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A YFIELU 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:
Submission Number:
HANDLER, SAMUEL L
STR-00249
225 HOLLY ST
DENVER, CO 80220
Transaction Number:
I
HAFNER,MEGAN E
STR-00249-2E978
225 HOLLY ST
DENVER, CO 80220
Description Amount
1 unit $500.00
Total: $500.00
Payment Amount: $500.00
Reference: 3246
Paid by: Bark Point Ventures
Payment Type: Check
Transaction Date: 10/27/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
Land Use Permit Application Review Checklist
Submission #: ST(l2— 00 a`l
Tax ID: 3 `3S°l
S -T -R: ar6-Sp—O$
Town: 'v-4- w'
What zoning district is the project located in?
R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB DCLII ❑ 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:
❑ YesNo
Is the project located in the Shorelands (Shorelands are lands within 300feet of a river/stream OR
landward side of floodplain OR 1000feet 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 o Et ?
Yes ❑ No
Does the project require sanitary?
Sanitary Permit #: 42 SO`)1 Public System:
# of bedrooms: 7-
0 Yes 'E�l No
Does the project require an affidavit? ❑ LLC ❑ Trust
Affidavit #:
Numberof Units: i
Number of Bedrooms: 2
Number of Bathrooms: 1
Number of Stories: I
❑ After -the -Fact (ATF)
ATE Fee Amount:
Inspected by:
Date of Inspection: i
Inspection Notes: �2 s
Yorns Q�voti\c&b.t Yc✓\}e7'S 1 3rdbtd —. IS
tD - atVfbT5
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:\ \
Date of Approval:
;1"as S -bill
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— T persons.
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance.
Other Conditions:
117 E 6a' Street
PO Box 403
Washburn, WI 54891
i A-YFIELD
(715)373-6109
permits bayfieldcounty.wi.gov
0!2:as
Health
Zoning
Submission #
ob
Fee Paid
Refund
Permit #
Date Issued
Short -Term Rental Application Packet
This application packet contains information for a Short -Term Rental permit through Hayfield County Planning and
Zoning Department. Completed application can be mailed/emailed to the address/email above.
SECTION A: ESTABLISHMENT INFORMATION
Establishment Name
Establishment Tax nID #
C'ty
o£
Establishment S ee Address
rev U
t
St ip
58(a
SECTION B: OWNER INFORMATION [
Property Own
Email Address
hone Number
zo-
caner Mailing Address
City
State
Zip
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 N e (if ap 1 cab e)
Ett}ail Addre�
P one Number
7/Y 77Y3y
A t Street Address
� rltc�
Ci
�5
tat/
VV�gyg
Zip
S
CTION D: RENTIL UNIT INFORMATION (see ke
be ow
Unit
Unit ID
Structure
Type
Heating
Source
Water
Source
Sanitary Source
# of Stories
# of
Bedrooms
# of
Bathrooms
1
<
C
P
P(
fl -9
2
3
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 P Wood Fuel F Other (O), please describe
Water Source:
Public/Municipal (M) Private Well (P)
I Sanitary Source:
Public/Municipal Private Onsite Wastewater System (P)
Lr� JUN 2 6 2075 Li
i5�'�1 Z,H:.rr upf
Site Plan
Show location of:
❑ Driveways ❑ Frontage Roads (include name) ❑
Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Lake ❑ River Stream/Creek❑
Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20%
N
H
Setbacks from furthest extent including eaves
and
County Use Only
overhangs of structure to:
Verified setbacks
Road Centerline
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line 1
ft
ft.
(North East South West, circle one)
Side Lot Line 2
ft.
ft.
(North East South West, circle one)
Rear Lot Line
ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing Structure/Building
ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document.
P4
Bayfield County Planning and Zoning Short -Term Rental Permit
PLANNING AND ZONING QUESTIONS
1.
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 ❑ Unsure
2.
Is there a wetland located on the property? ❑ Yes El No ❑ Unsure
3.
Is there a floodplain located on or near the property? El Yes ❑ No ❑ Unsure
4.
Is this project associated with any of the following: El Rezone El Conditional Use El Special Use
❑ Variance
5.
Did you contact the town to see if any permits/requirements apply to your project? ❑ 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) f;
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:
C4 Applicant Information (Page 1)
In ite 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: "I Y) Hn4 '/ L'V7 i ✓L,
Owner(s) or Authorized Agent Signature: 1 Date: > 2k
NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application
JUN 26 2075 I�!
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FL JUN 262025
Bayiie!d Co. Zoning Dept.