oad D Center Line >R^: 1, iD. 24702 1/812024, 9:28:03 AM Bayfield County, WI NAMEKAGON AKE W O Wetlands Road Type Rivers County —' Lakes Town -- . Approximate Parcel Boundary ""'. Private Flood Plain Boundaries Active Dec 16th, 2011 AE = Base floodplain where base flood elevations are provided. Building Footprint 2015 Building bayfleld_gIs.SDE.T_Namakagon Index Intermediate RICHARD L S L'_ nREID/Tax ID n.24846 - LIRRTIN S C NTHIA PA LSEN DUIL/ 4xI6e 5111 ,OBERS C K4C4 1:1,442 0 0.02 0.04 0.07 ml 0 0.03 0.06 0.11 km Bayr'ek CW14`/ LaM Re W$De "enl Beyb Ceunly ZWM MRlla ht4n IM P.bynelEaanly.e]L9e'+r4 tNWABI • i BAYFIELD COUNTY. CERTIFIED SURVEY MAP NO.3o'f] . A PARCEL OF LAND LOCATED IN GOVERNMENT LOTS 3 AND 4 OF SECTION 14, T. 43 N., R. 6 W., IN THE TOWN OF NAMAKAGON, BAYFIELD COUNTY, WISCONSIN LOT 1 111,400 $Q. FT.3 2.58 ACRES± Av. m wb¢x ra,au - uA NR9S TABLa ax.E ,u. PNWs � aplm bMV! omAWl a m Ib Kim — UNIX 1 X m n/ rlRu LAKE / NAMAKAGON $w N W Ixnc / 1 f/b'AMCVYIb9O, Y'MffibM,m LOT 2 wan, M wmXxt xcx waa uc wxn mr K / I mwom mr MCN ww b�wm m ra aem ula / mW wN 1 uc N sosX M bb uml lus � bPWdG M 6R b�[ 584,300 $Q. Ff.3 � .V M awl r�u¢n m¢wNo SNN ( M RM'O56 MY. 12.95 AC$FSf I m 9CmK 1 namNwS`�' 9MM IA NL MII Wm ®iwM41VtVR Nd uIIA IMbI. UIS 1 [p 11NKIH[5119Y 951AR4T NM P.41C MU5lM \ \ M 16950w11-IAh I1 l4 � $ARP9 MrzwK uIM AT]C 0. ,,,NNN... Ril ,I ! �$ b/�1/ SG1£.� I INCH 207 0 200 100 I I I� 1 II I Ig I fj„" % I 1 � I LgWhR e I/1 EC. 14 S LEGEND ANDERSON, E. Y iWN'lM9Am.T. K AVIFD o. r• . Ie• aixv I� sn rws .wmsr "m: NN/eN xvcrwvc r.rJ rasA*.• brass rorzv (CLIENT- mvPm eis >. rmsav (f pw e?6MNIRV YIKY/ S NII9 - MTNx 11.SE fY LOW'05 {RJD IIAea b.YfffLiFA' 3/3/I9 IIIIIIIIIIVIIIIIVIIUIIII IINJIIIIII�IIIIIIII�IIVIIIillliill t201 576790 2# 2019R-576790 DENISE TARASEWICZ BAYFIELD COUNTY, WI REGISTER OF DEEDS 03/21/2019 08:30AM TF EXEMPT I: RECOROINO FEE: 30.00 PO0E5: 2 Vol, )ROSM I � I � I OWNIM• w I C3 nrT� I INfJI a SI.tl iQT I T I I 1 w'J I w'I I 1 ^ I $IImO /.R M4D WI M YNX IM[bMYt/,b Xi I �' I alPl N, mxe x er»'Ir � OI m nJi�I I'� I G33331 I I TOTAL AREA �to ' I 675,700 $Q: F7.4 15.51 ACR62 t • II I I I i I I I I UI I I I / C11 ,n• II SEC- 14 r myuvrwvm mox we .-��._.1.—/ y{WriTW 1M NOf O' M I C, vp�eT�l�kvat lr I Qt� r1l A, tidrli �1((1��1�1 1 it r �V t r JJk(_ ��iFtO•' Ra,a 1 t�62� �� ttr a a � 13� t $� v �1J AI 4 a a i�r ._ f/ i �- ',tea V6:. �F •j,hqFl � ,y / � ,�� , rS fit_! � 3ysi s R � l + Se.,. 4t �/ � t�,��t� p�' \Y""> �� 8�tl�li.��;��"��` i ✓ .rs _ _. _ KY'R,file��a�4 \fA W, y / ' yyy`' � 4 i �:k \� rVy �,1� '�•'sY t�1,��`le i - �' r. _. � � -�'� _ A.`f• �� .. �,y loop�` a ly;�. W i )� �1 Y �, t '�`' iFt'I �i EY•T•sY I �. M '' !; -.. - iR zz�� M.,N t 9M � R,-f c E\ �*t• t{ljey�� '+'j�4 x i�� tVlr� �' '' ; _r/' '4' ��1 4 t� e��'♦♦^�°Y�� lla's iR}, f�� t . �`.,r . .11►' ��'� .rlR�. .,.:� if'� v�M i�'. -' 'r s t. i ^ •, r.yr 1 '`.' 11R �� l�,Fr��(+� � -r�.fIYQ� . :) , � ✓! '! '1'�, is -"-.'� : �+ ' i�r1 r m Mckenzie Slacl( From: Ruth Hulstrom Sent: Thursday, January 11, 2024 2:16 PM To: Town of Namakagon Cc: Jack McGregor; Jim Krueger; Robert Rasmussen; Treasurer Namakagon; Deb Kmetz Subject: RE: Sign Overlay Attachments: 13-1-67 (Ord Amnt) (Namakagon Overlay).docx Laura, Please see attached document that was drafted and provided to the Board of Supervisors that looks to match the existing town overlay language in the county ordinance. Best regards, Ruth Hulstrom, AICP I Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax: 715-373-0114 Email: ruth.hulstrom@bayfieldcounty.wi.gov B-''FIELD From: Ruth Hulstrom Sent: Thursday, January 11, 2024 12:32 PM To: Town of Namakagon <namakagon@cheqnet.net> Cc: Jack McGregor <namsupervisorl@cheqnet.net>; Jim Krueger <namsupervisor2@chegnet. net>; Robert Rasmussen <namchairman@chegnet. net>; Treasurer Namakagon <treasnamakagon@chegnet. net>; Deb Kmetz <Deb. KMetz@ bayfieldco u nty.wi.gov> Subject: RE: Sign Overlay La u ra, Does the town have an ordinance adopted for regulating signs? If so, do you require a sign permit and who is responsible for enforcing the sign regulations? For a town overlay to be located within the county ordinance, like the one I provided, the town would have had to request a text amendment. The county is then responsible for overseeing and enforcing these standards once they are adopted into the county ordinance. Given that this text amendment solely applies to the Town of Namakagon, if a text amendment to it was needed to it, the town would be responsible for the fee payment and documents needed to process it. Apologies, but unfortunately the older ordinance amendment records are somewhat spotty so I am uncertain as to why your records indicate different ordinance language from what was adopted into the county ordinance. Note that ordinance amendments must be sent by certified mail to all towns. Then a public hearing and recommendation by the Planning and Zoning Committee occurs. Then the Board of Supervisors reviews and determines whether to approve or not the new language. You could reach out the County Clerk's office to see if they have additional information about this ordinance amendment since the ultimate adoption is done by the Board of Supervisors. Best regards, Ruth Hulstrom, AICP I Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax: 715-373-0114 Email: rush.hulstrom@bayfieldcounty.wi.gov B-4-'FIELD From: Town of Namakagon <namakaeon@cheonet.net> Sent: Thursday, January 11, 2024 11:55 AM To: Ruth Hulstrom <ruth.hulstrom@bavfieldcountv.wi.eov> Cc: Jack McGregor <namsupervisorl@chegnet.net>; Jim Krueger <namsupervisor2@chegnet.net>; Robert Rasmussen <namchairman@chegnet.net>; Treasurer Namakagon <treasnamakagon@chegnet. net> Subject: RE: Sign Overlay IYou don't often get email from namakaeon0cheonet.net. Learn why this is imoortant I am very confused. We do not need a change in our ordinance; our ordinance is very clear on the intent. This would be a change in your ordinance. I guess I did not realize that the towns have these obligations for a change in a Bayfield County Ordinance. I have never seen any request from the county like this. On top of the hearings that you are telling me we need to do for the county ordinance change, we need to pay for the change as well? I do not recall any fees or publication requests done from the town side when this was approved by the county in 2011. What changed in zoning that requires all of this information from the town? Would you please clarify this? Once I get clarification I will bring the information to our board at the Feb meeting. Laura Bjork Town of Namakagon CCerk 23845 County Highway M Cable, WT 54821 Office 715-794-2651 CeCC715-413-0406 Fax 715-794-2920 EmaiCnamakMon@cheqnet.net 1Nebsite: namakagon-tivi.org Elected Officials and Members of Town Committees: in order to comply with the Open Meetings Act requirements, please limit any reply to only the sender of this electronic communication. Confidentiality Notice: This message originates from Namakagon Town Clerk. It contains information that may be confidential or privileged and is intended only for the individual named above. It is prohibited for anyone to disclose, copy, distribute or use the contents of this message without permission, except as allowed by the Wisconsin Public Records Laws. If this message is sent to a quorum of a governmental body, my intent is the same as though it were sent by regular mail and further distribution is prohibited. All personal messages express views solely of the sender, which are not attributed to the municipality