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RECEIVED Nov 212023 eavmld Co. Czi� Permit# AND ZONING — LAND USE PERMIT APPLICATION Property Owner: I Secretan—aT"a I Authorized Agent (if applicable): Brian E. Johnson and Margie G. Johnson Revocable Trust Telephone Number. Telephone Number: 224.249.2892 E-Mail Address: E-Mail Address: badgernorthl 17@gmaii.com Mailing Address: Mailing Address: 1500 Wing St City, State, Zip: City, State, Zip: Elgin, IL 60123 Contractor: Telephone Number: E-Mail Address: Cleary Building Corp. 715.458.2233 'macdonald@clearybuilding.com Project Address (if different from mailing address): 30015 Hagstrom Rd, Ashland, WI 54806 Legal Description (if additional space is needed, attach a separate sheet): see EXHIBIT A) Section, Township, Range: Section 24, Township 47 N, Range 5 W Town of: Eileen Tax ID M Lot Size (Acres/Square Feet): 37810 50 acres Project Description (Detached garage, deck, bunkhouse, mobile home, etc.): Attached Living Quarters addition to Existing Storage Shed -+- 4= 1A6411: dwwr Proposed Use: Proposed Project: Structure Type: Foundation Type: 10 Residential , New Construction lid Residence ❑ Basement ❑ Commercial 'RAddition/Alteration ❑ Accessory ❑ Crawlspace ❑ Municipal XI Change/New Use ❑ Other (explain) la Slab ❑ Relocate (existing structure) ❑ Other Area to nearest square foot Outside dimensions including unfinished area, attached wimaes and above grade decks orporches) Basement: I" Floor: 2°d Floor: 3' Floor: na 1520 sq. ft. Total Square Footage: Overall Height (finished grade to peak): Fair Market Value of project upon completion 1520 sq. ft. 12 ft. I (to nearest dollar):$100K 1) Will this be the first structure on the site? ❑ Yes lid No 2) What is the total number of bedrooms on the property once this project is complete 2 ? 3) Is there a proposed/existing sanitary system on the property? la Proposed - Type mound ❑ Existing - Type 4) Will any of the following occur within the proposed project/structure? la New Electrical Installation rd New Plumbing Installation 2 Sleeping 5) Has the location of the proposed project been staked including structure, sanitary system, and well? lig Yes ❑ No 6) If required, who marked the property lines? 10 Applicant/Property Owner ❑ Licensed Surveyor 7) Is the property in the shoreland, within 300 feet of a river/sheam/landward side of floodplain or 1000 feet of a lake/pond/flowage? ❑ Yes la No ❑ Unsure 8) Is there wetland located on or near the property? Ira Yes ❑ No ❑ Unsure 9) Is there floodplain located on or near the property? ❑ Yes m No ❑ Unsure 10) Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use ❑ Special Use ❑ Variance 11) Did you contact the town to see if any permits/requirements apply to your project? 0 Yes 10 No aIA16 RECEIVED NOV 21 Z023 SITE PLAN Bayfield Co AlsYri-'aiw 30015 F%ACrSj�o� �D• � 5fl Aar- -FAt_'CCL � o 0 al � Q O cJ -0 i O 3�I V � g a ° o E>rsirA)6 J Q 579ItR�E W Q 3(W 5►FED 4 0 T 1 z 1,0 All applicable setbacks need to be sbown on the site plan County Use Only -verified setbacks and noted below in feet Road Centerline/Right-of-Way +2o'+, ft. LJLU ft. Notes/Comments: North Lot Line +20' ft. LAID ft. South Lot Line 8401 ft. tAp fL West Lot Line 3 90 1 ft. 3qD it. East Lot Line M Z p ' ft. vbib 'Pt- Septic/Holding Tank -50' ft. ft. Drainfield 250, ft. ft. Privy — ft. fi. Well 50 1 ft. ft. Existing Structure/Building of ft. ft. Wetland 55 ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other: ft. ft. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. F :k.4%. x.... � FLL r�l.W3i�;�., 4.•S.. .9.._.. q gc 0Mn10YTg :p 15I 3$IM�AIGINF. C0FFlnnU dl�paavt-'r 11/21/2023. 9:38:00 AM Wetlands -- Approximate Parcel Boundary Building Footprint 2015 Rivers Road Type R Building Town Bayfield County, WI m - ti � 'ID/T�>LL n1966i F b0PlyAE I/E6wNU ET AL ) M I1 C�yY GC(JTT E 4 LA IIRIE i \ AER Icy R CY �• CRRID/T..SD, _• PRVIU 0•l)91U 441 - 4, SRIAN E d MAR6IE 6I0NNS0N REV lAU15 0 I1 l:piEl ,.. �1'A ME AHA,, EN V. RECEIVED NOV 21 2023 Bayfield Co. Planning and Zoning Agar" E 1:2,511 0 0.03 0.06 0.12 ml 0 0.05 0.1 0.2 km aaydatl crony IRral Rewrda oepanmdnl 9aybakl Cwnly Zoning Appliwban b�:l/.,.bayWd.nly.W.9w I,WAa/ RECEIVED FLOOR PLAN NOV 2 12023 Indicate Floor: ❑ Basement % 10 Floor ❑ Loft ❑ 2nd Floor ❑ 3nd Floor ❑ Other Planning and Zoning Agency 0 W, d. Xl Axorw& 42'q&4' 46r, ' 5TOCAGE ,$u ir.D mile 3�az �-1'-o•• pa no — - - -i 1 ji I 11 i � /Crrc HEr1 a � 1 5 ®O FBI 0 11 /o' 64 s 9-N, apeovoK 2 �r �n Ccasir All applicable dimensions need to be shown on the floor plan and noted below Swe,/ ow igoz county Use Only Dimensions in feet Square Footage Dimensions in feet - Square Footage C Floor tekADR 20� X V 72o sq. ft. 20 X �v with mclr FLwg6 2o' X 40' goo sq. ft. U X q0 $U(J sq. ft. with Porch 2 X sq. ft. X sq. ft. with Beek-i4 PAt o /D' X 3tn' gtoo sq. fL X 3W ( sq. ft. with Peek--2- ThYt0 Jp' X )5, 15o sq. ft. 10 X � ISO sq. ft. with Attached Garage X sq. ft. X sq. ft. with X sq. ft. X Isq. ft. NOTE: Please indicate "see attached" on this page if submitting floor plans as a separate document. 7 RECEIVED NOV 212023 ld Co Plannlrp aM Zming Agency Cav�Fcror.' /.2' I � TP of �J�GT1rM'` i �j�lh% Ji✓G AG. �JTae`QG� Z�l✓rLGrn/Er I /IDl+Tro+� L RECEIVED NOV 21 2023 B Planning aand Zoning Agency t4� �y p jF,4PVff ./ Ix+t 12 /Z El /8"oV gvaiTro�/ N 4 12 �xIS%r/JEr .. sf2'xy4' liG.S�p ,Ex�srr.J tr p JEZ�U*? E{L5TW& W14LC.. /2 0)oSr,,uv I2f Coumm `paRtN ,tloeTN ��r.LVAr�ar! . LAND USE PERMIT APPLICATION REVIEW The following items are included with the application: 1A Site Plan RECi E IV E i Building Elevations NOV 21 2023 19 Floor Plans BayfieA c o. Plannlrg and Zoning Agency 91 Fees All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary Permit, if required, issuance 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 construction of one- & two-family dwellings and new plumbing/electrical installation for residential use structures (accessory/principal) require review and approval by the local Uniform Dwelling Code (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. og v/topichvetlands. 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 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 Bayfineld 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: lr. . 