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Return to: 117 E 5`1 Street, PO Box 58 Washburn, WI 54891 permits@bayfieldcounty.wi.gov County Use 0t:11J 019 as Bayfield County Planning and Zoning Department Submission #: LAND USE PERMIT APPLICATIO Permit #: a'S-o1,14- E�5 Date: SECTION A: General Information Property Owner Name: Andre Crouch Authorized Agent Name (if applicable): Telephone Number: Telephone Number: 651-785-7688 E -Mail Address: E -Mail Address: and re.housingO-Proton.me Mailing Address: Mailing Address: 6818U South Main Street City, State, Zip: City, State, Zip: Iron River, WI, 54847 Contractor: Telephone Number: E -Mail Address: Wisconsin Carports, Danny Moralf 262-800-7792 danny(a)wisconsincarports.com SECTION B: Property Information Project Address (if different from mailing address): Legal Description (if additional space is needed attach a separate sheet): ORIGINAL PLAT OF IRON RIVER LOT 7-9 BLOCK 10 IN V.953 P.473 976 Section, Township, Range: 07,47 08 Town of: Iron River Tax ID #: 20489 Lot Size (Acres/Square Feet): .45 SECTION C: Project Information (check all that apply)., Project Use is: O Residential 0 Commercial ❑ Municipal Project Type is: H New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign El Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required (Total sft): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: ❑ Residence ❑ Principal Structure (describe): ❑° Accessory Structure (describe): El Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured 40' x 26' metal garage date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement 0 Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): 1079 sq R Basement Sq Ft: l' Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3'd Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 1040 Total Sq Ft: Overall Height (finished grade to peak): 16 # of Stories: 1 Existing # of Bedrooms on property:0 Proposed # of Bedrooms in project: 0 SECTI0N'E: RV'aiib'Si lufomtetion (check all that apply): Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise RECEIVE ❑1 -sided El 2 -sided Year: Vin It: ❑ On -building El Multi -Tenant C SEP 03202 Length: Width: Height: Make: Model: Bayfield Co. rrammng ano coning Agency SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application Information for information that is required to be provided on site plan) Show location of: ❑ Driveways 0 Frontage Roads (include name) ❑ Existing Structures El Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake 0 River ❑Stream/Creek El Pond ❑Flood lain 0 Wetlands ❑ Slopes over 20% Nanux ewes PLAT OF . nLOG Site 68 165 SG ORGE a 68180SM s.' PEGG+ TA"PALE [OTT T. i0a 2089 SARAH R PETERSON Tax 106 20486 N _IL¢bypN fi 81605 MA rN • o IOANNOPORsttME 6 11L.5' ®LT Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 44 ft.44 ft. Notes/Comments: jN I' p ,! �/ { (/� /� l Y� Front Lot Line/Right-of-Way 95 ft. %.(- ft. Side Lot Line I North9East❑South❑West❑ check one) ft. 10 ft. to Side Lot Line 2 98 ft. �O L ft. '1 North❑East9South❑West❑ check one) RearLot Line 10 ft. O ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building 7 ft. ft. Wetland ft. ft. RECEIVED Elevation of Floodplain ft. ft. SEP 032025 Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Bayfield Co. Planning and Zoning Agency SECTION G:Additl ue,Gon A_ ,. ,_ ____ . - __--- ❑ Yes ❑° No Has the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: 9/12/2025 El Yes ❑ No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. ❑ Yes O No Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of Land Use Application Information for required setbacks. ❑ Yes E No Is there an existing