I represent, and may not be copied or distributed without this disclaimer. If you receive this message in error, please notify me immediately at namakagonCn chegnet.net or 715-794-2651. Thank you. From: Ruth Hulstrom <ruth.hulstrom@bayfieldcounty.wi.gov> Sent: Thursday, January 11, 2024 11:14 AM To: Town of Namakagon <namakagon@chegnet.net> Cc: Deb Kmetz <Deb.KMetz@bayfieldcounty.wi.gov> Subject: RE: Sign Overlay Laura, Given that it is a town overlay ordinance, the town will need to submit the appropriate documentation to request an ordinance amendment to update the overlay ordinance language. The Zoning office needs the following from the town to pursue the ordinance amendment: 1) Petition to Amend (see attached example) 2) Public Hearing Notice (see attached example) 3) Ordinance Amendment Language (attached is existing ordinance language, please indicate language you wish to delete with a double strike through and language you wish to add with a double underline) 4) $300 text amendment processing fee You can submit the above information to zoning@bayfieldcounty.wi.gov. Often an attorney would help prepare these documents. Please let me know if you have any questions. Thanks, Ruth Hulstrom, AICP I Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax: 715-373-0114 Email: ruth.hulstromgbayfieldcounty.-,vi.gov B*'FIELD From: Town of Namakagon <namakagon@chegnet.net> Sent: Thursday, January 11, 2024 10:19 AM To: Ruth Hulstrom <ruth.hulstrom@bayfieldcounty.wi.gov> Subject: Sign Overlay You don't often get email from namakagon@chegnet.net. Learn why this is important Ruth, The Town Board met and discussed the sign overlay. It was the boards intent to ban all new permanent off -premise signs and to not allow existing off -premise signs to be rented to any other business. The Town Board supports the county changing the wording in their ordinance from "restricting" to "prohibit". Laura Bjork ?otivn of Namakagon CCerk 23845 County Highway M Cable, WT 54821 Office 715-794-2651 CeCC715-413-04o6 Fax 715-794-2920 EmaiCnamakMon@)cheqnet.net "Website: namakagon-tivi.org Elected Officials and Members of Town Committees: in order to comply with the Open Meetings Act requirements, please limit any reply to only the sender of this electronic communication. Confidentiality Notice: This message originates from Namakagon Town Clerk. It contains information that may be confidential or privileged and is intended only for the individual named above. It is prohibited for anyone to disclose, copy, distribute or use the contents of this message without permission, except as allowed by the Wisconsin Public Records Laws. If this message is sent to a quorum of a governmental body, my intent is the same as though it were sent by regular mail and further distribution is prohibited. All personal messages express views solely of the sender, which are not attributed to the municipality I represent, and may not be copied or distributed without this disclaimer. If you receive this message in error, please notify me immediately at namakaaonna.cheanet.net or 715-794-2651. Thank you. Mckenzie Slack From: Ruth Hulstrom Sent: Thursday, January 4, 2024 2:37 PM To: Town of Namakagon Subject: RE: Town of Namakagon Overlay District question La u rea, We do not have an application yet. We had an individual request an application to place an off -premise sign. Ruth Hulstrom, AICP I Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax: 715-373-0114 Email: nith.hulstrom@bayfieldcounty.wi.gov R-AWFIELD From: Town of Namakagon <namakagon@cheqnet.net> Sent: Thursday, January 4, 2024 2:35 PM To: Ruth Hulstrom<ruth.hulstrom@bayfieldcounty.wi.gov> Subject: RE: Town of Namakagon Overlay District question ' You don't often get email from namakaeonC6)chegnet.net. Learn