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Home My WebLink About25-0314• • 117E6° Street PO Box 403 Washburn, WI 54891 (715) 373-6109 permits@bavfieldcountv.wi. ttov ifl,a pa a� C O U N T Y Health Zoning Submission # -00 Fee Paid Refund Permit # Date Issued51?_XJZS Short -Term Rental 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 1 , �/� Establishment ID # a J w ity of Clvev Establishment Street Address I9'\5 R 13 City Bcv Stat w Y Zip s1$'H SECTION B: OWNER INFORMATION Property Owner rout - are, Truc,hor► Email Address Phone Number 11s umber Owner Mailing Address �t.4N35 w -a- 13 City Hev bs+cv State w I Zip 5 g q`f SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership, LLC, LLP, or Inc.) Email Address Phone Number Licensee Street Address City State Zip Agent Name (if applicable) Ema' dress 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 I G P P I t i 2 a C I $ t 3 3 i p rn 4 Structure Type: House (H) Duplex (D) Cabin C Yurt (Y) Apartment (A) Condo CO Other O please describe Heating Source: Electric (E) Natural Gas G Propane Wood Fuel (F) Other (O), please describe Water Source: Public/Municipal (M) Private Well Sanitary Source: Public/Municipal (M) Private Onsite Wastewater System (P) Jill MAY 15 2025 Bayfleld Co. Zoning Dept Site Plan Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (Si) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Lake ❑ River ❑ Stream/Creek ❑ Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20% N aMAY 152025 Bayneid Co. Zoning Dept Setbacks from furthest extent including eaves overhangs of structure to: and County Use Only Verified setbacks Road Centerline ft. ` ft. Notes/Comments: Front Lot Line/Right-of-Way ft. 9 ft. Side Lot Line 1 a orth s outh West, circle one) ft i fl ft. Side Lot Line 2 o East South West, circle one) ft. / 1 ft. Rear Lot Line ft. 5 ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. Wetland ft. ft. Elevation of Floodplain ft. Ordinary High -Water Mark (OHWM) ft. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. r, Bayfield County Planning and Zoning Short -Term Rental Permit PLANNING AND ZONING QUESTIONS I. Is the property in the shoreland, 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 O Unsure 2. Is there a wetland located on the property? ❑ Yes XNo O Unsure 3. Is there a floodplain located on or near the property? ❑ Yes J10 O Unsure 4. Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use ❑ Special Use ❑ Variance 5. Did you contact the town to see if any ermits/re uirements apply to your roject? Yes ❑ No Zoning Department Use Permits: Short -Term Rental permits through Bayfield County Planning and Zoning Department are non -transferable, except as per the exemptions identified in ATCP 72.04(3). Short -Term Rental permits are regulated by Bayfield County Ordinance Section 13-1-35. APPLICATION FEES ($500 per unit) Check or money order payable to Bayfield County Planning and Zoning 1 unit: $500 2 units : $1,000 3 units : $1,500 4 units: $2,000 To ensure your application is complete and can be processed by the Department, check you have the following items: ❑ Applicant Information (Page 1) ❑ Site Plan (Page 2) ❑ Floor Plan(s) — Provide sheet for each floor within each unit. 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. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Date:. Y' f.- Z&z f NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. MAY 1 52025 Bayfield Co. Zoning Dept. JACQUELLNL LA(i5ON i'�; �J r V _�,; w: I PA I u!• :a Vr r• J j:drn it ;Tr r C •rs .PhU/lnx IU # i225jI YT RET,S;5�zTRUCNON LE r a w; a t. Ifl4 t4 � �i Land Use Permit Application Review Checklist Submission #: -r — OO ( Tax ID: 1p'59 "7- I o S -T -R: O<— SO--Cl Town: CtoveY What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 R-RB ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M Yes O 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 O No Is project associated with a nonconforming use or structure? ❑ Yes No Does the project require sanitary? Sanitary Permit #: Public System: C t fCv' # of bedrooms: ❑ Yes No Does the project require an affidavit? O LLC 0 Trust Affidavit #: Number of Units: Number of Bedrooms: 3 Ct1, I Number of Bathrooms: ,3 I I Number of Stories: I ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: \�W \�C Date of Inspection: 5_ I Inspection Notes: — Fees )Ct c�L o � Comm; ek, Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: e51 Date of Approval: 5 _ `) (3 _'-� ° �ew�ns � OC pG as o31`i Condition(s): Town/State/DNR/Federal may require permitting. 0 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 Substandard LAND USE -X X SANITARY— Clover SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0314 Tax ID: 12254 Issued To: TRUCHON LE ,PAUL F & MARGARET M TRUCHON,WILLIAM A BERRY,PAMELA MARIE TRUCHON,DARIN PAUL Location: S08 - T50N - R07W Town of Clover Legal Description: PLAT OF ORCHARD CITY LOT 8 BLOCK 6 IN V.1091 P.780 846 (PAUL F & MARGARET M TRUCHON LIFE ESTATES) Residential Structure in C zoning district For: [3 -Unit] Short -Term -Rental (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Town may require permitting. 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 28, 2025 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.