46 Date: /J// 7/,rcz3 NOTE: If you are signing on behalf of thsy6wner(s) a letter of authorization must accompany this application Address to Send Permit: ;5,04MJ _JoF{nt50-1 , /$oo WIAI& S7-., 16.61AI, IL. 4poiZ3 RECEIVED NUV L I Nd AFFIDAVIT OF AUTHORITY eayeea Co. (Trust) Planning and Zoning Agency 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 ) ) ss. BAYFIELD COUNTY ) The undersigned affirms and states as follows: 1. Address of Subject Property: ?Jm IS ��f}651ZoA�I TZ 7. ASEIC l�nlD 2. The Subject Property is owned by: f-. SoR^t5D•V Awl D M69&cf, , SHAL ) (Name of Trust) �E�loag6C L -(ZOST 3. The name(s) of the current Trustee(s): -FVIA 4 r!:. A° NA[Szx/ 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 terns of said authorization to apply for permits from the Bayfield 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 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 for permit. Dated: 11 ZpzS 3e�q„� E �loN�tsoti Print Name Subscribed and sworn to before me this day of iJNUpN\,aw 2W). -- Notary Public, 1Z County, Wisconsin . . 9 =n o P - My commission: i-+, G� per, �/C /y.............a` ' i �SCO 11 PLATOFSURVEY UNDSLO MD WITHIN 1CHY OF TNEMYYANO THEWK OF T WY, WY. WCnW21 iDWN5NIP47NO ..P ESMSr,. TOlNIOF EI!£EN. 1fr 6 wlftL coU .. WSCO m s PARCEL 3 362,314 sq.Ft. &32 Acres x>veuFd LouuE,I (INCLUDING ROAD R.O. W.) '.x llm •• SYxrT AN IIIBLY CIY.YJ1 1 N89° 31' 32"E 1,655.94' -- ,-- N89° 31' 32'E 993.03' — N89° 30' 05"E 662.12' J Y_______________________ -N'QNL T RECEIVED NOV 21 2023 Rayfield Co. Planning and Zoning Agency I i ni ! NR., z.—/ ! �� I e i HNLerwY I N00° 02' 45"E 0 n --- N89° 31' 32"E 992.34' --I otou I I XI / NI PARCEL2 w! PARCELI �E>♦; 2, 193,723 Sq.Ft 1,831,339sq.Ft, 50.36 Acres ! m 4ZO4Ades I I I (INCLUDING ROAD R.O.W.) ! yWy (INCLUDING ROAD R.O.W.) L.L I X I 1 0 N = 1 I LMOi9d I I N4TSEr 1 I I 1820.44' TO RO.W. 957.57 TO R.O.W. I 629.26' TO RO.W. ��-- S89° 32' 48'W 661.26' ' - ! 1 ! S89° 33' 32'W 1,663.44' -- S89° 33' 32"W 990.52' — SEC. N-UM-RAV WTms rE 4 PAIRICKA MCI:1Eµ Nl4EdISW PRJFE3910.LL4L IAAD SURYEI'dt 5.RT; OOIIEri®Y cermrrwlrrxlswnwASMmEArrNEdnEcnd+rrsuaF.ldWsa,t ownsaDVME .bOVELE9CNBEDAFD MAPPEOPMLEt$ Afal MErHFgTMrgV sFroNw [NTYSMW I9 0.YWFClAAOAGCWASEro MEBESTCFMYRNGIYIEDGEMbBE11FFHW MFEr3rILE MWIMUL BIAVdYN REDIWSIIFNI B FM SLFVEI'S UNCER AF) 4� NiSCdSxI IDMWISI RATV£ LCCE wiEDTES��_MM.F� A O PWEFCDf $UNVEYWQ 4qr-- L�'T R• MIRHi(A Mcsuw -sy ,o; N1PLA 89JI ''�D SV0.`IE.`� LEDUDEscI+Finav N PMCHKIN®LGGIED W MENEY-MYY AM SNEMVY.NEY. SECIpNN. r4MRew, r°xNOPEnEEx, wrrffLDrodnv. vnsrnll3Nt NwffPnnrcMAmv OESCPtlE0A5FOLLGWd' ATMEADFMKroM9LL£SEEFISNN: MEIIfEx6'Dm4A A Rff HCRM L W E CF illE M1LPM£9TY, CY ME IMRMEISTY OF SIIO SELIgN R PSiANLECF m21SFEEP. 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AdsAxcEGF r.ersu FE£i ro ME wi4 xwLORVER MF./A-£xWrPIiwNQW TIE NEST LxEOG FrEMR1HAf6rY. OF:HENJPi1MESTY AdSTONfF CF I.]