why this is Important Got it. Would we be able to see the request that the county is looking at in regards to the sign? Laura Bjork Town of Namakagon CCerk 23845 County Highway N Ca6Ce, WT 54821 Office 715-794-2651 CeCC715-413-0406 Fax 715-794-2920 EmaiCnamaka,gon@cheqnet.net -Website: namakagon-wi.org Elected Officials and Members of Town Committees: in order to comply with the Open Meetings Act requirements, please limit any reply to only the sender of this electronic communication. Confidentiality Notice: This message originates from Namakagon Town Clerk. It contains information that may be confidential or privileged and is intended only for the individual named above. It is prohibited for anyone to disclose, copy, distribute or use the contents of this message without permission, except as allowed by the Wisconsin Public Records Laws. If this message is sent to a quorum of a governmental body, my intent is the same as though it were sent by regular mail and further distribution is prohibited. All personal messages express views solely of the sender, which are not attributed to the municipality I represent, and may not be copied or distributed without this disclaimer. If you receive this message in error, please notify me immediately at namakagon(a)cheonet.net or 715-794-2651. Thank you. From: Ruth Hulstrom <ruth.hulstrom@bavfieldcountv.wi.ftov> Sent: Thursday, January 4, 2024 2:25 PM To: Town of Namakagon <namakaaon@cheanet.net> Subject: RE: Town of Namakagon Overlay District question La u ra, Understood. However, the department wanted to bring it to the town's attention in case they wished to update the ordinance language, if the intention was to prohibit off -premise signs. If the town determines this was the intent, we would want to facilitate an ordinance amendment to change "restrict" to "prohibit". Best regards, Ruth Hulstrom, AICP I Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone:715-373-3514 Fax:715-373-0114 Email: ruth.hulstrom@bavfteldcounty.wi.gov 'FIELD From: Town of Namakagon <namakaeon@chegnet.net> Sent: Thursday, January 4, 2024 1:03 PM To: Ruth Hulstrom <ruth.hulstrom(abavfieldcountv.wi.eov> Subject: RE: Town of Namakagon Overlay District question IYou don't often get email from namakaeon@chegnet.net. Learn why this is important Ruth, I am not sure how to answer you. This was done before I came along. We have a meeting next week, and I will bring it to our board and get back to you. Laura Bjork 2"own of Namakagon CCerk 23845 County Highway 34 Cable, _WI54.821 Office 715-794-2651 CeCC715-413-04 o6 Fax 715-794-2920 Emaifnamakagon@cheqnet.net -Website: namakagon-wi.org Elected Officials and Members of Town Committees: in order to comply with the Open Meetings Act requirements, please limit any reply to only the sender of this electronic communication. Confidentiality Notice: This message originates from Namakagon Town Clerk. It contains information that may be confidential or privileged and is intended only for the individual named above. It is prohibited for anyone to disclose, copy, distribute or use the contents of this message without permission, except as allowed by the Wisconsin Public Records Laws. If this message is sent to a quorum of a governmental body, my intent is the same as though it were sent by regular mail and further distribution is prohibited. All personal messages express views solely of the sender, which are not attributed to the municipality I represent, and may not be copied or distributed without this disclaimer. If you receive this message in error, please notify me immediately at namakaoonAcheanet.net or 715-794-2651. Thank you. From: Ruth Hulstrom<ruth.hulstrom@bayfieldcountv.wi.gov> Sent: Wednesday, January 3, 2024 11:15 AM To: namakagon@checnet.net; namchairman@chegnet.net