HomeMy WebLinkAbout25-0251117 1 G° Street I
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HealthZzonin
Submission#
Fee Paid
Refund
Permit #
Date Issued
Bayfield Co. Zoning Dept 1 i
Short -Term Rental Application Packet
I h application packet contains intitmtation for a Short -Tenn Rental pemtit through Ba%field County Planning and
Zoning Department. Completed application can he mailed/emailed to the addressieartil above.
SECTION A: ESTABLISHMENT INFORMATION
I ,lahli,hntent Name .-
t ):xr
Establishment Tax ID I Fotn! 'it% of
Nideat�cL��
I ;tahnshmrnt Street Address
q45 O
City
AT.
-L
State
'
zip
h; 4Qo
c.,4z
SWa/
SECTION B. OWNER INFORMATION
I'ngtert\ Ottn r- 1 JSA Oe'/al
kber }'S etJA 1 JL'
F.mail Address
Phone Number
)\\ncr \lailim. Address
Cit\ State Zip
5& 13oue
Sz
_
Loos
SECTION C: IF OPERATING WITH PARTNER OR AGENT
I r_al Licensee g,anncr•hij,. 1.1 1. II P.
—
or Inc. l ail Address
Phone Number
I
I. lce•II'ee't feet :•\(IIress
Agent Nance(ii applicahle) ---
\genl Street Addess
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1
SECTION D: RE4T AL UNIT INFORM,
I nf� tlaicIhClructure Ilcating
Source
Qp
11Cm
State I 1.ip
IGn(tuil Address ` Phone
Nunther ?16 79
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d-�:M
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1 C llcC tests
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State I Zip
to
is 3ytjj
LTION see ke
below
Water
Sanitap Source
= of Stories
'� of = of
Source L_
P _
�{�
P I
--_
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j Bcdroums B:uhrooms
3' . - i
Structure Type: ..
lou,elll) I)uitle\(D) (abin(C') Yun(Y) Apartment (A) Condo C_'O) Other (O).please describe
Heating Source: —�
1 Ieetitc (H I Natural Cias (NG) Propane iP) Wood I W I Fuel (F) Oer( thlease describe
\\ ter Source:
Sanitart Source:
Puhlie Municimd (\L 1'rkate \\ e11 (1') Public Municipal (MI Pric:ue Onsite \ asteccatcr S' stem (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: t1'v3 l_tl1it ucCp c uL t—itk1c y J1
2. The Subject Property is owned by: U&r }' I1 ciC n.k fau L LC
(Name of Company)
3. The name(s) of the current President or Managing Member: L5 q ` 1€
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 � (/�,
2L7 CSC `-�
'oF,t
Print Name
Subscribed api sworn to before me this N1
day of A ,202.5
Notary Public, \firtlt County-rP cut is r— tLj, ho3
My commission.ylot% z≥ft' p.o 2
Official Seal
Henry Cheng
Notary Public State of Illinois
My Commission Expires 512512027
Land Use Permit Application Review Checklist
Submission #: ST12 — OpOf) FS
Tax ID: 01 S aa-)
S -T -R:
Town: cXapc3n
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:
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)?
Eyes ❑ No
Is the project located in the Floodplain?
Zone:
❑ Yes SNo
Are there wetlands on the property?
Yes ❑ No
Is project associated with a nonconforming use or structure?
fes ❑ No
Does the project require sanitary?
Sanitary Permit It: a013 UL'1 ('`'4i) Public System:
# of bedrooms: p( Q6O0 cyA k'
`,Yes ❑ No
Does the project require an affidavit? '$1LLC ❑ Trust E%xr i a LI C
Affidavit #:
Number of Units:
Number of Bedrooms: 3
Number of Bathrooms: Z
Number of Stories: I
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by: e5 , n ,
Date of Inspection: S
Inspection Notes:
-rs 12cyrv\4- O -OlV1
Cu"v\n - beck (0
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: V e i
Date of Approval:
S=-5 as -oast
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. 4
'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 ,Floodplain,
Substandard
LAND USE — X (previous 08-0167)
SANITARY - 298069
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0251 Tax ID: 25227
Issued To: EBERT'S HIDEAWAY LLC
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S03 - T43N - R06W
Town of
Legal Description: PLAT GOTTLAND RESORT LOT 6 BLOCK 6 IN 2023R-598117 697
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.
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.