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PY 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:
MEVERDEN, LAURA R
1092 REED ST
NEENAH, WI 54956
Description
1 unit
Submission Number:
STR-00306
Transaction Number:
STR-00306-304CD
Amount
$500.00
Total: $500.00
Payment Amount: $500.00
Reference: 4281
Paid by: Jeff William and Laura Meverden
Payment Type: Check
Transaction Date: 11/7/2025
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 #: '7 — Oa 5O(17
Tax ID: I D'LO
S -T -R: O —y — O"
Town: (s L�atf'
What zoning district is the project located in?
❑R-1 ❑R-2 ❑R-3 ❑R-4R-RB ❑C ❑I ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W ❑M -M
❑ YesNo
Does lot meet the zoning dimensional requirements or is it substandard?
Deed of record:
'gYes ❑ 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)?
)4Yes ❑ No
Is the project located in the Floodplain?
Zone:
❑ Yes tNo
Are there wetlands on the property?
Yes ❑ No
Is project associated with a nonconforming use o structure.',
,Yes ❑ No
Does the project require sanitary?
Sanitary Permit #: 2 —'-S Public System:
# of bedrooms: 2. 34 V vx�-
❑ Yes XNo
Does the project require an affidavit? ❑ LLC ❑ Trust
Affidavit #:
Number of Units: )
Number of Bedrooms: L
Number of Bathrooms:
Number of Stories:
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by:
Date of Inspection:
ii -
Inspection Notes:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
(V
Condition(s):
Town/State/DNR/Federal may require permitting.
f ❑ This permit cannot be transferred if property is sold.
❑ A Bayfield County Health Dept permit is required.
❑ Check with Town regarding room tax.
hort-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 61h Street
I'O Box 403
Washburn, WI 54891
(715)373-6109
P N7h'IEEJICI)
Health
Zoning
Submission #
2/&'00, )6
Fee Paid
Refund
Permit #
Date Issued
L 1
Short -Term Rental Application Packet
This application packet contains information for both a Tourist Rooming House license through Bayfield County Health
Department and a Short -Term Rental permit through Bayfield County Planning and Zoning Department. Completed
application and applicable fees can be mailed/emailed to the addresslemail above.
City of Washburn, City of Bayfield, Town of Pilsen: License through Bayfield County Health Department is required.
Please review and fill out pages 1-4.
All Other Towns: A license through the Health Department and permit through the Planning and Zoning Department are
required. Please review and fill out pages 1-5,
SECTION A: ESTABLISHMENT INFORMATION
E 9b1ishment ame --,
Qifl /
Es(tahlicluncnt Tax ID # TownlCi y o
Cc !
C t}, ,, b)e Sta��t�e Zil e
stab islhm ut ire t Add ess fJ1/T jet!
S CTI B: OWNER INFORMATIO
Pr )crty Owner
Ei'Aail Address ' c
Phone Number
OW her MailiniAddress 6i 1 a e
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 Name (if applicable)
Email Address
Phone Number
Agent Street Address
City
State
Zip
SECTION D: RENTAL UNIT INFORMATION (see ke
below)
Unit
Unit ID
Structure
pc
Heating
Source
Water
Source
Sanitary Source
# of Stories
# of
Bedrr000ms
# of
Bathrooms
yp„ �,y
/T^,
3
4
Sir •tuj T�'pe:
ouse'(H Duplex (D) Cabin (C) Yurt (Y) Apartment (A) Condo (CO) Other (O), please describe
ng Sou ---..
Electric E) Natural '• G Propane P) Wood W Fuel P Other (O), please descxr
Water Source: �� Sanitary
Public/Municipal (M) Private Well P Public/Municipal
Source:
(M) P vate Onsite Wastewater Syste (P)
r �.cLeC�I � J�
•1.
C)
a�j
Site Plan
Show location of:
❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (Si') ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Lake ❑ River ❑ Stream/Creek ❑ Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20%
N
Setbacks from furthest extent including
overhangs of structure to:
eaves and
County Use Only
Verified setbacks
Road Centerline
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line 1
(North East South West, circle one)
ft.
ft.
Side Lot Line 2
(North East South West, circle one)
ft.
ft.
Rear Lot Line
ft.
ft.
Septic/I lolding Tank
ft.
ft.
Drainfield
ft_
ft.
Prig'
ft.
ft.
Well
ft.
ft.
Existing Structure/Binlding
ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OIIWM)
ft,
ft.
NOTE: Please indicate "see attached" on this page if submit ing site plan as a separate document.
( E tw-
Bayfield County Planning and Zoning Short -Term. Rental. Permit
PLANNING AND ZONING QUESTIONS
1.
Is the property in the shorcland, within 300 feet f a river/stream OR landward ide of floodplain OR 1000 feet
of a lake/pond/flowage, whichever is greater? Ye ❑ No ❑ Unsure
2.
Is there a wetland located on the property? ❑ Yes No ❑ Ur sure
3,
Is there a floodplain located on or near the property? O Yes 0 No O Unsure
4.
Is this project associated with any of the following: ❑ Rezone' ❑ Conditional Use El Special Use
❑ Variance U '
5.
Did you contact the town to See if any permits/rC uircnlCntS apply to your roject, Yes ❑ No
Zoning Department Use Permits: Short -Term Rental permits through Bayficld 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 Bayficld County Ordinance Section 13-1-35.
APPLICATION FEES
Check or money order payable to Bayfield County Planning and Zoning
I unit: $500 2 unit: $1,000 3 wit: $1,500 4 unit: $2,000
To ensure your application is complete and can be processed by the Department, check you have the following items:
❑ Applicant Information (Page 1)
❑ Site Plan (Page 2)
El Floor Plan(s) — Provide sheet for each floor within each unit,
❑ Fees paid
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 Bayficld
County in determining whether to issue a permit. I (we) further accept liability which may be a result of Bayficld 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:
NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application.