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25-0813R
Return to: County Use only: pp LV 03°x►\ 117 I; 5« Streot PO Box 58 Bayflcld County Planning and Zoning Depurtmeot Submission #: Washburn, PERMIT APPLICATION a S "O Wl 54891 LAND USE Permit #: p-er- o��sEkba'fieldcountywl.&ov Date:\ i SECTION A: General Prope Os ncr Na c: Authorized Agent Name (if applicable): T le tone Number: Telephone Number: l�s5 13 Mail Address: E -Mail Address: DEC 1 U ZUZ5 I� 1 eh 4 rr o,, Fnsµ, t�H, ailing Add ss: r1 Mailing Address: BayfeId Co. Planning and Zoning A9ancY 11L City Sta Zip: City, State, Zip: f3066 Contractor: ` 5eJ t eiwin Telephone Number: E -Mail Address: SECTION B: Pro Information Project Address (if different from mailing address: E v b /f Legal Description (if additional pace is needed attach a separate eet): Section, Township, Range: 5/7 793 R 07W/_S/ CSM Z3(o Town of: ,¢ Tax ID #: 34 H I 9 Lot Size (Acres Square Feet): ?. JL ✓i{K-5 SECTION C: Pro eM Information check all that 1 Pro'ect Use is: Residential O Commercial ❑ Municipal If Commercial, estimated cost of construction: $ ry Project Type is: New Construction ❑ Addition/Alteration (existing structure) pl ❑ Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days ❑ Sign ❑ Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A O Other (describe): re uired Total sq ft): required SECTION D: Structure Information not apply to RVs and Signs, go to Section E Structure Type is: ❑ Residence O Principal Structure (describe): MAccessory Structure (describe)- O Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured %s 1/,(/!D✓s use 0 "`�G►✓—�9dell j�u`Iaf date): t° ❑ Shipping Container O'Other (describe): Foundation Type: +� ❑ Basement O Walkout Basement 7gSlab ❑ Crawlspace O Ground O Skids O Other (explain): Existing Structure: • Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/ orches : Basement S7t. I" Floor Sq Ft: Loft Sq Ft: 2n° Floor Sq Ft: 3" Floor Sq Ft: , 34 Garage gq t: Porch Sq Ft: Deck Sq Ft: OF�hhee% Sq Ft (describe): ooecpper Sq Ft (describe): .A4rloSx 2Dt.JPo f'Mus /2- 34 Total Sq Ft: O 1, Overall Height (finished grade to peak): 20 # of Stories: Z Existing # of Bedrooms on property: Proposed # of Bedrooms in project: Z SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided O 2 -sided Year: Vin #: ❑ On -building O Multi -Tenant Length: Width: Height Make: Model: RED Application Page 1 SECTION F: Site Plan —attach a site plan or draw site plan in bus below (See pages 1 & 2 of Land Use Pennit Application Information for information that is uired to bo vided on site Ian Show location or: ❑ Driveways 0 Frontage Roads (include name) 0 Existing Structures 0 Well (W) 0 Septic Tank (ST) 0 Drain Field (DI) ❑ Holdin Tank T) ❑ Pri ❑ Lake ❑ River ❑Stream/Cteek ❑Pond DEloodplain ❑Wetlands ❑SI ova20% N RECEIVED 6i:I) DEC 1U2025 2025 r No WS Sayfield Co. . fJD SP(/,C Planning and Zoning Agency �/ 3 &p — F�� V/ ALA& (ra� I J � Setback or distance from furthest extent of structure Including eaves and overhangs to (include on site plan): 'County Use Only Verified setbacks Road Centerline 500 ft. 762ft. Notes/Comments: Front Lot Line/Right-of-Way z fl ft. 776 ft. Side Lot Line I orth East South West. circle one) ft. 30O n ft. ? Side Lot Line 2 orth East South Wes circle one ft. /28 ft. 7j0 Rear Lot Line ft. -710 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. Application Page 2 RECEIVED DEC 10 2025 itional ubUons -t�as the project including eaves and overhangs Inn lure srmrmra emi u s . tc rr t"of ld well been the location of proposed taked? If no what date will this be corm leted:id a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use lication Information for uired setbacks.Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of C Land Use A location Information for uired setbacks. Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holdin Tank ❑Munici al/Public ❑ Other describe : 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 0 Other (describe): KYes ❑ 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: ❑ Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via ❑ Check (attached) O Cash (attached) debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: ORgEmail to: Property Owner Address O Agent Address O Contractor Address O Other (provide name and email or address): %section H: Acknowled emeat and Si 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.eov/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. Owner(s) or Authorized Agent Printed Name: %PRnon ! nl A 5pAl Owner(s) or Authorized Agent Signature: $�L3 0{2 Date: �G l NOTES: I. If you are signing on behalf of the wner(s) a letter of authoriaoImust accompany this application. 2. Specific conditions/instructions maybe stated on the face of the issued Land Use Permits. Owners, agents, & contractors must all be aware of permit details & conditions and permit card must be posted on property prior to start of project. Application Page 3 masse _ � anu•wiranuuu v IUnURVnra5uIuaaauauuuaaauauRS nun. i:.p::I!I1ISiiiI.ai 9R •tiJp1iiuu:1mIPq w� tccnLW V 0.Ou. O�4 w- O O t9 a F a w M N wu. m N O �W � o Ii l!M CS M[ P(/X 7O 10 IF[ .cm,. - [f C W 0E M1 I/5 ac'". It M eO s 67]501• I, BAYFIELD COUNTY CERTIFIED SURVEY MAP NO. _t34_Lt_ _ A PARCEL OF LAND LOCATED IN THE NW 1/4 OF THE NW 1/4 OF SECTION 19, N 114 C0R T. 43 N., R. 7 W., IN THE TOWN OF CABLE, BAYFIELD COUNTY, WISCONSIN 3C. IO 2766.80........_.._.._.._ 2-F N/.1- cw //q/ /' TOTAL / ° / 516,662 /.::?•' / / 11.86 cl n 1 / LOT 3 L'$/ .,0 . 206,633 50. Fr. 4.74 AC. 5 FF o r -; / ei = L n % /O:/ LOT 2 CSN 2258 TAX ID38922 AREA SQ. FT. AC. / jt ryA1 �v. L/ EASEMENt' 6 G W AI.K�NG N 146 00R 2'F 0. B. S LOT I CSM 2258 TAX 10/38923 122 378.30 LOT 2 160,959 SQ. FT. 5p, 3.70 AC. ACCESS � � l \ 4N 60D�� 170.00' LINE BFMINO DISTANCE LI N 00'0432' E 4.59' L2 N 71.30 2 W 80.08' U S 39"0000 W 4292' SCALE:' ONE INCH - 150 FEET 0 150 J00 • FOLM 1-I/I' NMI PPE (P). MEWS M 10 I a M. N24,489 O 1' x 18' E1 FE (M7. -I. JLB/F!). SET fib 9.W1'Er SCVL' OWYxl1 130 PFET () RECOM AMASHI Y 047E 7/17/1m014 __. mn 6rf6v la5rnl. v.-. T71 TAX 10137872. LOT 1 149,070 SO. Fr. 3.42 AC. W q In NT � CESS EpSEME BAYFIELD COUNTY CERTIFIED SURVEY MAP NO. ?3&1__ A PARCEL OF LAND LOCATED IN THE NW 1/4 OF THE NW 1/4 OF SECTION 19, T. 43 N., R. 7 W., IN THE TOWN OF CABLE, BAYFIELD COUNTY, WISCONSIN SURVEYOR'S CERTIFICATE I, PETER A. NELSON, PROFESSIONAL LAND SURVEYOR IN THE STATE OF WISCONSIN, HEREBY CERTIFY: THAT ON THE ORDER OF JIM PATTERSON, I HAVE SURVEYED, DMDED AND MOPPED A PARCEL OF LAND LOCATED IN THE NW 1/4 OF THE NW 1/4 OF SECTION 19, T. 43 N., R. 7 W., IN THE TOWN OF CABLE, BAYFIELD COUNTY. WISCONSIN. DESCRIBED AS FOLLOWS: TO LOCATE THE POINT OF BEGINNING, COMMENCE AT THE NORTHWEST CORNER OF SAID SECTION 19 AND RUN S 000432 W. 1009.80 FEET ON THE WEST LINE OF SAID SECTION 19 TO THE POINT OF BEGINNING. THENCE FROM SAID POINT OF BEGINNING BY METES AND BOUNDS: LEAVING SAID WEST LINE, N 2800'10 E, 463.35 FEET ON THE EASTERLY RIGHT OF WAY LINE OF THE ABANDONED CHICAGO AND NORTHWESTERN RAILROAD. THENCE LEAVING SAID EAST RIGHT OF WAY LINE, N 73'40'10' E, 1227.91 FEET TO THE WEST RIGHT OF WAY LINE OF KAVANAUGH ROAD. THENCE ON SAID WEST RIGHT OF WAY LINE, S 01'0435' E, 439.70 FEET. THENCE LEAVING SAID WEST RIGHT OF WAY LINE. S 77'1116' W, 1440.04 FEET TO SAID WEST LINE OF SAID SECTION 19. THENCE ON SAID WEST LINE, N 00'04'32 E, 4.59 FEET TO THE POINT OF BEGINNING. SAID PARCEL CONTAINS 516,662 SQUARE FEET, WHICH IS 11.86 ACRES. SAID PARCEL IS SUBJECT TO