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' D APR 2 8 2025 24 Return to: 117 E S°h StTkfig, 5 f reld County Planning and Zoning Department Washburn, l• �boning LAND USE PERMIT APPLICATION oermits(al bayfieldcounty.wi.aov County Use Only: Submission #: W_ Permit #; Date: Property Owner Name: f' 2 yi r� '{ NM eAui Authorized Agent Name (if applicable): Telephone Number: 774/-� s -a Telephone Number: E -Mail Address: /� / (�1IQhQwee E -Mail Address: a / Mailing Address: 9 q�5 A� o e� n�� \ Mailing Address: City, State, Zip. ?D3,� �5q97? City, State, Zip: Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if diflcrent from mailing address): Legal Description (if additional space is needed attach a separate sheet): sr 0 ,41r4C f.E/D S h SET Section, Township, Range: -r .' Town of: ( to tier Tax ID #: Lot Size (Acres/Square Feet): j acfes S CT1ON C: Project Information. check all that a Project Use is: ❑ Residential ❑ Commercial ❑ Municipal Project Type is: ❑ New Construction Addition/Alteration (existing structure) El Change Use (existing structure) ❑ Relocate (existing structure) RV Placement 21+ days ❑ Sign ❑ Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A El RV Placement 4+ months, Class A ❑ Other (describe): required (Total sft): required •. SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: ❑ Residence ❑ Principal Structure (describe): Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured 0QC c date): ❑ Shipping Container ❑ Other (describe): /en' F)/6 R)/4("6 t Foundation Type: ❑ Basement ❑ Walkout Basement ❑ Slab El Crawlspace ❑ Ground - Skids XOther (explain): floSTT Existing Structure: fd%t� t R e 5 Len h: ti'idth: r /eight: / t Proposed Structure (Provid q Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): II D t4/6 S r Basement Sq Ft: I" Floor Sq Ft: Loft Sq Ft: 2"^ Floor Sq Ft: 3" Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: eck Sq Ft: 6/ Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: 3, / Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: SECTION : R Sign Information (chdthflhl that a Sign is: RV is: ❑ New O Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: El On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: APR 28 ?fl?5 SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Show location of: ❑ Driveways El Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) 0 Septic Tank (ST) 0 Drain Field (DF) ❑ Holding Tank (I -IT) 0 Privy (P) 0 Lake 0 River ❑Streamp/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N ku Lx- bd-T - F izvv , I Qw oc Peck u 11c)ev- V� can I DeLL fJ 7' 01.0 over IDD' to Way PraPv'yL;ne Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline ft. q ft. Notes/Comments: Front Lot Line/Right-of-Way ft. (� ft. (_t u I Side Lot th�yineI ft. �O ft. / orEast❑South❑West❑, check one) Side Lot Line 2 ft. ft. orth❑East & outh West❑, check one) '0 Rear Lot Line ft. lob 4.. ft. Septic/Holding Tank ft. ft. Drainfield ft. ft.�� Privy ft. Well ft. Existing Structure/Building e5%,j Wetland ft. Elevation of Floodplain ft. Ordinary High -Water Mark (OHWM) ft. Other (describe) ft. ft. 2 Dfl APR 2.8 2025 SECTION G:. Additional. uestions •. - f$ Yes ❑ No Has the location of the proposed project including eaves and overhangs and the sanitary system and well been . \ staked? If no, what date will this be completed: Yes O No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. Yes O No 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 ❑ No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank Municipal/Public O Other (describe): ❑ Yes I'No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? O Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes '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: O Rezone O Class A Special Use ❑ Class B Special Use ❑ Conditional Use O Variance Fee payment will be made via: }Check (attached) ❑ Cash (attached) El debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? Mail to: OR ❑ Email to: Property Owner Address ❑ Agent Address O Contractor Address O Other (provide Name and Email or Address): 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.gov/topic/wetlands, v/topie/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. LL liLy 4vi py1j1I Owner(s) or Authorized Agent Printed Name: 4t23 -a,, Owner(s) or Authorized Agent Signature: Date: NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this lication. 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. Lot 1 of Certified Survey Map number 2180, recorded as document number 2021 R-589286 in Volume 12 of Certified Survey Maps, Page 388. 04-014-2-50-07-08-1 02-000-21000 IUI [ ] E Fn) APR 282025 Bayfield Co. Zoning Dept Bayfield County Register of Deeds Document #2025R-607225 Page 2 of 2 Bayfield County, WI n N A 3 � i� T `�!♦ 1 Y .4 \.iI'+ rsar.4 '+ p,� ! PRPID/Tax IUA#�1143B JR6K WV SMITH '+ s"` 5/1/25, 12:17 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 5/1/2025 Description Updated: 12/22/2021 Tax ID: 38543 PIN: 04-014-2-50-07-08-1 02-000-21000 Legacy PIN: Map ID: Municipality: (014) TOWN OF CLOVER STR: S08 TSON R07W Description: LOT 1 CSM #2180 IN V.12 P.388 (LOCATED IN ROBERT BARTLETTJR 2ND ADDITION TO ORCHARD CITY SUB & NW NE) Recorded Acres: 1.100 Calculated Acres: 1.100 Lottery Claims: 0 First Dollar: Yes ESN: 109 i Tax Districts Updated: 7/22/2021 1 STATE 04 COUNTY 014 TOWN OF CLOVER 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE 047090 CLOVER SANITARY #1 ' Recorded Documents ® CERTIFIED SURVEY MAP Date Recorded: 6/15/2021 ® WARRANTY DEED Date Recorded: 10/11/2016 Updated: 10/19/2016 2021R-589286 12-388 2016R-565647 Property Status: Current Created On: 7/22/2021 2:10:10 PM Ownership Updated: 12/22/2021 