HomeMy WebLinkAbout25-0829S
i"
I
a
•
•
a
•
I
LL
�.
L
,L'
o
0O
m
J
0
O O
e
Woo
N
xyq
0
IIIQ
V
(n
L >- Q m
N
4_J
- c
(/)OJJ
DQQQ
I
a~UU
° ..
W
J U) 1)(I)03
W
J
O)>-
z
0
0
U)
0O
0
to
N
a)
O 0)
zU)
0O
O
zw
Lam, >
1 z
N o
U)
0O
-iO�
C)
O
M
O
O
O
N
O
O
(O
N
O
O
O
(\1
2
Cl
LC)
0O
N
O
L9
N
N
O
(N
z
z
z
(N
r
Cl)
._
0c
r �
LL
.E EU)
L �
;a u
Na) L
{d. LL
U)
0)
z
U)
0)
O
U
O
U
4)
N
0
(0
4)
4—
O
(0
0
4)
O
O
4 C
O)
>•4-a
0c
C
4
(0
4) -
O. O)
C
(0
a 0
V) L
W
I-
0
(O
U
0
O)
N
0
.C
i
M
(N
O
(N
N
O
0)
E
0)
O
O O
0..4
LO
(O N
cm C
C O
C
E
O
C
O
._
U
O Q Q
(0 E
f= O O
O
0c C
-I-,
0 4-
00
O O
N
C
O 0 U)
•U O O
O Q)
>
00
U)
I_
aE c
N Q)
E
O) >
CC
0)
a
O
C
U)
(0
C
O
C
O
O
U'O
(0 a,
RS
E O
a.(p
CC
O O
r
a) C
- O
O
O
O .O
O
O O_
ci)C
I_ L
"--a O
N
0 0)
aQ
M E
C
Ho
Land Use Permit Application Review Checklist
jro \ Y (' Vn-
Submission # ,,� ?
Tax ID:
S -T -R: ) —0
What zoning district is the project located in?
❑R-1 ❑R-2 ❑R-3 C] R-4 ❑R-RB ❑C ❑I ❑M ❑A-1 L] A-2 IF -1 ❑F-2 ❑W ❑M -M
❑ Yes t 1No
Does lot meet the zoning dimensional requirements or is it substandard?
Deed of record:
❑ Yes "'1ANo
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:
1 /Yes ❑ No
Are there wetlands on the property?
❑ Yes EINo
Is project associated with a nonconforming use or structure?
P, Yes ❑ No
Does the project require sanitary?
Sanitary Permit #: _'` r Public System:
# of bedrooms:
❑ Yes C]'No
Does the project require an affidavit?
Affidavit #:
Number of Units:
Number of Bedrooms:
Number of Bathrooms: (
Number of Stories: I'
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by: wti
Date of Inspection:
Inspection Notes:
CV vc'3i�, fy- 0o
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
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.
LShort-Term Rental is for a maximum occupancy of persons.
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance
Other Conditions:
117 E 6`h Street YFIELD
PO Box 403
Washburn, WI 54891
(715) 373-6109 i� s 1S
permits a)bayteldcounty�wi.gov a Q
2
Short -Term Rental Application Packet
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
Est blishinent Name
Establishment Tax ID #
Town/City of
Establishment Street Address
Cc 1O
City
_.
State
Zip
5i 7
_____
SECTION B: OWNER INFORMATION
Property Owner
Email Address
�L�'1 X-Y36GNtAZL,L'�rK
Phone Number
(,C�a� f-6 -1rs3
Owner Mailing Lkddress
/93 lR ?.n v s+ ltlr,J
City
State
()'))
Zip
s3)
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 Name (if applicable)
Email Address
Phone Number
Agent Street Address
0� A
City
State
Zip
SECTION
D: RENTAL UNIT INFORMATION (see ke
below)
Unit
Unit ID
Structure
Type
Heating
Source
Water
Source
Sanitary Source
# of Stories
# of
Bedrooms
# of
Bathrooms
IP
I
a
r
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 (NG) Propane (P) Wood (W) Fuel (F) Other (O), please describe
Water Source:
Public/Municipal (M) Private Well (P)
Sanitary Source:
Public/Municipal (M) Private Onsite Wastewater System (P)