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HomeMy WebLinkAbout25-0332117E 6a' Street PO Box 403 Washburn, WI 54891 (715) 373-6109 yermits@bayfieldcountv.wi.gov 13-=YFIELD su n Hi Health Zoning Submission# Fee Paid Refund Permit# - Date Issued Short -Term Rental Application Packet This application packet contains information tier a Short -Tenn 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 /� (F2✓I /lar ,'n r Establishment a" ID # t �1_J Town/City of%�1/ / Glover rb5Tfr Establishment Street Adss U v� 3ze &r o,: R City ,J / S t Zip __ SECTION B: OWNER INFORMATION Property Owner ,'%tcri /rpc.-4y `Pr Email Address c11 i re e l 4Aoo- 6o u Phone Number S/C- i z8-SLSO Owner Mailin Addr s J /VIZ-. ozsF Ave City Stt Zip Jss9 SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership, LI.C. I.I.P. or Inc.) Email Address Phone Number Licensee Street Address City State Zip Agent Name (if applicable) Email Address Phone Number Agent Street Address City State Zip SECTION D: RENTAL UNIT INFORMATION (see key below Unit Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories J # of Bedrooms # of Bathrooms 1 (( L /p 2 _— 3 4 Structure Type: House Duplex (D) Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (0), please describe Heating Source: Electric (E) Natural Gas (NG) Propane (P) Wood Fuel Other (0), please describe Water Source: Public/Municipal Private Well (P) Sanitary Source: Public/Municipal (M) Private Onsite Wastewater System (P) Land Use Permit Application Review Checklist Submission#: TIQ— 0ojt2 Tax ID: 39 2c5 S -T -R: "J (n -S \—O7 Town: jeer 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)? ❑ Yes '(No Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes o Is project associated with a nonconforming use or structure? Yes O No Does the project require sanitary? Sanitary Permit #: 3 S 9 3Sb Public System: # of bedrooms: ❑ Yes ','Jo Does the project require an affidavit? O LLC ❑ Trust Affidavit #: Number of Units: Number of Bedrooms: a Number of Bathrooms: oZ Number of Stories: ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: p ) 1Vt2Wtlil� i Date of Inspection: ' r r� / p(� Inspection Notes: a)0351 —(IrCY�bJS eym��- - J� k 4 lock # 4L Ilov se Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: �eC\ lj�- Date of Approval: 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 LAND USE —X (previous 21-0351) SANITARY - 389350 SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 25-0332 Tax ID: 39265 Issued To: KARPFINGER, EILEEN THERESE BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S26 - T51 N - R07W Town of Clover Legal Description: PAR IN GOVT LOTS 2, 6 & 7 LESS CSM 2318 SUBJ TO EASE IN DOC 2024R-602768 Residential Structure in R-RB 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. June 02, 2025 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.