BRETT & ANN M TULLY HERBSTER WI Billing Address: Mailing Address: BRETT & ANN M TULLY BRETT & ANN M TULLY 86885 LENAWEE RD 86885 LENAWEE RD HERBSTER WI 54844 HERBSTER WI 54844 Site Address * indicates Private Road 86885 LENAWEE RD HERBSTER 54844 ® Property Assessment Updated: 6/29/2022 2025 Assessment Detail Code Acres Land. Imp. G1 -RESIDENTIAL 1.100 15,300 128,500 2 -Year Comparison 2024 2025 Change Land: 15,300 15,300 0.0% Improved: 128,500 128,500 0.0% Total: 143,800 143,800 0.0% Mme' Property History Parent Properties Tax ID 04-014-2-50-07-08-1 02-000-20000 11±39 04-014-2-50-07-08-1 00-125-10100 36904 HISTORY © Expand All History. White=Current Parcels Pink=Retired Parcels ® Tax ID: 12373 Pin: 04-014-2-50-07-08-1 00-125-13000 Leg. Pin: 014112005000 ® Tax ID: 12372 Pin: 04-014-2-50-07-08-1 00-125-12000 Leg. Pin: 014112004000 ®Tax ID: 12371 Pin: 04-0142-50-07-08-1 00-125-11000 Leg. Pin: 014112003000 a 38543 This Parcel -W Parents t Children https:/Inovus.bayfieldcountywi.gov/access/master.asp?paprpid=38543 1/1 Land Use Permit Application Review Checklist Submission #: What zoning district is the project ! Gated in? ❑ R-1 DR-2OR-3 ❑ R-4 LXR-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes ig.io Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: es ❑ 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 EQ10 Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes Etlo Is the project located in the Floodplain? Zone: es ❑ No Are there wetlands on the property? ❑ Yes mlio Is project associated with a nonconforming use or structure? ❑ Yes �.Pt'o Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes o Is the project associated with a Special A Use Permit? ❑ Yes U#4o Does the project require sanitary? ❑ Existing ❑ New O Intercept ❑ Reconnect O Non -Plumbing ❑ Public Sanitary Permit if: ❑ Yes VNo Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: EVY9s ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? es ❑ No Did plicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? l,sidentiaI ❑ Commerc' I ❑ Municipal Project type is? ❑ New Construction Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement O Sign ❑ Establishing a Bus' ess ❑ Temporary O Shoreland Gradi g ❑ Other, describe: Structure Type is: Residence O Principal Structure cessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: xat Number of Stories: Overall Height: Calculated Fee Category: ❑ Residential Principal Structures - $0.75/square foot (minimum $125) ❑ H,bitable Residential Accessory Structures - $0.50/square foot (minimum $75) on -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) ❑ Commercial/Municipal Principal Structures - $0.75/square foot (minimum $125) ❑ Commercial/Municipal Access tructures - $0.20/square foot (minimum $75) Calculated Fee Amount: 2i-jO. Li Additional Fees: O Return Inspection O Land Use Revisions ❑ Special Use Permit - Class A ❑ After -the -Fact (ATF) ❑ Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount: Inspected by: �CM(l fc I w& Date of Inspection: /3nja.ca.t. Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: . _ 1 M _ _ _ I I , _ Date of Conjtion(s): - J I g Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑ No for human habitation or sleeping purposes. own/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permitfrom the locally contracted UDC Inspection Agency must be obslned prior to the start of construction. 6A Uniform Dwelling Code (UDC) Permitfrom 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. ❑ SS' n must meet the requirements of Article E of the Bayfield County Zoning Ordinance. faro 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 ❑ RV must be removed by ❑ No 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: S YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: TULLY, BRETT & ANN M 86885 LENAWEE RD HERBSTER, WI 54844 Description Verified Fee Amount Residential Principal Structures - $0.75/square foot (minimum $125) Submission Number: LU-01633 Transaction Number: LU-01633-2A04C Amount $0.00 $240.75 Total: $240.75 Payment Amount: $160.00 Reference: 1280 _ Paid by: ANN & BRETT TULLY, 86885 LENAWEE RD, HERBSTER, WI 54844 Payment Type: Check Transaction Date: undefined Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. I '-YFI E LD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: TULLY, BRETT & ANN M AP -00024 86885 LENAWEE RD HERBSTER, WI 54844 Transaction Number: AP-00024-2A2F5 Description Amount Additional Fee Amount $80.75 Total: $80.75 Payment Amount: $82.70 Reference: 5634269705 Paid by: Brett Tully Payment Type: Debit Transaction Date: undefined Receipt of payment does not guarantee approval. Town, City, Village, State or Federal Permits May Also Be Required Substandard - No / Nonconforming - No Shoreland — Yes I Impervious Surface - No Floodplain - No / Wetlands - Yes Mitigation - No / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0229 Tax ID: 38543 Issued To: TULLY, BRETT & ANN M Location: S08 - T50N - R07W Town of Clover Legal Description: LOT 1 CSM #2180 IN V.12 P.388 (LOCATED IN ROBERT BARTLETT JR 2ND ADDITION TO ORCHARD CITY SUB & NW NE) Residential Structure in R-RB zoning district For: Addition/Alteration [1 - Story], Accessory Structure on Posts [321 Total sq. ft.] (Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, 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 Emily Macgillivray 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. May 02, 2025 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated. Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. Town/State/DNR/Federal may require permitting To be constructed per plan. A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable).