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25-0114
Iltiturn to: County Use 117E 5th Street, PO Box 58'}J ay6eld County Planning and apng e J Submission, Washburn, WI 54891 LAND USE PERMIT JIITlllnyll/1�. ermi permitsiybavfieldcountv.wi.¢ov MAR 17 2025 ]Date:�k SECTION A: General Information - Propert Orsner�-Name: Y�n��t�^l, 3R�o.��� Auth �p licable): Telephone Number- (10OS'F40 O Telephone Number: E-Mail Address: S.c E-Mail Address: Zp w Mailin Address: Mailing Address: S��o wttl ! City, State, Zip: w J 5 y8) it City, State, Zip: Contractor: Tel phone Number: E-Mail Address: SECTION B: Pro ertp Information - - _- Project Address (it different from mailing address):c_ Cssww` 3 et Legal Description (if additional space is needed attach a separate sheet): 5E sta - A- t.J Section, Township, Range: Town of: Tax lD P: Lot Size (Acres/Square Feet): 14 SECTION C: Pro' et Information check all that apply) Project Use is.• Residential ❑ Commercial ❑ Municipal Project Type is: ❑ New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 2 1 + days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A Other (describe): required Totals ft : re uired b 4131.E `SECTION D: Structure Information Does notapply to RVs and Signs, go to Si E) Structure 7j pe is: ❑ Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container IXOther (describe): Jr F. Foundation Type: 5 ✓� (JS O' ❑ ❑ Ground � Skids ❑ Basement ❑ Walkout Basement El Stab Crawlspace ,Other (explain): Existing Structure: Length: Width: Hei t: Proposed Structure (Provide Sq Ft based on outside dimensions, including unrnished areas, attached garages/above grade decks/ orches): Basement Sq Ft: I" Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: Y6 Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): # of Stories: 6xisling if of Bedrooms on property: Proposed tf of Bedrooms in project: SECTION E: RV and Sign Information check all that a 1) - Sign is. RVi,s: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ ]-sided ❑ 2-sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: II Il MAR 1 7 %0'/5 0 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 site plan): �u �:•-, Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek El Pond ❑Floodplain ❑Wetlands El Slopes over20% N 1 � 7�§ Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline ft. !Q� .�... ft. Notes/Comments: r�yay Front Lot Line/Right-of-Way ft. ft. Side Lot e I ort East euth Wes circle one) it ft. 450 v♦66+ Side Lot Line 2 ort ast South West,circle one ft. �Q O t ft. ear Lot Line ft. Z601 ft. Septic/Holding Tank ft. ft. Drainfield s+ ft. ft. Privy Well Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. MAR 1 % ZOZ5 `SECTION G: Additional Questions ❑ Yes No Has the location of the proposed project including eaves and overhangs and the sanitw Qv Oft Dep staked? if no, what date will this be completed. G ❑ Yes Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use 041NO Application Information for required setbacks. ❑ Yes IkNo 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 4. Nip Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes Ao Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? El Drainfield El Holding Tank ElMunicipal/Public ❑ Other (describe): ❑ Yes pq�i if�No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) How would y uq to receive your permit card? ❑ Mail to:,9AA,,E mail 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. og v/tor)ic/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. 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: Owner(s) or Authorized Agent Signature ` Date: LL[tea' NOTES: 1. If you are signing on behalf of a 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. 3/24125, 1:09 PM Real Estate Bayfleld County Property Listing Today's Date: 3/24/2025 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:15:13 PM L> f Description Updated: 2/10/2025 Tax ID: 12028 PIN: 04-014-2-50-07-34-3 04-000-10000 Legacy PIN: 014108710000 Map ID: Municipality: (014) TOWN OF CLOVER STR: S34 TSON R07W Description: SE SW IN V.902 R724 672 IM 200411- 494750 IM 200511-499735 IN DOC 2025R-606168 Recorded Acres: 40.000 Calculated Acres: 37.343 Lottery Claims: 0 First Dollar: No Zoning: (F-1) Forestry-1 ESN: 109 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 014 TOWN OF CLOVER 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE 4 Recorded Documents Updated: 3/15/2006 © WARRANTY DEED Date Recorded: 1/10/2025 2025R-606168 ® CONVERSION Date Recorded: 499735 612-143;902-724;919- 782 Ownership Updated: 2/10/2025 MICHAEL 3 & KELLEY 3 BRINER BAYFIELD WI Billing Address: Mailing Address: MICHAEL 3 & KELLEY 3 MICHAEL 3 & KELLEY 3 BRINER BRINER 35230 WHITETAIL AVE 35230 WHITETAIL AVE BAYFIELD WI 54814 BAYFIELD WI 54814 11 Site