sanitary system on the property? If yes, what kind? ❑Drainfield ❑Holding Tank ❑Municipal/Public ❑ Other(describe): ❑ Yes ❑O No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holdin Tank ❑ Munici al/Public ❑ Other (describe): ❑ Yes o Will sleeping occur in the structure? Ifyes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) O debit/creditlecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? Mail to: OR El Email to: O Property Owner Address ❑ Agent Address El Contractor Address ❑ Other (provide Name and Email or Address): Section H: Acknowledgement and Signature - - All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary Permit issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or starting construction without a permit will result in penalties. The local Town, Village, City, State or Federal agencies may also require permits. The new construction of one- & two-family dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and alterations to one - and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the UDC. If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the property is located, and all other rules, regulations and requirements pertaining to that Condominium Association. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources wetlands identification web page, dnr.wi.gov/topic/wetlands, v/topic/wetlands, or contact a Department of Natural Resources service center (715)685-2900. 1 (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 Signature: Date: 08/18/20: NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. Specific conditions/instructions may be stated on the face of the issued Land Use Permits. Owners, t must all be aware of permit details & conditions and permit card must be posted on property prior to sldllb t. SEP 032025 Bayfield Co. Planning and Zoning Agency 9/15/25, 9:03 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 9/15/2025 Lam' Description Updated: 11/1/2007 Tax ID: 20489 PIN: 04-024-2-47-08-07-4 00-198-09800 Legacy PIN: 024114109000 Map ID: Municipality: (024) TOWN OF IRON RIVER SIR: 507 T47N R08W Description: ORIGINAL PLAT OF IRON RIVER LOT 7-9 BLOCK 10 IN V.953 P.473 976 Recorded Acres: 0.448 Calculated Acres: 0.448 Lottery Claims: 1 First Dollar: Yes Zoning: (R-4) Residential -4 ESN: 118 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 024 TOWN OF IRON RIVER 163297 SCHL-MAPLE 001700 TECHNICAL COLLEGE 047030 IRON RIVER SANITARY #1 4 Ownership PEGGY TAIPALE KOTT Billing Address: US BANK HOME MORTGAGE ATTN: REAL ESTATE ESCROW DEPT PO BOX 790415 ST LOUIS MO 63179-0415 Property Status: Current Created On: 3/15/2006 1:15:36 PM Updated: 10/10/2006 IRON RIVER WI Mailing Address: PEGGY TAIPALE KOTT ATTN: REAL ESTATE ESCROW DEPT 68180 S MAIN ST PO BOX 658 IRON RIVER WI 54847 P Site Address * indicates Private Road 68180 S MAIN ST IRON RIVER 54847 ® Property Assessment Updated: 8/19/2024 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 0.448 21,000 181,700 2 -Year Comparison 2024 2025 Change Land: 21,000 21,000 0.0% Improved: 181,700 181,700 0.0% Total: 202,700 202,700 0.0% ' Recorded Documents Updated: 3/15/2006 ® QUIT CLAIM DEED I Property History Date Recorded: 9/18/2006 2006R-509248 953-473 N/A © CONVERSION Date Recorded: 177-408;683-138;683-141 https://novus.bayriieldcounty.wi.gov/access/master.asp?paprpid=20489 1/1 WARRANTY DEED DOCUMENT NUMBER 20258-60871 2 This deed, made between Peggy T. Johnson f/k/a Peggy Taipale Kott, a single person, Grantor, and Andre Crouch, Grantee, Witnesseth, That the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in Bayfield County, State of Wisconsin: As Described in Attached Addendum/Exhibit A Parcel No. 