Cc: Mckenzie Slack <mckenzie.slack@bayfieldcounty.wi.gov> Subject: Town of Namakagon Overlay District question Good morning, Please be aware that we recently had someone request an application to install a new off -premise sign in the Town of Namakagon. The following overlay district exists in the Town of Namakagon. Sec.13-1-67 Town of Namakagon Overlay District (opn6rAii) (a) General Provision. The Town of Namakagon Overlay District shall apply to and include all lands within the Town of Namakagon. (a)m6rwi1) (b) Intent of the Town of Namakagon Overlay District. The intent of this overlay district is to promote the public health, safety, convenience, and general welfare: to encourage planned and orderly land use developments: to protect property values and the property tax base: to encourage uses of land, water, and other natural resources which are consistent with the Town of Namakagon Comprehensive Land Use Plan: to maintain water clarity in lakes, rivers, and streams: to protect the beauty and amenities of landscape and man-made developments: and to provide healthy surroundings for recreation, tourism, and family life. (op2swil) (c) Part of the Purpose and Intent of the Town of Namakagon Overlay shall be achieved by restricting all new off -premise signs except as listed as exempt in the Bayfield County Sign Ordinance. Permanent off -premise signs in the Town of Namakagon shall also be subject to the following requirements: (%monoii) (1) All existing off -premise signs may be maintained but must be brought into compliance with the County ordinance pertaining to size and setback by July 1, 2016. (®pn6noii) (2) If the owner of the off -premise sign sells the business; the sign is considered property of the business. topi2mi 1i) (3) Existing off -premise signs may not be rented to any other business. (0)7r2612011) (4) All other County ordinances regarding signs will be enforced. (e)w2aanii) Except as specifically modified and amended by this ordinance, the Bayfield County Code of Ordinance shall remain in force and effect exactly as originally adopted and previously amended. All ordinances or parts of ordinances inconsistent with or in contravention of the provisions of this ordinance are hereby repealed. (0)7/M2011) The language in this ordinance indicates that new off -premise signs are restricted but not prohibited. Was it the intention of the town to prohibit new off -premise signs? If yes, the town should request to amend the existing ordinance language to state "prohibit' and not "restrict". In the meantime, if the department receives an off -premise sign request we will review and approve it per Article E: Signs. Best regards, Ruth Hulstrom, AICP I Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax:715-373-0114 Email: ruth.hulstrom&bavfieldcounty.wi.gov 11--- 17FEELn AFFIDAVIT OF AUTHORITY (Trust) RSA ,NED JPN 2i:I TUR 8a'><'yZ� P98ncY p�nnm9 and PURPOSE. This Affidavit of Authority is used to certify the Individual applying for a permit is authorized when the property is owned by a Trust. STATE OF WISCONSIN ) )as. BAYFIELD COUNTY ) The undersigned affirms and states as follows: 1. Address of Subject Property: 2. The Subject Property is owned by: (Name of Trust) 5 C 3. The name(s) of the current Trustee(s 4. 1 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 apply for permits from the Bayfeld County Zoning Department concerning the Property described In paragraph 1. 1 further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. 