HomeMy WebLinkAbout25-0311117 E 6'h Street ]3-° {FIELD Health Zoning
PO Box 403 Submission #
Washburn, WI 54891 ((p� Fee Paid
(715) 373-6109 D IUt Refund
permits@iba fieldcoun .wi. o Permit #
1111 FEB 0 52075 Date Issued
BaW6Ft1*919fl11Bital Application Packet
This application packet contains information for a Short -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 Name
Blueberry Cottage
Establishment Tax ID #
37575
Town/City of
Bell
Establishment Street Address
21470 Blueberry Lane
City
Corncucopia
State
WI
Zip
54827
SECTION B: OWNER INFORMATION
Property Owner
Lacey Lueth
Email Address
Illueth@yahoo.com
Phone Number
651-398-1595
Owner Mailing Address
912 South State Street
City
New Ulm
State
MN
Zip
56073
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee (partnership, LLC, LLP, or Inc.)
Hot Mess Holdings, LLC
Email Address
Illueth@yahoo.com
Phone Number
651-398-1595
Licensee Street Address
86985 Lenawee Rd.
City
Herbster
State
WI
Zip
54844
Agent Name (if applicable)
Email Address
Phone Number
Agent Street Address
City
State
Zip
SECTION D: RENTAL UNIT INFORMATION (see ke
below)
Unit
Unit ID
Structure
Type
Heating
Source
Water
Source
Sanitary Source
# of Stories
# of
Bedrooms
# of
Bathrooms
I
C
WE
P
M
1
2
1
2
3
4
Structure Type:
House (H) Duplex Cabin (C) Yurt Apartment (A) Condo CO Other (O), please describe
Heating Source:
Electric (E) Natural Gas G Propane P Wood Fuel (F) Other (O), please describe
Water Source:
Public/Municipal Private Well (P)
Sanitary Source:
Public/Municipal (M) 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: 211,410 ?\u cbcxr3 Ln he &,r r\uCoPN
2. The Subject Property is owned by: L • LuOh Vb\ 6 n9 CO, t1 C•
(Name of Company)
3. The name(s) of the current President or Managing Member:
LLucih
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 the ap ication for permit.
Dated: Z/t2j p25
L ac,tu Lut irt,
Print Name
Subscribed and sworn to befor me this a� t `VILF/N����i,�
day of ��, 20� •,•aOTA
N Public, County, Wisconsin 9 A(ZBL�G 2�
My commission: �,,��4' • , , . �0`�.
Land Use Permit Application Review Checklist
Submission#:STr2—0Oo(p'1
TaxID: 37575
S -T -R: 33-51-0(0
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 0 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 0 No
Is the project located in the Floodplain?
Zone:
Yes ❑ No
Are there wetlands on the property?
YockNo
Is project associated with a nonconforming use or structure?
'%Yes 0 No
Does the project requiresanitary?
Sanitary Permit #: V1(Oa 3 Public System:
# of bedrooms: 91
Yes ❑ No
Does the project require an affidavit?
Affidavit #:
Number of Units:
Number of Bedrooms: Z
Number of Bathrooms: I
Number of Stories: I
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by: ms
s: ;
Date of Inspection:
-ay-as
Inspection Notes:
—YYY1\JS �CYmi\ 3-oO\1
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: `\
Date of Approval: 5O
Iv Y W
c o 3(
J
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 1 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,Wetlands
LAND USE — X (previous 23-0017)
SANITARY -11623
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0311 Tax ID: 37575
Issued To: L LUETH HOLDING COMPANY INC
Location: S33 - T51 N - R06W
Town of
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: 2 PAR IN GOVT LOTS 2 & 3 DESC IN DOC 2022R-596362
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 4 persons.
NOTE: This permit expires two years from date of issuance if the authorized construction
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.
Desi Niewinski
Authorized Issuing Official
May 28, 2025
Date