HomeMy WebLinkAbout25-0335117 E 6" Street
PO Box 403
Washburn, WI 54891
(715) 373-6109
p erm i is ca b ay fi e I do o unto. w i. eo v
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Bayfield Co. Zoning G
Health
Zoning
Submission #
5
Fee Paid
Refund
Permit #2b-0335
Date Issued
Short -Term Rental Application Packet (ek;si�`nMrM4
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 ame II I—
Z%VP( lktd �c Fr(r
Establishment Tax ID # Town/City of
ZZZ�J D
Establishment Street Addre
4_�ggD (\er 9
City
Cofd��
Sta e
W5
Zip
SECTION B: OWNER INFORMATION
Property Owner
Lit ra d- f2FJ
Ei all Address
Phone Number
U-7Kl-T63(5
Owner Mailing Address
3t Ps WD -d t7r N
City State
Zip
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee (Ipa t ers�hip, L C, LLP, or Inc.)
AIP( d( `PQ LLC
Email Address m�
j__ t'J
Phone Number r(I
�rr•� 54V 41
Licensee S eet Address
DI 5S Pik 166
n a(rs
State
MN
Zip
Agent Name (if a icabl )
L cl 4 rot K ]n
Email Address
___
Phone Number
Agent Street Address (
S(tQ cIS a ikUC)
City
State
Zip
SECTION D: RENTAL UNIT INFORMATION (see key
below)
Unit
Unit ID
Structure
Type
Heating
Source
Water
Source
Sanitary Source
# of Stories
# of
Bedrooms
# of
Bathrooms
/I
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 M 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 submitting an application 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:
5�83�
1. Address of Subject Property: 1O i2J9��t V�� ob ct1' IA! I.
2. The Subject Property is owned by: F_;Vr'(_-Zq OCI RId LL..
(Name of Company)
e{ } Managing L4tt(l Cis t�#%q s'Q f�. e&L c3. The nom s of the current President or Mana in Member: K 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 submit an application to 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 decision or permit issued 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.
Dated: �. -.;o;.5
Print Name
SubscribeJ pnd sworn to before this
dayofi144, 2
., BRUCE toicLAzlEa PAPPAs
♦ Notary Public
Notary Public, County, VA GOWAA0 AI �1�( Slo k, fly Commlssfon Expires
My commission: .lan 31, 2ai4
PROCESSING INFORMATION
INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for
completeness. If the information is not complete, the department may reject your affidavit and the
application.
REQUEST FOR MORE INFORMATION. The department may request that you provide more information
or evidence to support your affidavit.
DECISION. The department will review all documents submitted as part of the application for registration
and title, this form included, and may approve, deny or request more information.
Land Use Permit Application Review Checklist
Submission #: St-OSt,Q-0i
Tax ID: 2221
S -T -R: aO—e4q—O
Town: lAtS
What zoning district is the project located in?
R-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -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?
Yes ❑ No
Does the project require sanitary?
Sanitary Permit #: a0-5 S Public System:
# of bedrooms:
Yes ❑ No
Does the project require an affidavit? `�;LLC ❑ Trust
Affidavit #:
Number of Units: I
Number of Bedrooms:
Number of Bathrooms:
Number of Stories: )
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by: D N q \�W;��>�
Date of Inspection:
10 O[ J
Inspection Notes:
7
fiMVk6,S r,n v f- oZ0 b l �J
- Cuvvm� beds �ov A
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
zs; , ems, r�Sk.��
Date of Approval:
2S as - a 33s
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.
XShort-Term Rental is for a maximum occupancy of 'O 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 20-0115)
SANITARY - 20-53S
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0335 Tax ID: 2229
Issued To: RIVER ROAD RETREAT LLC
Location: S20 - T44N - R09W
Town of Barnes
Legal Description: PART OF GOVT LOT 5 IN DOC 2023R-601124
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 6 persons.
NOTE: This permit expires two years from date of issuance if the authorized construction Desi Niewinski
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.
Authorized Issuing Official
June 02, 2025
Date