EASEMENTS, RESTRICTIONS, RESERVATIONS AND RIGHTS OF WAY OF RECORD OR USE, IF ANY; THAT I HAVE FULLY COMPLIED WITH SECTION 236.34 OF THE WISCONSIN STATUTES AND BAYFIELD COUNTY SUBDIVISION CONTROL ORDINANCE IN MAKING SAID SURVEY, SUBDMSION AND MAP; THAT THIS MAP IS A TRUE REPRESENTATION OF SAID SURVEY; AND THAT SAID SURVEY_ w$4ljE CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. PLS - 3071 lRll r- �LI i :' BAYFIELD COUNTY PLANNING AND ZONING APPROVAL THIS BAYFIELD COUNTY CERTIFIED SURVEY MAP IS HEREBY APPROVED BY THE BAYFIELD COUNTY PLANNING AND ZONING DEPARTMENT. �`.CV) MTED THIS flSJ DAY OF T' 2024. RUTH HULSIROM PLANNING AND ZONING DIRECTOR RECEIVED LJT ZU [GZb Letter of Authorization Bay5eId Co. Piannina and Zoning Agency Bayfield County Planning & Zoning Department PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. 7� I, JCKN I. p rso��'fPro wner),authorize Japxes P. old ,-fTv (authorized agent) to submit a Iah VS_E pert t1 (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: cons ruction of residence or other structure, short-term rental or other use change, etc.) Sibrajviorkhvp application on my behalf for the following described property: $ J9 -r 43/ft 01W LDT I C≤M 2364. IN PoC Z024P.- &04134 (JAMES D MfTKAV RFV 11.147 0/h/D Legal description of subject property: o&(w/ o19 S JEI9NIF9 J PAT7MOA RE/ 1i1.M V/41p 0 0 Address of subject property: 4Z115 KqVQ 0 AV q( Pd. (Able, WI 99 9Z Signs ur h 4 r r Dated ' 1 RECEIVED AFFIDAVIT OF AUTHORITY DOT 28 2025 (Trust) Bayfield Co. Planning and Zoning Agency 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 follows: 1. Address of Subject Property: 42J75 VaVahayjti Ind. Cable, W/,7192-1 2. The Subject Property is owned by: JenMI*rJ• Pa.41us014 itsirvsi of 4be JeI400J (Name of Trust) ➢ a, rsoh Revocalle Twsf v/aid Juv,e 20, zo18 3. The name(s) of the current Trustee(s): Jth4 f r J. fSOh 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 LS e ' r P4ffirc1iv Print Nam Subscribed and sworn to before me this 28''1 day of o 6 r ,2Q. N6te4, Pubic, Cooall u County, Wicoonofn MAivtvtJs} SHELLY SUN HEE MERCADO _ Notary Public -Minnesota My commission: 3I 10 d 8 My Commlasion EaphesJan.31,202E 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 OCT 282025 Bayfield Co. Planning and Zoning Agency RECEIVED GCi 28 2025 AFFIDAVIT OF AUTHORITY (Trust) Bayfield Co. Planning and Zoning Agency 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 follows: 1. Address of Subject Property: 42116 Ova h cwj k Rd. Cate, W 1. 7 I z1 2. The Subject Property is owned by: v ame5 D. ra'4*rcon R$ ' s+ee •( 'fist JQ f4) is D. (Name of Trust) a SPIA Revocable" vct v/a/J Jvne 2o,w18. 3. The name(s) of the current Trustee(s): 3 a hn t:S P. Parso 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 sufferinp a damage resulting from any illegalities of the application. Dated: ZSZ5 JatMes P?a44ersovl Print Name Subscribed and swom to before me this 2.8 r'i day of , 20 2-5. Nota blic,__GooJ1.,,_ County,WccorcirMIr111CsojZf HELLYSUN HEE MERCAD0NotaryPublic-MinnesotaMy commission: 131128 J#S yconunlulon Exgm,Jen.a1,2= 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 CT 28 2025 Bayfield Co. Planning and Zoning Agency J Land Use Permit Application Review Checklist Submission #: Z What zoning district is the project located in? R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes 4Jo Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes o 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)? ❑ Yeso Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes Jo Is the project located in the Floodplain? Zone: ❑ Yes tJo Are there wetlands on the property? ❑ Yest,to Is project associated with a nonconforming use or structure? ❑ Yes o Is project associated with a variance? Case #: ❑ Yes No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes o Is the project associated with a Special A Use Permit? es ❑ No Does the project require sanitary? ❑ Existing ❑ New 0 Intercept ❑ Reconnect-Cl Non -Plumbing 0 Public SanitaryPermit #: aS - O % & # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: ❑ Ye/,No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yestlo Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is. esidential 0 Commercial 0 Municipal Project type New Construction % .ddition/Alteration 0 Change Use 0 Relocate 0 RV Placement 0 Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: 0 Residence ❑ Principal Structures Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home 0 Shipping Container ❑ Other, 4cribe Total Sq. Ft. of Project: O 6 Number of Stories: Overall Height: 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) $ S2cfJa ❑ Non -Habitable Residential Principal and Accessory $0.20 x s ft q (minimum $75) Structures $ ❑ 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 and Use Revisions 0 Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by:5_(/t ohs Date of Inspection: Q Z3 Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: o n Date of Approval: y 2/fl- Condition(s): /c lust meet and maintain setbacks from furthest extension of structure including eaves and /overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑ Not for human habitation or sleeping purposes. V"rown/State/DNR/Federal may require permitting la'A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be }obtained prior to the start of construction (if applicable). eLI-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. flAdhere to privy agreement. El 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 ❑ RV 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 u Land use permits shall be obtained prior to the initiation of construction or a change in land use iequirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are uired anitation 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: A FIELD Property Owner. PATTERSON REV TRUST, JAMES D 1509 W 4TH ST RED WING, MN 55066 Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 PATTERSON REV TRUST, JENNIFER J 1509 W 4TH ST RED WING, MN 55066 Description Land Use Revisions Habitable Residential Accessory Structures - $0.50/square foot (minimum $75) Submission Number: LU-02008R Transaction Number LU -020 08 R -39C03 Amount $25.00 $378.80 Total: $403.80 Payment Amount: $413.41 Reference: 1306551185 Paid by: James Patterson Payment Type: Credit Card Transaction Date: 12/11/2025 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 I Nonconforming - No Shoreland - No / Impervious Surface - No Floodplain - No (Wetlands - No Mitigation - No / Affidavit #: LAND USE -X SANITARY - 25-0866 Non -Plumbing Composting Toilet SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0813R Tax ID: 39414 Issued To: JAMES & JENNIFER PATTERSON REV TRUST Location: S19 - T43N - R07W Town of Cable Legal Description: LOT 1 CSM 2364 IN DOC 2024R-604734 (JAMES D PATTERSON REV TRUST U/A/D 06/20/2018 & JENNIFER J PATTERSON REV TRUST U/A/D 06/20/2018) 346A Residential Structure in R-1 zoning district For: New Construction [2 - Story ], Principal Structure on a Slab [808 Total sq. ft. ] Height of 20' (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 Scott Roush 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 11, 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. Town/State/DNR/Federal may require permitting. A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. Use best management practices to limit and prevent erosion during construction. To be constructed per plan. Adhere to privy agreement. 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).