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Home My WebLink About25-0825Return to: RECEIVED County Use Only: 117 E Sth Street, PO Box 58 Bayfield County Planningg �a,,ndZo in Department Submission #: LU-093 Washburn, WI 54891 LAND USE PER11q &A)#IZW%TION Permit #: S—oVS permits@bayfieldcounty.wi.gov Bayfield Co. Date: l 1 16 2.o3S Planning and Zoning •lnency SECTION A: General Information Pr erty 0 ner N e: horized Agent Name (if applicable): o (r'e7 i e Thiatho e N tuber: Tejephoe N ber: (1/y/1s 77Address: E-Mail E -Mail Address: r ,. -ton . �. Mailing Address: �1E Mailing Address: 6o £1fle'sanal flrk01,r t City S to Zip: �s bw in nn CState, Zip: wi S'►s4 (• (h'7 trac r: CoSe Telephone Number: E -Mail Address: I- SECTION B: Propeky InformationRFCl\tfl _ Project Address (if different from ailing address): t Legal Description (if additional space is needed attach a separate sheet): -ct IP(≤ (hap. Pr'4 lrO R- Iq 6374 Section, Township, Range: Town of: C IaQ j/ Planning and Zoning Agen Tax ID #: 9X%p Lot Size (Acres/Square Feet): 4,'4 Ac. / i SECTION C: Project Information (check all that apply) Project Use is: M Residential ❑ Commercial ❑ Municipal Project Type is: ❑ New Construction ❑ Addition/Alteration (existing structure) Iil Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required (Total sq ft): required SECTION D: Structure Information (Does not apply to RVs and Siguis,gq,te$ection E Structure Type is: ❑ Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): 0 Shipping Container Other (describe): I) Jos CAMA 4-C s4'aje iN1. Foundation Type: ❑ Basement ❑ Walkout Basement El Slab ❑ Crawlspace ❑ Ground ❑ Skids 0 Other (explain): Existing Structure: Length: 7 Width: Height: 1 Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: 1" Floor Sq Ft: Loft Sq Ft: 2ad 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): Total Sq Ft: Overall Height (finished grade to peak): of Stories: Existing # of Bedrooms on property: s.f Proposed # of Bedrooms in project: ; SECTION E: RV and Sign Information (check all that apply) -x. _ .•, Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement 0 On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: 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) 0 Existing Structures ❑ Well (W) 0 Septic Tank (ST) 0 Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N / 5 L Ul C- {5 RECEIVED NOV 0 4 2025 Bayfield Co. t�/ Planning and ZcrIing Agency Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline ft. ft. Notes/Comments: j44 tj j ti eL y n on Pwem I3e (3 in �DII1 J Q�FItP I ikll ti a pry° „�j�( (U (ab,Yl llA has YIGfn (,ISQ .51R� �W btn WGSRear aU(4' tbt 0 eabv ova s4' ov,her rUl( Owl- ll QlienicMl(N bL \ niwec-t �o hitS A{'t(V (LM-Oaol13 ) — e /.,n L Vn 1 5 t e&V4 {a5 cabin fv Swp (rwn-ha��+U10...f spit(), f18W Lola6kf god ph1 germ l4 6rfC hu u + t soud r Front Lot Line/Right-of-Way ft. ft. (North❑Est❑South❑West❑,check one) ft ft Side Lot Line 2 Aeckone (Norh[]Easot ft. ft. e❑South❑West ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. R. 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. Other (describe) ft. ft. A F tt fltL l Bayfield County, WI t!i5i /�Y t. � �� : 1llm4� t... > r.r� B �! �/L-TEW UST ^ Y -rya �' u$� {��T��s. � ��•+' F /� e� At Ada/,�j� r r .ry ri,", � /_. H /, .. 4 !/ 11 1 I /./ Ti lhx / 3i aj.�� F ~ . o n�,61 / Ii a. / G .,, w y�' / l x° " ° / iC✓: W" b "4 '" g,� a 1rr':C '_ .Ei..*. i�' d fr. • y/ '# ,a ate J ey, /'µ/ !, >-;f Fig'��tf✓..*:ROI—.•-.°�/�T,.i° r1es�-r 4� �, e�aAl�.lOAVCD 5aUFAR50�N�CREDIf5H�EI'TER�TR�i :3 yw e ,r : I•/ ".ff/ .-Y �fi�w n� . �`-: r.e _ if-'..' e.. e G�i ^S�• 1 . .. 11/4/2025, 11:26:10 AM V 1:868 Approximate Parcel Boundary 0.01 0.02 0.04ml O 1A C #� / 03 ✓T A RECE:VEb 0 0.01 0.03 0.06 km Building Footprint 2015 G Building eeyraa CountyLand Rem.de Depedmem 4 NOV 04 2025 8aylIe county zoning ppiication Plannin BaY6eld Co. 9 and Zoning Agenr , miae-rn,eae.wKemmu r wIrzen1,WA& RECEIVED N0V 042025 SECTION G: Additional Questions Byec. ❑ Yes ❑ No Has the location of the proposed project including eaves and overhangs and the sanitaffostem-an'd'well'been staked? If no, what date will this be completed: Yes El 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. El Yes ❑ 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 El No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes gN0 Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: El Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: Check (attached) El Cash (attached) i debit/credwecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? O Mail to: OR S Email to: O Property Owner Address O Agent Address ❑ Contractor Address O 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, or contact a Department of Natural Resources service center (715)685-2900. 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. ii Vt r Owner(s) or Authorized Agent Printed Name: lCGLvP Jf t.