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Return to: 117 E 5th Street, PO Box 58 Washburn, WI 54891 permits@bavfieldcounty.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #:1 -u -o 06q Permit#: ____ t Date: l3-/ N / , O eS Property 9w7er Name: Authorized Agent Name (if rppli L++Ct�IVV 1 l t 11cgl11g1y�D Telephone Number: Telephone Number: N0V 25 (1MI T E -Mail Address: E -Mail Address: Baylieid Co. Pannaig Mailing Address: and Mailing Address: ,.t 7296o C ouWyA City, State, Zip: City, State, Zip: IIto W 1 X54 Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if different from mailing address): - Legal Description (if additional space is needed attach a separate sheet): tJwUL,� -LUV floc ao►aR—SLiSa79kes5 Pt+C tN ootac art—S%ta4 6SC o a Section, Township, Range: 7 o.(t Town of i Tax ID #: 3 t i Lot Size (Acres/Square Feet): c'rP SECTION C: Project Information check all that apply) Project Use is: Residential ❑ Commercial ❑ Municipal Project Type is: K New Construction ❑ Addition/Alteration (existing structure) ❑ 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 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): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container COther (describe): C Ii1 btSS C Foundation Type: ❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawispace ❑ Ground Q '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): Basement Sq Ft: IS` Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3r° 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: 3 Proposed # of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: RV is.: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -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 (Sec pages 1 & 2 of Land Use Permit Application Information for information that is required to be provided on site plan) Show location of: ❑ Driveways El Frontage Roads (include name) ❑ Existing Structures O Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) O Lake O River ❑Stream/Creek OPond ❑ Floodplain ❑ Wetlands ❑ Slopes over 20% N C D NOV 252025 ( Bayfieid Co. ( Planning and ZoningAgeney ��s c VP ppr°k 7y,HX55°> Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. 4- ft.� ) O' Side Lot Line I 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. Other (describe) ft. ft. SECTION G: Additional Questions -. Yes No Ilas 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: ❑ 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 ❑ 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. es ❑ No Is there an existing sanitary system on the property? If yes, what kind? nn ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public-Other (describe): rrl V #Ye o 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): El Yes LNo Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) fora royal and V inspection requirements. CEVED Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance NOV 25 U25 Fee payment will be made via: '.Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready e id co. How would you like to receive your permit card? RMail to: OR ❑ Email to: - KProperty Owner Address ❑ Agent Address O Contractor Address El 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/tonic/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. a Owner(s) or Authorized Agent Printed Name: t /1 lm 9AfV tk,Date: 25 Owner(s) or Authorized Agent Signature: 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 permit details & conditions and permit card must be posted on property prior to start of project. Bayfield County, WI 12/3/2025, 7:48:36 AM 1:889 0.01 0.02 0.04 ml Approximate Parcel Boundary Road Type County Building Footprint 2015 • Building 0.02 0.04 0.07 km Bayfiel county Land Records cepaNnent Bayfie4 County Zening Applkatlon bnpa.//mepa.bayWdmmry.wi. pw)ZonIngWA W 12/3/25, 7:48 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 12/3/2025 l 'IM Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: SIR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Property Status: Current Created On: 10/20/2022 2:46:00 PM Updated: 12/2/2024 a Ownership 38889 WILLIAM & REBECCA GLICK 04-048-2-48-08-21-3 02-000-11000 (048) TOWN OF TRIPP S21 T48N R0BW NW SW LESS HWY IN DOC 2012R- 545979 LESS PAR IN DOC 2022R-596129 DESC IN DOC 2024R-605648 18.200 18.230 0 No (AG -1) Agricultural -1 129 V Tax Districts Updated: 10/20/2022 1 STATE 04 COUNTY 048 TOWN OF TRIPP 044522 SCHL-SOUTHSH0RE 001700 TECHNICAL COLLEGE Updated: 12/2/2024 VIROQUA WI Billing Address: Mailing Address: WILLIAM & REBECCA GLICK WILLIAM & REBECCA GLICK E6119 COUNTY RD NN E6119 COUNTY RD NN VIROQUA WI 54662 VIROQUA WI 54662 P Site Address * indicates Private Road 72450 COUNTY HWY A IRON RIVER 54847 ® Property Assessment Updated: 3/18/2025 2025 Assessment