1 am authorized by the above -named Trust to apply for and bind the Trust to the terms and conditions of any permit that may be issue by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any k n or unknown person(s) who would contest this application. I agree to Indemnify Bayfield Co or such person or legal entity suffering ya/damage resulting from any illegalities of the ication for permit. Dated: Print Name � ttcuonrur�,YY Subscribed and swom to before me this 2� `��(pR McCq Z/ day of d-n 2024 A 6 •2 Notary bllc, Coun y, Wisconsin�� My commission: '�' �j q61 Review Checklist Tax ID#: L� 7 "I Address: Legal Description:.,r 1 &X77 Vl o? P 1 V 3 Zoning District: ❑ R-1 D R-2 ❑ R-3 ❑ R-4 R-RB ❑ C❑ 10 M❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W❑ M-M Overlay District: Shoreland: ❑ No Yes If yes, is impervious surface form requiredgNo ❑ Yes If yes, is impervious surface form attached ❑ No ❑ Yes Floodplain: ❑ No 0 Yes If yes, which zone? ❑ X ❑ AE CJ A Wetland ❑ No J4 Yes Ownership Information Accurate? Application signed ❑ Letter of Authorization (if applicable) Affidavit of Authority (if applicable) Legal Information Accurate? ❑ No es Proposed project previously granted or granted by variance? Plqo ❑ Yes, Case #: Is Structure Nonconforming? P'No ❑ Yes If yes, attach documentation Is Mitigation Required? No ❑ Yes If yes, is Mitigation attached? ❑ No ❑ Yes Boundary Line Determination: Is Structure within 30 feet of required setback/s? ❑ North Lot Line ❑ South Lot Line ❑ West Lot Line East Lot Line Applicable lot lines were: ❑ Visible from one previously surveyed corner to other previously surveyed corner ❑ Verified by staff with corrected compass ,Marked by licensed surveyor Is Structure within 10 feet of required setback/s? ❑ North Lot Line ❑ South Lot Line ❑ West Lot Line 'East Lot Line Applicable lot lines were: ❑ Visible from one previously surveyed corner to other previously surveyed corner Irked by licensed surveyor Section # Regulation Required Applicant's Lot 13-1-60 Lot Area A50 13-1-60 Lot Width 1 13-1-26 Is lot Sub-stan ard? ❑ Yes No Buildable WYes ❑ No If yes, attach Deed of Record or Variance 13-1-22(h) f Height (Shoreland) 35' Is Sanitary required for project? No ❑ Yes If yes, Sanitary # Sanitary Date: # of bedrooms: If addition/alteration, were Access, Carmody, files reviewed for prior additions that would exceed the 250 sq. ft. lifetime maximum? ❑ No ❑ Yes If yes, sanitary # Are fee payments correct? ❑ No es Hold For: ❑ ❑ Sanitary ❑ ❑ TBA Q ❑ Fee payment ❑ Inspected By: Als Date Inspection: Comments/Notes: v ( lotIIN "oV -(/QJ� or � v -73` of (��IX�1n/ x/aii *m i- bnLo -7l oo' from ~ off - pYaM6 940 �tf QlI wwUYWQM (Srww oln gyo�w bLhr any ww as' w,eflcw Inspected By: Comments/Notes: Date of Re -Inspection: Denied by: Reason for Denial: Date of Denial: Are Town, Committee, and BOA conditions attached? ❑ Yes ❑ No If no, they need to be attached C Approved by: MS I' 1j Condition(s): To Yet co � S • 1 b� Date of Approval: ��dti pQuin l�wn� J' 1e f �Ni2 perma op re. Permit a4-ooi5 Amount Paid: q \ 5 qnJ Refund:Q Date Issued: i c) — Date: Date: Town, City, Village, State or Federal Permits May Also Be Required SHORELAND/WETLAND/FLOODPLAIN LAND USE - SANITARY - SIGN - X SPECIAL - CONDITIONAL - -6. BAYFIELD COUNTY WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 24-0015 Tax ID: 37994 Issued To: SHAUN BIRD LIVING TRUST Location: /4 of /4 Section 14 Township 43 N. Range 6 W. Town of Namakagon Gov't Lot Lot 2 Block Subdivision CSM# 2077 IN V.12 P.163 IN DOC 2019R-577984 Commercial For: Other: [ Off -Premise Sign ] New 2-sided Sign (8' x 6') Height of 10' (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. 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 or contact a department of natural resources service center (715) 685-2900. NOTE: This permit expires two years from date of issuance if the authorized construction work or 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. Mckenzie Slack, AZA Authorized Issuing Official January 26, 2024 Date