— Owner(s) or Authorized Agent Signature: Date: 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, agents, & contractors must all be aware of pennit details & conditions and permit card must be posted on property prior to start of project. AFFIDAVIT OF AUTHORITY (Trust) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a Trust. STATE OF WISCONSIN ) ss. BAYFIELD COUNTY The undersigned affirms and states as 1 follows: /i' 1. Address of Subject Property: I o3..Ay7 C) S U)id) U Aal A). (�F/ pfacr ,% �� -( W4 6 2. The Subject Property is owned by: ' -( flax) c. p,,,,,1Sun CJ PD. �n•v. �{'P/T(v5 r (Name of Trust) 3. The name(s) of the current Trustee(s): -P A pee Kr /' 4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Trust 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. 1 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 Trust to apply for and bind the Trust to the terms and conditions of any decision or permit that may be 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: /0'"/I a0ai 2? - 2a.a iT.,. F. Pea /rir Priru Nme Subscribe nd sworn to before me this % dsy ofec, 203' . iA( Ka-/ouRECEIVED -Notary Public: nty, Wisconsin NOV 042025 Bayfield Co. Fannin_ .:n;; _c�. rq Agency RECEIVED OCT 17 2025 BPlanningand Zoning Agency My commission: 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. RECEIVED N0V 042025 Bayfield Co. Planning and Zoning Agency j c: d /4 D r Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? ❑ R-1 ❑ ❑ R-3 ❑ R-4 ❑ R-RB ❑ C DIEM A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? 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 impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes E34o Is the project located in the Floodplain? Zone: ❑ Yes u6o Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes ❑"No Is project associated with a variance? Case It: ❑ Yes Jo Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes No Is the project associated with a Special A Use Permit? ❑ Yes 3jo Does the project require sanitary? O Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes LL44o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: 'Ys ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? es ❑ No DJ applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential O Commercial ❑ Municipal Project type is? ❑ New Construction ❑ Addition/Alteration 0diange Use O Relocate O RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary O Shoreland Grading O Other, describe: Structure Type is: ❑ Residence O Principal Structure ❑ Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container I]YOther, describe G(GL Loq Caorn it' SW! 61.cct' Total Sq. Ft. of Project: l4L2. Number of tories: Overall Height: Ic Fee Type Calculation Fee Amount ❑ Dwelling Enclosed Areas — all enclosed areas within $0.75 x sq ft (minimum $125) dwelling except attached non -habitable garages $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 x sq ft (minimum $125) Attached Non -Habitable Garages $ ❑ Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) ❑ Non -Habitable Residential Principal and Accessory _3� q $0.20x s ft (minimum $75) Structures $ kU ❑ Commercial/Municipal Principal Structures $250 + $0.005 x (minimum $250) cost of construction $ ❑ Commercial/Municipal Accessory Structures $150 + $0.005 x (minimum $150) cost of construction $ ❑ Return Inspection O Land Use Revisions O Special Use Permit - Class A O Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: / �/t/i'/ `f/ oa�- Re-Inspected by: Date of Re-Inspection: Denied by: / Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: u ` Date of Approval: Cond�' 'on(s): &Must meet and maintain setbacks from furthest extension of structure including eaves and ov angs. For personal storage only. personal residence only. of for human habitation or sleeping purposes. own/State/DNR/Federal may require permitting 0 A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. 0 A 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. ❑ 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 ❑ Qy must be removed by 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 prior to 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) 0 Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: 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: DAVID S PEARSON CREDIT SHELTER TRUST 800 E MEMORIAL PARK DR WASHBURN, WI 54891 Description Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number: LU-02043 Transaction Number: LU-02043-37F84 Amount $86.40 Total: $86.40 Payment Amount: $86.00 Reference: 1048 Paid by: David S Pearson Credit Shelter Trust Payment Type: Check Transaction Date: 11/6/2025 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! Wetlands - No Mitigation - No / Affidavit #: LAND USE -X X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0825 Tax ID: 38270 Issued To: DAVID S PEARSON CREDIT SHELTER TRUST Location: S26 - T50N - R07W Town of Clover Legal Description: PAR IN NW SE DESC IN DOC 2025R-606318 (DAVID S PEARSON CREDIT SHELTER TRUST DTD 4/4/2023) Residential Structure in A-1 zoning district For: Change Use [1 - Story ], Old log cabin to storage shed [432 Total sq. ft. ] Height of 15' (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 Emily Macgillivray 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. November 06, 2025 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated. 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 No sewer and pressurized water allowed in the structure.