04-024-2-47-08-07-4 00-198-09800 This is homestead property. DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED O8/O8/2O25 AT 1:41 PM RECORDING FEE: $30.00 TRANSFER FEE: $825.00 PAGES: 2 ELECTRONICALLY RECORDED Return to: Andre Crouch 68180 South Main Street Iron River, WI 54847 File No. 256759 Together with all and singular the hereditaments and appurtenances thereunto belonging; And the said grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except exceptions, reservations, easements and restrictions of record, and will warrant and defend the same. Dated this L. day of August, 2025. RECEIVED SEP 18 2025 Peggy T. 44hMthi ZoningPlanningandji ngAgency State of Wisconsin n i7 aid County ) Personally came before me this day of August, 2025, the above named Peggy T. Johnson to me known to be the person(s) who executed the foregoing instrument and hereby acknowledge the same. This instrument drafted by: Nom:, A0IB LAG Michael S. Brandner �qJ••,, Gowey Abstract & Title Company InG,_F',;..••..._.*I Notary Public, State of Wisconsin My Commission Expires: 9b Bayfield County Register of Deeds Document #2025R-608712 Page 1 of 2 800) 673-8710 • www.aowevtltle.com File Number: 256759 ADDENDUM/EXHIBIT A Lots Seven (7), Eight (8) and Nine (9), Block Ten (10), Original Plat to Iron River, Town of Iron River, Bayfield County, Wisconsin. Bayfield County Register of Deeds Document #2025R-608712 Page 2 of 2 RECEIVED OCT 2 4 ZOZ5 DOCUMENT NUMBER Bayfield Co. 2025R-609675 Planning and Zoning Agency DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY BAYFIELACOUNTY.WI CERTIFIED SURVEY MAP NO. 2'/23 RECORDED 10/23/2025 A78:41 AM LOTS 7-9, BLOCK 10, ORIGINAL PLAT OF IRON RIVER RECORDING FEE: $30.00 SECTION 7, TOWNSHIP 47 NORTH,RANGE 8 WEST, PAGES: 2 TOWN OF IRON RIVER, BAYFIELD COUNTY, WISCONSIN. I /i ( LI tic A./ O / 7_l ORIGINAL LOTS RECORDED AS 130'x S' DETAIL" A" N SSS'RTOS•E O/i.OP W E O' NOB•21.40•E7 TRUENW CENTERY4 CORNER LOP CORNEA OFF ARE SEC. 7, T47N, RSW BLOCK ID R,S, y,89ry_B"�° N'DDae WTN FD. 3'CLP. TIEVEST LIE C THESOOREASTY SEA SUE°T OEmtC t " TONOT 50 flUE CNFENCE CORNER 11 ! °DORNER POST TRUE CMACE ORNER LOCHTpN SEEE DETAR _� — 'in St. O I� SS3•SS'35`E I„ 12SJFTDTRUENW COgaPJI OF BLOCKIO I — — _ _129.98• I ^ jII � � LOT I m I I �I oN I �o _ — I� � �1 NaeE i— _ I = �� '+� LIj m I 33' } I SMVEY $NOTE: MG ENT OA AOE ONM1:WAY O.RAOE O I ENCROACNNENTWTO -� PO I ALLEY I.Fe I 441.61 If:' I (SeBype I I PEarW,1N '071 ��. ; _ _ — — — J �I Ol I 00 T 1 .N I 111111 ,,,' l AY%2aaa ICI Ind ` TAxn:2oror I�^R i •",..... NS I Nj I i I a I — —' — MCKUEN ' I ' D ' S-2$92' o i m ' LAND, ASHwl 0� (S!/ 9�p R I N83'50'49•W7i '� /NS9.50.21-W . f3Q4�i t .' Na3'50'48Yy I SOUTN1r CORNER Summit St. " SEC, 7. T47N, RSW FD. 2K'C.LP. LEGEND 0 WEIGHING .1PIPE LBS PER UN.FOOT • /OTHERW75E N0IED� FIELDWORK COMPLETED: (UNLESS 9n2R5 ( ) —PREVIOUSLY RECORDED AS 60 0' 60' 120' 180' SCALE FEET Pine Ridge Land Surveying, LLC. Professional LaM Surveying Services Value S OuaNP U a Timely Afie.. PATRICK A. MCKUEN, PIS 1424111 Lake Sion Dr. W Ashland. Wacan4n Phone (715) 682.2969 NNW.PINERIDGESURVEYING.COM PROJECT NO. CROUCH - IR - ORIGII SHEET 1 OF 2 SHEETS BAYFIELD COUNTY CERTIFIED SURVEY MAP NO. 225 LOTS 7-9, BLOCK 10, ORIGINAL PLAT OF IRON RIVER SECTION 7, TOWNSHIP 47 NORTH,RANGE 8 WEST, TOWN OF IRON RIVER, BAYFIELD COUNTY, WISCONSIN. SuryeYor's Certtticale 1, Patrick A. Mc kuen. Professional Land Surveyor S 2992. hereby certify that I have surveyed and mapped; Lots 7-9, $lock 10, Original Prat of Iron River, Section 7, Township 47 North, Range 8 West, Town of Iron River, Bayliaid County, Wisconsin. That the above described parcel of