Detail Code Acres Land Imp. 5m -AGRICULTURAL FOREST 12.230 8,000 0 G4 -AGRICULTURAL 6.000 1,000 0 2 -Year Comparison 2024 2025 Change Land: 9,100 9,000 -1.1% Improved: 0 0 0.0% Total: 9,100 9,000 -1.1% Property History 4. Recorded Documents Updated: 11/13/2012 © WARRANTY DEED Parent Properties Tax ID Date Recorded: 11/25/2024 2024R-605648 04-048-2-48-08-21-3 02-000-10000 30324 © WARRANTY DEED Date Recorded: 8/29/2022 2022R-596129 ® QUIT CLAIM DEED Date Recorded: 9/28/2012 2012R-545979 1091-725 © WARRANTY DEED Date Recorded: 9/28/2012 2012R-545978 1091-724 ® LAND CONTRACT Date Recorded: 11/15/2010 2010R-535710 1051-406 © CONVERSION Date Recorded: 3/15/2006 500226 921-543 O WARRANTY DEED Date Recorded: 7/5/2005 2005R-500226 921-543 HISTORY ®Expand All History White=Current Parcels Pink=Retired Parcels B Tax ID: 30324 Pin: 04-048-2-48-08-21-3 02-000-10000 Leg. Pin: 048103208000 38889 This Parcel t Parents 1 Children https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=38889 1/1 Land Use Permit Application Review Checklist Submission #: a -o What zoning district is the project located in? ❑ R-1 ❑ -2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M It!'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 D410 l $ 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 I34lo / Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes Is the project located in the Flood plain? Zone: ❑ Yes VNo Are there wetlands on the property? ❑ Yes EINo Is project associated with a nonconforming use or structure? ❑ Yes 94EJ Is project associated with a variance? Case #: ❑ Yes Do Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes Is the project associated with a Special A Use Permit? ❑ Yes No Does the project require sanitary? 0 Existing 0 New 0 Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: ❑ Yes 4jo Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? Yes ❑ Na Did 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? VNew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: 0 Residence 0 Principal Structure 4cessoryStructure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: <Q LI Number of Stories: j Overall Height: Fee Type Calculation Fee Amount ❑ Dwelling Enclosed Areas— all enclosed areas within dwelling except attached non -habitable garages $0.75 x sq ft (minimum $125) $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ ❑ Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) $ ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 xC4 L _sq ft (minimum $75) $ ❑ 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 ❑ Land Use Revisions 0 Special Use Permit- Class A ❑ Foodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: _ Clwil� C(C /11()/ ((. Date of Inspection: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: f Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval:� / 17 Con1tion(s): LI Lv7 Must meet and maintain setbacks fro rthest extension of structure including eaves and overhangs. ❑ For personal storage only. Fr personal residence only. ❑Z�ot for human habitation or sleeping purposes. Town State DNR Federal may require permitting / / q p g ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. El 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. El 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. SiJ n must meet the requirements of Article E of the Bayfield County Zoning Ordinance. �❑ ''fo 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 VN'o 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) ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: 13 -4 -FIELD Bayfield County Planning & Zoning Department 117E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: GLICK, WILLIAM & REBECCA 72450 COUNTY HWY A IRON RIVER, WI 54847 Description Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Amount: Reference: 1040 Paid by: William Glick Payment Type: Check Transaction Date: 12/4/2025 Submission Number. LU-02064 Transaction Number: LU-02064-3902C Amount $172.80 $172.80 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 I Nonconforming — No Shoreland — No! Impervious Surface — No Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY ai :ii'i_l i I WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0861 Tax ID: 38889 Issued To: GLICK, WILLIAM & REBECCA Location: S21 - T48N - R08W Town of Tripp Legal Description: NW SW LESS HWY IN DOC 2012R-545979 LESS PAR IN DOC 2022R-596129 DESC IN DOC 2024R-605648 Residential Structure in A-1 zoning district For: New Construction [1 - Story ], Accessory Structure on Skids [864 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. December 04, 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. 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. No plumbing or plumbing fixtures allowed.