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Land Use Permit Application Review Checklist
Submission #: STvZ000di3 Tax ID: t9-17
S -T -R: 12-t1 io — 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 gNo
Does lot meet the zoning dimensional requirements or is it substandard?
Deed of record:
'gYes ❑ 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 gNo
Is the project located in the Floodplain?
Zone:
Yes ❑ No
Are there wetlands on the property?
❑ Yes o
Is project associated with a nonconforming use or structure?
Yes ❑ No Does the project require sanitary?
Sanitary Permit U: —13S Public System:
# of bedrooms:
)4Yes ❑ No Does the project require an affidavit?
Affidavit #:
Number of Units:
Number of Bedrooms: 5
Number of Bathrooms: 2
Number of Stories: J
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by: i1 3 \QW
Date of Inspection: j 1 5
`� Oj
Inspection Notes:
-_rrev«QS fe1-vnr i b$-0`102$
.-. C u rc 4- 6,ccL
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: t�1
Date of Approval:
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 V 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 ,Wetlands
LAND USE — X (previous 08-0428)
SANITARY - 08-13S
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0198 Tax ID: 13477
Issued To: MOORE III TRUSTEE, JAMES C
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S12 - T46N - R08W
Town of
Legal Description: E 1/2 SE SW 799 (JAMES C MOORE REV LIVING TRUST DTD 06/25/2014)
Residential Structure in R-RB zoning district
For: [1 -Unit] Short -Term -Rental
(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 8 persons.
NOTE: This permit expires two years from date of issuance if the authorized construction Desi Niewinski
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. April 28, 2025
This permit may be void or revoked if any performance conditions are not Date
completed or if any prohibitory conditions are violated.