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HomeMy WebLinkAbout25-0224lllsox403 t D E G E a d FIELD Washburn, WI 5489 (715) 373-6109 LIII JAN 172025 perm itsbayfieldcounw.wi. gov Bayfiold Co. Zoning oect Health Zoning Submission # 'Fee. Fee Paid ho Refund Permit# Date Issued Short -Term Rental Application Packet This application packet contains information for a Shat -Term Rental permit through Bayfield County Planning and Zoning Department. Completed application can be mailed/emailed to the address/email above. SECTION A: ESTABLISHMENT INFORMATION Establishment / a_,QO.t hL.n. CAL, n # Establishment Tax ID i Town/City of I7'9 ('coy) i �i arYlC5 Establishment Street Address 5o3tf5 PcAsu1a Rd City State arms Wt Zip 5Yt7'?3 SECTION B: OWNER INFORMATION Property Owner '1'io( j LOOM tojvr Ca4%v" L.LC, troki-&ss Email Address Yeess'@a/(cin—'CS.Cc"-", Phone Number S"-965"6 Owner Mailing Address NF5oS INLc- Pad City fus'r'Tr'y State wz Zip 5Sf zo SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership, LLC, IL!', or Inc.) Email Address Phone Number Licensee Street Address City State Zip Agent Name (if applicable) Email Address Phone Number Agent Street Address City State Zip SECTION D: RENTAL UNIT INFORMATION (see key below) Unit 1 Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories # of # of Bedrooms Bathrooms H P P P z 4 z 2 3 Structure Type: House (H) Duplex (D) Cabin (C ) Yurt (Y) Apartment (A) Condo (CO) Other (O), please describe Heating Source: Electric E Natural Gas (NG l Propane P Wood W) Fuel (F) Other (0), please describe Water Source: Public/Municipal (M) Private Well (P) Sanitary Source: Public/Municipal (MI Private Onsite Wastewater System (P) AFFIDAVIT OF AUTHORITY (Corporation, LLC, etc.) PURPOSE. This Affidavit of Authority is used to certify the individual applying for a permit is authorized when the property is owned by a corporate/business entity. STATE OF WISCONSIN ) ) ss. BAYFIELD COUNTY ) The undersigned affirms and states as follows: 1. Address of Subject Property: 'Lt5 P .w S L P J. 6 c�.nc�S, iJ . 5 973 2. The Subject Property is owned by: 1, oon Lv no/: ? 0 h . LL. C (Name of Company) 3. The name(s) of the current President or Managing Member: leJ cad 1}Hw 22tSS 4. I certify that the company named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Company named above in paragraph 2, and I have the authority under the terms of said authorization to apply for permits from the Bayfield County Zoning Department concerning the Property described in paragraph 1. I 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 Company to apply for and bind the Company 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: t —VI red 1Ze5 s Print Name Subscribed and sworn to before me this �.•""""""+ra, day of J CW►UG , 2021. . • cA • OA/' Notary ublic, �-lL► County, Wisconsin My commission: Z G 1.Q2 .S)%1/B%-'O retvt-.cOOINU INI-UKMATION INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for completeness. If the information is not complete, the department may reject your affidavit and the application. REQUEST FOR MORE INFORMATION. The department may request that you provide more information or evidence to support your affidavit. DECISION. The department will review all documents submitted as part of the application for registration and title, this form included, and may approve, deny or request more information. Land Use Permit Application Review Checklist Submission#: 5Vte- Oco 13 Tax ID: j 79H S -T -R: /0.-9q-05 What zoning district is the project located in? R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes No Does lot meet the zoning dimensional requirements or is it substandard? Deed of record: `f Yes O 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 XNo 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#: ft -3105 Public System: # of bedrooms: 4 , $ Yes ❑ No Does the project require an affidavit? Affidavit #: Number of Units: I Number of Bedrooms: y Number of Bathrooms: ' . Number of Stories: 2 ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: 1<J N�ew��sk: Date of Inspection: 5— j- c Inspection Notes: -tvtRe-Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: 1� niifwl'r(s�c' Date of Approval: 5-1-a5 as �aay 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 5 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 19-0277) SANITARY - 19-36S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0224 Tax ID: 1799 Issued To: LOON LANDING CABIN LLC Location: S10 - T44N - R09W Town of BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: PAR G & H IN GOVT LOT 2 IN V.1148 P.466 549D Residential Structure in R-1 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. 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. Authorized Issuing Official May 01, 2025 Date