Address * indicates Private Road N/A . Property Assessment Updated: 7/13/2017 2025 Assessment Detail Code Acres Land Imp. G6-PRODUCTIVE FOREST 40.000 48,000 0 2-Year Comparison 2024 2025 Change Land: 48,000 48,000 0.0% Improved: 0 0 0.0% Total: 48,000 48,000 0.0% 1* Property History N/A https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=12028 1/1 Bayfield County, WI 3/24/2025, 1:10:20 PM 1:1,694 :::• Wetlands -- Approximate Parcel Boundary Road Type Town 0.02 0.04 0.08 ml 0.03 0.07 0.13 km 8.,l O G .ty LaM R.OapaN aayNd Cantyl INAPPlicenm M1Ops9lmaps.OaylleMwunry MIW2PningWA I Bayfield County, WI 3I26I2025, 8:25:47 AM 1:6.777 ___.. Wetlands Approximate Parcel Boundary ` y 0.15 0.3 ml Road Type Building Footprint 2015 ' R Rivers 0 0.13 0.25 0.5 km Building — Town BayfieN CwMy LaM Re Ms Dapent BByMW Crony Zaft Applkalbn mtre:IIMMDayrleN ywi.g /ZwigW / Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? �% ❑ R-1 ElR- ❑ R-3 ❑ R-4 .❑ R-RB ❑ C El ❑ M 0 A-1 ElA-2 Q" F-1 ❑ F-2 ❑ W ❑ M-M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes o 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 rol Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes No 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 o Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes YNp Is the project associated with a Special A Use Permit? ❑ Yes VNo Does the project require sanitary? ❑ Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: ❑ Yes Ep4o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: ❑ Yes &I 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 ❑ Commercial ❑ Municipal Project type is? EVNew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence ❑ Principal Structure [Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: Number of Stories: Overall Height: j Calculated Fee Category: ❑ Residential Principal Structures - $0.75/square foot (minimum $125) ❑ Habitable Residential Accessory Structures - $0.50/square foot (minimum $75) VNon-Habitable Residential Principal and Accessory Structures - $0.20/s uare foot (minimum $75) P ry q ❑ Commercial/Municipal Principal Structures - $0.75/square foot (minimum $125) ❑ Commercial/Municipal Accessory Structures - $0.20/square foot (minimum $75) Calculated Fee Amount: Additional Fees: ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ After -the -Fact (ATF) ❑ Floodplain ❑ Shoreland -impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount: Inspected by: &((� '�� �� <V 2� l Date of Inspection: � oZ.O _ Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: �yYiuC Date of Approval: 9M �� Cond' ' n(s): Ki'must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For rsonal residence only. of r human habitation or sleeping purposes. own/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. ❑ A 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. ❑ To 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 rmust be removed by 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: a CASH 17 25 015675 RECEIPT Date o Received From' r Address " V <1 z. 7 O N CO CDC N J5 — Dollars $ / Z Cl) 5� For Dw Oryn V T m " • • J W AMT OF ACCOUNT CASH 7 ^ i/�"' LL mAMT. �V9 PAID CHECK BALANCE MONEY ORDER ❑ By DUE CREDIT CARD iJ B A-YFIELD Bayfield County Planning & Zoning Department 117 E 5thStreet P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: BRINER, MICHAEL ) & KELLEY ) LU-01531 35230 WHITETAIL AVE BAYFIELD, WI 54814 Transaction Number: LU-01531-2417213 Description Amount Verified Fee Amount $0.00 Non -Habitable Residential Principal and Accessory $76.80 Structures - $0.20/square foot (minimum $75) Total: $76.80 Pavment Amount: $77.00 Reference:015675 Paid by: MIKE BRINER, 35230 WHITETAIL AVE, BAYFIELD, WI 54814 Payment Type: Cash Transaction Date: undefined 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 — No / Nonconforming — No Shoreland — No / Impervious Surface — No Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE — X SANITARY — SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0114 Tax ID: 12028 Issued To: BRINER, MICHAEL J & KELLEY J Location: S34 - T50N - R07W Town of Clover B"FIELD COUNTY 4 :1 JA_i WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: SE SW IN V.902 P.724 672 IM 2004R-494750 IM 2005R-499735 IN DOC 2025R-606168 Residential Structure in F-1 zoning district For: New Construction [1 - Story], Accessory Structure on Skids on Stone [384 Total sq. ft.] Height of 11' (Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, takes, 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 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. Emily Macgillivray Authorized Issuing Official March 28, 2025 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting No sewer and pressurized water allowed in the structure.