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Home My WebLink About25-024911716".greet }2 ' 1 Pl_) Bo. J(Lt \\ 1 ;i,hhuru. Nl ;.lR9 =1, : flfl ID ua'IicLt 'uni FEB U 5 Z0Y5 Bayfield Co. Zoning Dept. Health Zoning Submission # -0 Fee Paid Refund Permit # Date Issued Short -Term Rental Application Packet I hi, App I cat ion pacbei contain, inlurinalion Iior a Short -Tenn Rental permit through Barfield Count) Planning and I)epatvncnt. ( ompleted application can be mailed'emailed to the address/email above. I ,tahIishuteut Name -- Establishment Tax II) # 1 To nn'c'its of \ \\') Ur; flJ 14:\fcS 3x10 -1� ______ I.stahlishntent Street /�Address Cits State /ip i&70 ( ogn�•t! 4L))v } on Rue ! LUC 59? I'noperrt\ Ott ncr Ohoer Malin_ Addre., Phone Number !� State lip 75025 SECTION C: IF OPERATING WITH PARTNER OR AGENT J I egal licensee than rer hip. I it . II I'. , -r lu,.I I Entail Address I Phone Number . licensee Street Address ('its TSlate - V. Name (ii applicable) I mail Address Phone Number H0l ��//Ll.g4G1.h� ICILiUY\II(o� C - a •� __ 716 - 7?-__. Agent Street Addres,( R4 C'itc n - State Zip y35ao 14aV44a1,S1x Rd CU��e f�_ c' I rut I! nil II) Structure Heating Water T Sanitary Source F of Storic, _ F%pe _1 Source Source St vcture Tvpe: Ilotise I tiaunri IU let .1)1 Cabin (C 1 Yon 11'1 Apanmenl t,\)-- Condo (CU) Oilier (U). please describe Hr.i I.lectrie l ll i \aur:d (as (N(i 1 Propane II' Wood O N) Fuel (F) Other (U). please describe \\ater Source: Sanitary source: - — Public Rlunicipal (111 Private Nell (1'i Public Nunicipal (M) Private Unsitc \\astetrater S\stem (P) of of iroont, Bathrooms ii 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:10,9,7O-y p1 t2.r t& .E 5'1t11 2. The Subject Property is owned by: lbt i fi T L L L (Name of Company) 1 3. The name(s) of the current President or Managing Member: r v f 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. I 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: eve d01�n StOS Print Name Subscribed and sworn to before me this 2 day of ,t , 20t5. Notary Public, //,n County, Wieeensin 9(�. My commission: g -7G — EISA HILWEH 4}..0 j0: e4t _i; :Notary Public, State of Texas Comm. Expires 09-26-2028 "0°)„'s" Notary ID 135107266 Land Use Permit Application Review Checklist Submission #: 5TtC_ (j OOFO Tax ID: L3IO S -T -R: Cl —U What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 DA -2..F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes ''No Does lot meet the zoning dimensional requirements or is it substandard? Deed of record: `Yes ❑ 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 '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? `Styes ❑ No Does the project require sanitary? Sanitary Permit #: y a 5) I 2 Public System: # of bedrooms: Z. ,Yes ❑ No Does the project require an affidavit? Affidavit #: Number of Units: I Number of Bedrooms: Number of Bathrooms: 2. Number of Stories: Z ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: r�esr ��w,Y�s Date of Inspection: H Inspection Notes: V y,C vkovs ?e✓rn c 4_ oD -ot2(O — cu r* beds 6- l Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: �� S Date of Approval: Si_a C J aS-oa9 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 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 20-0266) SANITARY - 425112 SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0249 Tax ID: 13210 Issued To: GTHT LLC Location: S01 - T46N - R08W Town of Legal Description: NE SW LESS V.208 P.566 SUBJ TO E TO HAZEL HILLS IN V.585 P.226 IN DOC 2020R-583728 601 Residential Structure in F-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 4 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. May 08, 2025 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.