}Sb RITrt N0.PrIM£SFLdNB1AM1D TXE FdMCF BEGtlA41AG aE DESCRmiAW' A PAfiTIl Ci I/r9LOG1ED W Trt NEY-MYR SELIAW N. i1iN. NOw rONN CF EIEFV. B1 YFIflUCOfMfY M15LVNS.W. MGPE PIRI.CW VLLYOESGImEUAS fd L01Y3 eAmsaz eEGWMxGArMExdtM ,LdWETOF SEcrmxx nwTxs-smv>rswAlnxG 1HE N3Y 11NE CF SL9FECINW Ad3r/M:EKNSpJ �' iIE.LCEmY')19W R d3TM'CE CF 49131fEEP, i14ACE MOd'HWAddASCE0F3b WfEEl R1 riff xatMYHFor MENGRnIAIsrY.GF MExavMNE3rY.' rHFxfE xm']IVE udfG saG xoRM uxEAnrsrAx¢DFv°sasFEEr roMENamxY. cosxm AM19 riff wwr Lf sEGWxwG. ME.VOKOESOiREO PAI EL CFLWOLCXTMYSbyarf4WMFF£EI. Q90.4 fLPE31N3WMYr TIE PoSM OFW.,YGFIMGSMOMf rllElflm LEGEND O -gr t I/f- ww vwE �—-D]S1ML FEIICfIHE 200' 0 200' E00' 600' RCNE FEET rt ye G4 yS kd �33 Y a HISram% a€ V ql q&yI`JE° O FGFtl n09RE/SNLEr No State Bar of Wisconsin Form 3 - 2003 QUIT CLAIM DEED Document Number I Document Name THIS DEED, made between ("Grantor," whether one or more), and the Brian E. Johnson and Margie G. Johnson ("Grantee," whether one or more). Grantor, quit claims 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): See Attached Exhibit A Rccwdina Area DANIEL J. HEFFNER BAYFIELD COUNTY, WI REGISTER OF DEEDS 2022R-594298 04/20/2022 02:54PM TF EXEMPT #: 16 RECORDING FEE: $30.00 PAGES: 2 RECEIVED NOV 21 2023 Bayfied Co. planning and Zoning Agency Name and Return Address Carla J. Smith Spears, Carlson fi Coleman, SC 122 W. Hayfield St Washburn, WI 54891 Parcel Identification Number (PIN) This IS NOT homestead property. (is) (is not) Dated April 20, 2022 (SEAL) (SEAL) *Brian Johnson (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) as. authenticatedon Bayfield COUNTY) Personally came before me on April 20, 2022 , the above -named Brian Johnson * TITLE: MEMBER STATE BAR OF WISCONSI,1ti"��� rlrn�rrr to me known to be the person(s) who executed the (If not �.%1� gMITy rrrr,' foregoing instrument and acknowledged the same. -, authorized by Wis. Stat. § 706.06) �.�' P . " 'Is ' THIS INSTRUMENT DRAFTED BY: $, p,R Y •••. �C * rla J Sm' h Carla J. Smith, SBN 112334tc U ; t7� ; $bq0, public, Slate onset 122 W. Hayfield St, Washbt2si, WY_ �t ��i yjyommission (i crmanenxpires: ) (Signaljacs maNj be anthtro0 actenI. Both are not necessary:) NOTE: THIS IS A STANDARDSORM.`6NY -N }�'ij�,07,0. Zi1I5 FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED .• S ITT TE BAR (W% ( 451N FORM No.3-2003 *Type name below signatures. ���r S1 ...... �,�� �Q% Spann, Gdwn and Coleman. S.C. 122 W 9ayrmld Surat Waahbom. WI 5489♦✓rjr �d `ram ('� `�� Phme:4715)292�59 Fax: anankhnwn John Cmlwn FTedlapa0 a(eeZA M 1liQa�10 Flaeon Mlle Road. Frever. Mkhlgen baa2a w+"'WLmtr.mm RECEIVED NOV 212023 Sarreld co. Plaming and Zoning Agwry EXHIBIT A A parcel of land located in the Northwest Quarter of the Northwest Quarter (NW Y. NW X) and the Northeast Quarter of the Northwest Quarter (NE X NW X), Section Twenty-four (24), Township Forty- seven (47) North, Range Five (5) West, Town of Eileen, Bayfield County, Wisconsin, more particularly described as follows: Beginning at the Northwest corner of Section 24; thence N 89°31'32" E along the North line of the Northwest Quarter (NW Y.) of said Section a distance of 1,655.94 feet; thence S 00-03'44" E a distance of 1,326.27 feet to the South line of the Northeast Quarter of the Northwest Quarter (NE Y. NW X); thence S 89033'32" W along the South line of the Northeast Quarter of the Northwest Quarter (NE Y. NW 34) and the Northwest Quarter of the Northwest Quarter (NW X NW %) a distance of 1,653.44 feet to the W 1/16 NW corner; thence N 00°10'13" W along the West line of the Northwest Quarter of the Northwest Quarter (NW X NW %) a distance of 1,325.30 to the Northwest corner and the point of beginning. 11 /21123, 9:28 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 11/21/2023 F0 Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: ESN: Tax Districts 1 04 020 020170 001700 Property Status: Current Created On: 6/27/2018 12:00:36 PM Updated: 5/4/2022 Ja Ownership Updated: 5/4/2022 37810 BRIAN E & MARGIE G JOHNSON REV ELGIN IL 04-020-2-47-05-24-2 01-000-30000 TRUST (020) TOWN OF EILEEN S24 T47N ROSW PAR IN NE NW & NW NW DESC IN DOC 2022R-594298 50.452 50.452 0 Yes 113 <a. Recorded Documents 91 QUIT CLAIM DEED Date Recorded: 4/20/2022 13 QUITCLAIM DEED Date Recorded: 6/8/2018 Billing Address. Mailing Address: BRIAN E & MARGIE G BRIAN E & MARGIE G JOHNSON REV TRUST JOHNSON REV TRUST 1500 WING SI 1500 WING ST ELLGIN IL 60123 ELGIN IL 60123 10r Site Address * indicates Private Road N/A ® Property Assessment Updated: 8/21/2023 2023 Assessment Detail _Updated:6/27/2018 Code Acres Land Imp. STATE Sm-AGRICULTURAL FOREST 6.000 4,400 0 COUNTY GI -RESIDENTIAL 1.000 7,500 66,000 TOWN OF EILEEN G4-AGRICULTURAL 40.452 8,300 0 ASHLAND SCHOOL G5-UNDEVELOPED 3.000 300 0 TECHNICAL COLLEGE Updated: 6/27/2018 2022R-594298 2-Year Comparison 2022 2023 Change Land: 19,100 20,500 7.3% Improved: 0 66,000 100.0% Total: 19,100 86,500 352.9% 2018R-573237 UM Mom' Property History Parent Properties Tax ID 04-020-2-47-05-24-1 02-000-20000 15866 04-020-2-47-05-24-2 01.000-10000 15869 04-020-2-47-05-24-2 02-000-10000 15870 HISTORY ® Expand All History White=Current Parcels Pink=Retired Parcels 0 Tax ID:15870 Pin: 04-020-2-47-05-24-2 02-000-10000 Leg. Pin:020105103000 0 Tax ID:15869 Pin: 04-020-2-47-05-24-2 01-000-10000 Leg. Pin:020105102000 0 Tax ID: 15866 Pin: 04-020-2-47-05-24-1 02-000-20000 Lea. Pin: 020105008000 37810 This Parcel T Parents i Children RECEIVED NOV 21 P0p3 Planni sa)fiekl Co. 08 and Zoninyq https://novus. bayfieldcou nty.wi. goviaccess/master.asp?paprpid=37810 allpaid 7820 Innovation Boulevard, Suite 250, Indianapolis, IN 46278 1 Customer Service: 1-888.604-7888 Payment Confirmation Your successful payment to AIIPaid constitutes payment to the Payment Destination (a) and discharges your obligation to pay the Payment Destination(s) below in the amount specified by "Payment Amount" for the following matter(s). Your next statement will display this transaction as ALLPAID' followed by the name of the paid party. Contact AIIPaid at 1-888-604-7888 with any questions about the processing of this payment. Transaction Information Status: Approved Please take a moment to give us feedback on your payment experience by clicking HER€. APD Reference #: TX_11374764 Date: 11/21/2023 10:07 AM CST Approval #: 011270 Pay Amount: $300.00 Service Fee: $10.50 Total Amount: $310.50 Payment Information Property Owner: Brian Johnson Tax ID#: 37810 Payment Amount: $300.00 Billing Information © Ending in 8953 Brian Johnson 1500 Wing St Elgin, IL 60123 us (224)249-2892 badgemorthl 17@gmall.com Please take a moment to give us feedback on your payment experience by clicking HERE. © 2007 - 2023 AIIPaid, Inc. All Rights Reserved. (NMLS ID #1434636; Licensed by the Georgia Department of Banking and Finance #61205) An Aventiv Technologies Company 22 �j/ Review Checklist Tax ID#: t' 70l d Address: 3= Legal Description: Par K-SE NIV Zoning District: ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C 111 ❑ M 11A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M-M Overlay District: Shoreland: 16 No ❑ Yes If yes, is impervious surface form required ❑ No ❑ Yes If yes, is impervious surface form attached ❑ No ❑ Yes Floodplain: 0 No ❑ Yes If yes, which zone? ❑ X ❑ AE ❑ A Wetland ❑ No 0 Yes Ownership Information Accurate? Application signed ❑ Letter of Authorization (if applicable) ffidavit of Authority (if applicable) Legal Information Accurate? ❑ No 0 Yes Proposed project previously granted or granted by variance? dNo ❑ Yes, Case #: Is Structure Nonconforming? No ❑ Yes If yes, attach documentation Is Mitigation Required? 0 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 ❑ Marked by licensed surveyor Section # Regulation Required Applicant's Cot 13-1-60 Lot Area "7 , S 50 13-1-60 Lot Width 13-1-26 Is lot Sub -standard? ❑ Yes No Buildable It Yes ❑ No If yes, attach Deed of Record or Variance 13-1-22(h) Height (Shoreland) 35-' �- Is Sanitary required f r project? ❑ No Yes If yes, Sanitary # — s Sanitary Date: # of bedrooms: 07, If addition/alterati n, 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 Yes Hold For: ❑ ❑ Sanitary ❑ ❑ TBA ❑ ❑ Fee payment [j Inspected By: Ms Comments/Notes: Date of Inspection: LC VIA, MWN c (y�• u�a8�a3 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 Approved by: ,��j ( Connddition✓(ss))::e, Date of Approval: ` `J 0- � r/w/ Ve 0j?xffa6W per p/a% of in U,YJC �ormrt �f ��Cub/e 7w�l�f�l���lt(,� pan ti may Permit#:_/)'ya` / Amount Paid:- Y�eS Refund: ^^tt�� r�^^ Date Issued: CN - /- Date: / I 2Z LO ate: Town, City, Village, State or Federal Permits May Also Be Required WETLAND LAND USE — X SANITARY — Existing (# 24-15S) SIGN — SPECIAL — CONDITIONAL — BOA — BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 24-0029 Tax ID: 37810 Issued To: BRIAN E & MARGIE G JOHNSON REV TRUST Par in NE NW & Location: NW '/4 of NW '/4 Section 24 Township 47 N. Range 5 W. Town of EILEEN IN DOC 2022R-594298 Gov't Lot Lot Block Subdivision CSM# Residential Structure in Ag-1 zoning district For: Add/Alt: [ 1-Story ], Living Quarters Addition on a Slab (Irregular 1520 sq ft); Patio #1(10' x 36'); Patio #2 (10' x 15') = 2030 Total sq. ft. Height of 12' (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Meet and Maintain Setbacks as approved including eaves and overhangs. To be constructed per plan. Obtain UDC permit, if applicable. Town/State/DNR permits may be required. 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 the department of natural resources service center (715) 685-2900. NOTE: This permit expires two years from date of issuance if the authorized construction Mckenzie Slack, AZA 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. February 7, 2024 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Date