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26-0003
Return to: County Use Only: 117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU-O�oY? Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a6. 0003 permits(dbayfieldcounty.wi.aov Date: t / 7/ aoe/) SEC'PION A: General Informatios- Property O ner Name: Authorized Agent Name (if applicable): trig c Telephone Number: Telephone Number: 2o - v -06Z E -Mail Address: E -Mail Address: P anrdn Mailing Address: Mailing Address: ENTEREd w iLI _ City, State, Zip: r City, State, Zip: �— Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if difffercui from mailing address): 7 - Pc% 't -o% Legal Description (if additional space is needed attach a separate sheet): Z l Section, Township, Range: (J Town of: w{� Tax ID #: 3c, . ct _ Lot Size (Acres/$quire-Feet): SECTION C: Pro'ect information check,all that a. ly Project Use is: MResidential ❑ Commercial ❑ Municioal ❑ Change Use (existing structure) ❑ Sign ❑ Shoreland Grading, Class A N New Construction ❑ Relocate (existing structure) ❑ Establishing a Business ❑ RV Placement 4+ months, Class A ❑ Addition/Alteration (existing structure) ❑ RV Placement 21+ days ❑ Temporary (12 or less months) ❑ Other (describe): Structure Type is: ❑ Residence -k] Principal Structure (describe): S-t"cro a4 Wavnc %f ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manuf date): ❑ Shipping Container ❑ Other (describe): ❑ Basement ❑ Walkout BasementSlab ❑ Crawlspace ❑ Ground ❑ 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: 1st Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3'd Floor Sq Ft: tyZ Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 2-0 Total Sq Ft: £ Overall Height (finished grade to peak): t of Stories: 1 Existing # of Bedrooms on property: Proposed of' Bedrooms in project: E: RV and Sian Information (check all that annlvl 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: RECEIVED DEC 032025 SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use,)pn(t,Application Information for information that is required to be provided on site plan) Show location of: , Driveways 6 Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake J6 River ❑Stream/Creek ❑Pond ❑Floodplain ❑WetlandsiSlopes over 20% N 32-o' J� x S O° g �c`rV 35?J + Tao fi 1,31 & IZ ZOOt S4IC t�� Q 9ttw� t.ZX I (v O" 0c, LTC\k Mr s'Do� GI,3Zv ` Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 2 Co ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line I , (. ft. ft. (NorthDEastDSouthDWestcheck one b Side Lot Line 2 (North❑East�TSouh❑West❑ check one) ft. %.OOORear ft. Lot Line Coo t ft. ft. Septic/Holding Tank N ft. ft. Drainfield N I/c ft. ft. Privy N tk ft. ft. Well ,tlk ft. ft. Existing Structure/Building N ft. ft. Wetland 4 j O ft. ft. Elevation of Floodplain OIk ft. ft. Ordinary High -Water Mark (OHWM) ./ /s. ft. ft. Other (describe) ft. ft. DEC 032025 SECTION G: Additional Questions Yes ❑ No Has 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. N A ❑ 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 A lication Information for required setbacks. N Pc ❑ Yes No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes No 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 ❑ MunicipalPublic ❑ Other (describe): YesNo 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) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? la Mail to: OR O Email to: M VAR e\ —t t t'e—' 0 �o • Co 'A fi Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address): Section,F3:,Acknowled ement.and Signature .. .. _ �. -.. ,., .,_. .,.. ..:Y... _..• , ...... �.. .. 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. 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: M\C_\Se- (-- , u) QZ' 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 permit details & conditions and permit card must be posted on property prior to start of project. M\c\A ArcZ \, q ti 1 'Z l ELOO r2 ti LIEN I DEC 0 3 2025 i OLU 032025 i6k Bayfield County, WI O8/25, 2:46 PM Novus-Wisconsin Access rev. 12.0206 X� CJ V Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 12/8/2025 Created On: 3/15/2006 1:16:05 PM Description Updated: 1/7/2022 Ownership Updated: 1/7/2022 Tax ID: 30696 MICHAEL J & SANDRA D WREN WASHBURN WI PIN: 04-050-2-48-05-09-2 03-000-10000 Legacy PIN: 050101404000 Billing Address: Mailing Address: Map ID: MICHAEL J & SANDRA D MICHAEL J & SANDRA D Municipality: (050) TOWN OF WASHBURN WREN WREN SIR: S09 T48N R05W 900 E BAYFIELD ST 900 E BAYFIELD ST Description: SW NW IN 2021R-592617 127 (MFL- WASHBURN WI 54891 WASHBURN WI 54891 Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: CLOSED 50 YRS-YR OF ENTRY 1999) 40.000 40.128 0 No (F-1) Forestry -1 130 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 050 TOWN OF WASHBURN 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE a� Recorded Documents Updated: 1/6/2009 © MFL TRANSFER ORDER Date Recorded: 1/20/2022 ® WARRANTY DEED Date Recorded: 12/15/2021 © MFL TRANSFER ORDER Date Recorded: 4/6/2009 ® SPECIAL WARRANTY DEED Date Recorded: 12/15/2008 © CONVERSION Date Recorded: 3/15/2006 2022R-593078 2021R-592617 2009R-525941 1014-437 200SR-524202 1007-519 757-334 P Site Address * indicates Private Road 74550 BREVAK RD WASHBURN 54891 ® Property Assessment Updated: 7/30/2024 2025 Assessment Detail Code Acres Land Imp. W8-MFL - CLOSED BEFORE 40.000 62,000 0 2005 2 -Year Comparison 2024 2025 Change Land: 62,000 62,000 0.0% Improved: 0 0 0.0% Total: 62,000 62,000 0.0% ED Property History https://novus.bayfieldcounty.v4i.gov/access/master.asp?paprpid=30696 1/1 Land Use Permit Application Review Checklist Submission #: 2�26 9 What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 -1 ❑ F-2 ❑ W ❑ M -M ❑ Yes 20 Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes )'tlo 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)? ❑ Yeo Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes o Is the project located in the Floodplain? Zone: ❑ Yes iiio Are there wetlands on the property? ❑ Yes giio Is project associated with a nonconforming use or structure? ❑ Yes 21gj, Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes_.-a'No Is the project associated with a Special A Use Permit? ❑ Yes_Q1 Does the project require sanitary? O Existing ❑ New O Intercept ❑ Reconnect O Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No ❑ Yes I Does the project require an affidavit? Affidavit #: ❑ Yes i iIo Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes . -o Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? esidential ❑ Commercial ❑ Municipal Project type is?ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary O Shoreland Grading O Other, describe: Structure Type is: O Residencencipal Structure ❑ Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: Number of Stories: 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) $ t] Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) S�Non -Habitable Residential Principal and Accessory ctures $0.20 x sq ft � (minimum $75) $ C% ❑ 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 O Land Use Revisions O Special Use Permit - Class A O Floodplain O Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 O Metallic Mine O After -the -Fact (ATF) $ rA Inspected by: Date of Inspection: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: b Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. -V& personal storage only. ❑ For personal residence only. of for human habitation or sleeping purposes. Jwn/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. ❑ 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 fora maximum occupancy of persons. ❑ Sin 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 ❑ RV must be removed by ❑ No sewer and pressurized water allowed in the structure. 0 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 0 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: B &YFIELD 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: WREN, MICHAEL J & SANDRA D 900 E BAYFIELD ST WASHBURN, WI 54891 Description Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Payment Amount: Reference: 1001 Paid by: Michael J. Wren Payment Type: Check Transaction Date: 1/7/2026 Submission Number: LU-02069 Transaction Number: LU-02069-3ADAA Amount $79.20 $79.20 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 I Wetlands — No Mitigation — No I Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0003 Tax ID: 30696 Issued To: WREN, MICHAEL J & SANDRA D Location: S09 - T48N - R05W Town of Washburn Legal Description: SW NW IN 2021 R-592617 127 (MFL-CLOSED 50 YRS-YR OF ENTRY 1999) Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Principal Structure on a Slab [396 Total sq. ft. ] Height of 16' (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 Tracy Pooler 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. January 07, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated. Condition(s): For personal storage only. Not for human habitation or sleeping purposes. TownlState/DNR/Federal may require permitting. To be constructed per plan.