land contains 19,442 square feet which is 0.45 acres. That I have made this map at the direction of Andre Crouch, OWNER of said lands. That said parcel is subject to any easements, restrictions and rights!! ways of record. That I have fatty compiled with the provisions of Section 236.34 of Wsoonsln Statutes and with the subdivision regulations of the Town of Iron River and Bayfleld County In surveying. dtvicng and mapping said parcel. That this map correctly and accurately depicts the exterior boundaries of said parcel and the division thereof maids. �s ....... S/,�,'.. Pine nd Surveying *1 PATRICK A.'`• ': Patrick A. M ' WIPLSS2992 i ASHLAND. s ''r11111114 BAYFIELD COUNTY ZONING APPROVAL CERTIFICATE I, RUTH HULSTROM, BAYFIELD COUNTY PLANNING & ZONING DIRECTOR. DO HEREBY APPROVE THIS BAYFIELD COUNTY CERTIFIED SURVEY MAP StGNEQ: RUTH HULSTROM DATED THIS 23 DAY OF Ue �f , 2025 Pine Ridge Land Surveying, LLC. Professional Land Surveying Serviccs Velar & Owthiy In a 7b"& Mnuir, .. PATRICK A. MCKUEN, PI.S 1424112 Lake Shore Dr. VWr. Ashland, Nlsoonsin Phone (715) 6822969 VWW11.PINERIDGESURVEYING.COM PROJECT NO. CROUCH - IR - ORIGINAL SHEET 2 OF 2 SHEETS W Bayfield County, WI 9/15/2025, 9:03:45 AM 1:216 Approximate Parcel Boundary Road Type — Town Building Footprint 2015 Building 0.01 0.01 mi 0.01 0.02 km Bayfield County Lend Records Department Bayfield Cam? Inning App coBon cope//maps. Wyfielamunrywi govRnnmgWABJ Bayfield County, WI - 1- ►N 7535 FRANKLIN'ST • KAREN MJOHNSON Tax IDA 20478 I 7555-FR4 KLIN5T 6 o v ` ICNRISTINE L u•o TEPPO (tax IDo 20477 ` F 68185 S MAIN$T-. THEODORE M & NANCY V SWENSON 68175 4IN ST Tax IDR 20476 i BARBARA JO WHITE — '—, — - Tax IOd 20478 "' 68155 S MAIN ST -_---- Oo C BARBARA JO WHITE Tax 100 20474 LL ~� 2 BARBARA10 WHITE Tex IDO 20473 _ lei s ceura�E s. 24 NRf RENTALS LLC -- A POHJONEN 2TaxIDR 20469LTSCO'T'TxA'8,�1A'CAL1N - 68180 S MA114 ST PEGGY TAIPALE KOTT Tax IDR 20489 8 0mDN 9 9Lrn•" 38.38' ^ 68160 S MAIN ST O • z ^10 o a _ 92.19, n I! a 11 68150 SMAIIT /m` 9/15/2025, 9:04:34 AM Tie Lines O Municipal Boundary Survey Maps Existing Meander Lines All Roads 0 UnRecorded Map New LII Approximate Parcel Boundary Town Building Footprint 2009-2015 - -' Driveways O Section Lines ' Demolished • Buildings PLAT O 681655 GEORGE ST s� SARAH R PETERSON\ Tax IDO 20488 I/ 5.�` JOANN C FORSYTHE 8�RGE ST Tax IDR 20487 I - 3 MARGARET A MCDONALD Tax Ion 20486 • 22 2E 24 7 160-S GEORC- I V V i O � 0 0 ax o 10 r 1:500 0 0.01 0.01 0.02 m1 0 0.01 0.01 0.03 km Batman Bayl&d Carry Lard Records Depaanent MbsJhrapabayaeldc untywLgov/BayfleMABI Land Use Permit Application Review Checklist Submission #: l What zoning district is thee roject located in? ❑ R-1 ❑ 2❑ R-3 f$R-4 ❑ R-RB DC ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes j0 Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes No Ithe 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 a10 Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes I"No Is the project located in the Flood plain? Zone: ❑ Yes tu4zo Are there wetlands on the property? ❑ Yes o Is project associated with a nonconforming use or structure? ❑ Yes Clio Is project associated with a variance? Case #: ❑ Yes G4Jo Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes Ewfo Is the project associated with a Special A Use Permit? ❑ Yes Eldo Does the project require sanitary? ❑ Existing O New ❑ Intercept O Reconnect O Non -Plumbing O Public Sanitary Permit #: # of Bedrooms: ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: Yes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? es ❑ No Di� applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? R idential ❑ Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Gradi g O Other, describe: Structure Type is: ❑ Residence O Principal Structure ccessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: Number of Stories: Overall Height: / Fee Type Calculation Fee Amount ❑ Dwelling Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $0.75 x s ft q (minimum $125) $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x s ft q (minimum $125) $ ❑ Habitable Residential Accessory Structures $0.50x sq ft (minimum $75) Non -Habitable Residential Principal and Accessory Structures $0.20 x Jp4O sq ft (minimum $75) $ U ❑ Commercial/Municipal Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial/Municipal Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Return Inspection O Land Use Revisions O Special Use Permit - Class A O Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine O After -the -Fact (ATF) $ Inspected by: _ If Date of Inspection: (l .emucp ika� Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: /11( I/IUru Date of Approval: / oAS Con$ion(s): LE Must meet and maintain setbacks from hest extension of structure including eaves and ov� hangs. ❑ For personal storage only. E For personal residence only. —1 Fol for human habitation or sleeping purposes. L/fown/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. P, Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). ❑ Use best management practices to limit and prevent erosion during construction. ❑ 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. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. M To be constructed per plan. ❑ Adhere to privy agreement. ❑ Temporary permit allowing existing structure for a period of less than 1 year. ❑ RV may not be used for permanent residence or storage. ❑ RV allowed for must be removed by `❑ARV 6A'No sewer and pressurized water allowed in the structure. ❑ No plumbing or plumbing fixtures allowed. ❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s). ❑ Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered ❑ Land use permits shall be obtained priorto the initiation of construction or a change in land use ❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required ❑ Sanitation requirements must be met (if applicable) ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: A. FIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: CROUCH,ANDRE 68180 S MAIN ST IRON RIVER, WI 54847 Description Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number. LU-01925 Transaction Number. LU-01925-345F0 Amount $208.00 Total: $208.00 Payment Amount: $209.25 Reference: 9721275305 Paid by: Andre Crouch Payment Type: Other Transaction Date: 10/27/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required Substandard - No / Nonconforming - No Shoreland - No / Impervious Surface - No Floodplain - No I Wetlands - No Mitigation - No / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 25-0812 Tax ID: 20489 Issued To: CROUCH, ANDRE Location: S07 - T47N - R08W Town of Iron River BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: ORIGINAL PLAT OF IRON RIVER LOT 7-9 BLOCK 10 IN V.953 P.473 976 Residential Structure in R-4 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [1040 Total sq. ft. ] Height of 16' (Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any future expansions or development would require additional permitting. Condition(s): See back of card 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. Emily Macgillivray Authorized Issuing Official October 27, 2025 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting To be constructed per plan. No sewer and pressurized water allowed in the structure.