HomeMy WebLinkAbout25-03671 17 Ed" Sn'cci
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(715) ?73-61OM
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FEB 0 5 2025
Bayfield Co. Zoning Deptj
Shurt-Term Rental Application Packet
I Submission #
Fee Paid
Refund
Permitff
Date Issued
Health ZoningSTR-OOQ^
Ihis npplicaiion puckcl contains inlbnnation tbr a Short-1 enn Renliil permit through Baytleld Ci.'unl\ Planning ;iiKt
/oning Department. (. oinplelcd npplication can be inniletl'emailed to the adilress'email abo\e.
SECTION A: ESTABLISHMENT INFORMATION
; l.-shibli^hmcnt Name .
3>X.U^C.-'^ L^tYo^c
I F.stablislinieni Street. Address.
b.stabtishmenl Tax ID n \ To\\u'Cirv of
.(mj ZCITCSA fiS\
•'0^f3(^ L^hceJ^ ^i City_
^j~0f\ KvUtp_
State /ip^\5W1
SECTION B: OWNER INFORMATION
Propern (h\ ncr -~|raO;S-YV,e.<.^
!^^<_LU_Lh^ . 1-Z^l
U\\ncr Mailin.u Acldrcss
^^^ F.Toc.^L^^^U
; Phone NumberhiUaiLAdtlres-
nu^+hP_c.4^+^/lA3»N€oiA*\> Owi ^1 <^-'3^-'S<2t<S
Cil\'
I ^c-rv^e^
State /.ip
L^s 15W^SECTION C: IF OPERATING WITH PARTNER OR AGENT
l.e^al 1-icens^c (|i;irHK'r-.lii|). II (.. 1 I I', or Ini.,) : l-jnail Addrcis i Phone Number
l.icensef Sireei Address ; C in State Zip
Ayenl N.une (it'applicublc)
;/Jo{^K^U<?h/ VaAa^ ^erthjL
A.i-rcnl Street Ai.klrt-^
fcnwil Address I Phunc N.iunber
lnn^Sou ^y tyqfl^^ r^^ Id- ..7L5^a?'79<r---3^5<Sji City ' ! Suite I Zip I
^35^^Wc<r,g^\ PJ^ CPO,A^CS/C)| ^^/^ _L^T^^y I^SECTION D: RENTALWs'IT INFORMATION (see key below)
Unit Unit It)
s^^
T-
Slnnjttire
1 \ pc
Hfuliim
Source
<1
Water Sanilarv Source
'Source i
Structure 'I'? pr;
Jlou^.(..lll_J?i!I*it^.lL)) J~yhin(c) '''nriiYi Aptirtment (A) Condoft'O) Otlier (<)». please diis.cfi be
, Heating Source:
l--k'clrii: (F» \Lilur;il G;i>.(Na> Prupane(P) \\'uocl(\\) lucl(F) Other (0». please tlcscril-x-
! Water Sdurcf: I Sanitary Suurcc:
Public Muniaprtl ( \1) Privak- \\'s-ll ([>i I Puhlit: Mnmcipal (M) Private Onsitc Wiistewatt-'r SystctU (P)
AFFIDAVIT OF AUTHORITY
(Corporation, LLC, etc.)
PURPOSE. This Affidavit of Authority is used to certify the individual applying fora permit is authorized
when the property is owned by a corporate/business entity.
)
)ss.
STATE OF WISCONSIN
BAYFIELD COUNTY )
The undersigned affirms and states as follows:
1. Address of Su bject Property: (f3^?5 L ~";h <•».(=.! OR. p,ci J-4^'^ |^,,:f£^. (.Or ^-/^ ^ "J
2. The Subject Property is owned by: (Y'1 C\ r K. TT TL L ^-('1-
(Name of Company)
3. The name(s) of the current President or Managing Member [rcu'.-.l i \-\^- e-.)~\ .
Dated
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 legat entity
suffering a damage resulting from any illegalities of the application for permit,
,.t//.^/^
^<x^>
Print Name
^ t l^Si't^^
Subscribed and sworn to before me this _fi5
day of i^wS \ _. 20?)6.
\VYVWU ^J^Notary Public, CJ
My commission:.
County, Wisconsin
IV^'-.-V «KV<i>v^v .'I^V^V^W^K;
KHDBEHLYJCARLSON
NOTORYPUBUC-MINNESOTA
M)FOommlssfcoex!*BSJan.31,2(B8 }
t^MNW
Land Use Permit Application Review Checklist
Submission #: s T^2 - '•- <- C^/Tax ID: [L\'^\ I S-T-R:Jfc - T7-C.^
What zoning district is the project located in?
^ R-l D R-2 D R-3 D R-4 D R-RB DC Pl DM D A-l D A-2 D F-l D F-2 D W D M-M
D Yes ^.No Does lot meet the zoning dimensional requirements or is it substandard?
Deed of record:
^Yes D 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)?
D Yes "0 No Is the project located in the Floodplain?
Zone:
XYes D No Are there wetlands on the property?
Is project associated with a nonconforming use or structure?D Yes <SR No
U'Yes D No Does the project require sanitary?
Sanitary Permit #: j 1 -\ '- ~\ i'\ f\ \' ' '••v)
# of bedrooms: ^
Public System:
^Yes D No Does the project require an affidavit?
Affidavit #:
<^r\i.f l-Ti U-i_
Number of Units:
Number of Bedrooms: 7-
Number of Bathrooms:
Number of Stories: |
D After-the-Fact (ATF)
ATF Fee Amount:
Inspected by:'7
\^e">, ^\a^/\^Date of Inspection: / / --) '^ ^
..< .y .;?
^
Inspection Notes:
- ^,tA'^~> ,^>->^A ^VL^
^CUYV-O^ ^?&LS R*' 7 i-i>+k f^\\ e^ CoJi^S
Re-lnspected by:Date of Re-lnspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:r)cs. ^M^^V-\Date of Approval '6- ^:-^s 25^ 3(.7
Condition(s):
"own/State/DNR/Federal may require permitting
D This permit cannot be transferred if property is sold.
D A Bayfield County Health Dept permit is required.
D Check with Town regarding room tax.
Short-Term Rental is for a maximum occupancy of ^persons.
D 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 21-0023)
SANITARY-114999
SPECIAL A—
SPECIAL B/CONDITIONAL -
BOA -
No. 25-0367 Tax ID: 19841
Issued To: MARK III LLC
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S28 - T47N - R08W
Town of Iron River
Legal Description: PAR IN GOVT LOT 7 IN DOC 2020r-582714 577G
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
June 06, 2025
Date