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HomeMy WebLinkAbout26-0021Z O Jo U Z z a W W W 1-Q__ <LU WI Z 0 w LL L �L O cDD COM ca Q A O ow I— G. 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Deed of record: ri- ❑ Yes El 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)? ❑ Yes l l No Is the project located in the Floodplain? Zone: ❑ Yes El No Are there wetlands on the property? ❑ Yes ENo Is project associated with a nonconforming use or structure? 'Yes ❑ No Does the project require sanitary? Sanitary Permit #. Public System: # of bedrooms: El Yes ❑ No Does the project require an affidavit? L' LLC ❑ Trust Affidavit #: Number of Units: Number of Bedrooms: Number of Bathrooms: Number of Stories: V ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: Date of Inspection: 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: Condition(s): 'i"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 fora maximum occupancy of _ _ persons. ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: 1)71-;6"'Street � YIPIELD PO Box 403 Washburn, W1 54891 (715) 373-6109 4 1 rEtfsiairryEti (sh.sxti) i}' �',E. Health Zonis Submission #_ Fee Paid Refund it # _ ._. Dat e Issued Short Term Rental Application Packet I'his application packet contains information for a Short- fer•rll Rental permit through Bayfield County Planning and Zoning Department. Completed application can be marled/emailed to the address/entail above. SECTION A: ESTABLISHMENT INFORMATION Establishment Name l_slablishnlent l'ax 11) # owr City of Establishment Street Address City State Zip SECTION B: OWNER NFORMATION Properly Owner 1 Email Address Phone Number rv\G VI t ( L /ii 5 7 Na e v wta vt ! , c4►"` 6 ( - X� ' 39 Owner Mailing Address City State Zip hO V1(� j 5/2. SECTION C: IF OIERATING WITH PARTNER OR AGENT legal I icensee (partnership. I.IC. l:Lh, or Inc,) L;ntail Address Phone Number 274 .icensee Street Address City State l,i Agent Name (if applicable) Entail Address Phone Number Agent Street Address City State Zip SECTION D: RENTAL UNIT INFORMATION (see key belowv) Unit Unit II) Structure Heating Water Sanitary Source 4 of Stories t1 of i of 1' �e Source Source Bedrooms Bathrooms __ cvg D - ___ 3 2 Structure Type: I lou:;e (I I) Duplex (D) Cabin (C) Yurt (Y ) p rintent (A) Condo (CO) Other (0), please describe I-Ieatiug Source: Electric (E) Natural Gas NG) Propane (P) Wood (W) Fuel (F) Other (O), please describe Water Source: Sanitary Source: Public/Municipal(M) Private Well (P) Public/Municipal (M) Private Onsite Wastewater System (P) l ,ss ss x f 3h` Site Plan Show location of: iJ Driveways C1 Frontage Roads (include name) ❑ Existing Structures Li Well (W) Li Septic "Bank (S F) ❑ Drain Field (DF) ( I I-Iolding Tank (FIT) ❑ Lake 'J River H Stream/Creek F I Pond J Floodplain J Wetlands Ti Slopers over 2(t" N — County Use Only Verified setbacks ft. Notes ,'Coin nnents: ft. KCa1' Lot Line I It. Ii. Seplic1-lolling Tank It. li. Dlatnlieid Ct• ti, �' I< <,' �� hij I, f Pi ivy — ft. ►rt.� ` ;� (� =lr E`1 l I�f Existing St1'uclure Building It, It, Wetland Elevation of Floodplain li. ft. Ordinary High -Water Mark (()I WNI) _j ft. Ii, NOTE: Please indicate "see attached'" on this page if submitting site plan as a separate document. Hayfield County Planning and Zoning Short -Term Rental Permit PLANNING AND ZONING QUESTIONS 1. Is the property in the shoreland, within 300 feet of a river/stream OR landward side of floodplain OR I000 feet ofa lake/pond/flowage, whichever is greater? ❑ Yes No ❑ Unsure 2. Is there a wetland located on the property? ❑ Yes 1LNo ❑ Unsure 3. Is there a 17oodplain located on or near the property'? ❑ Yes 4. Is this project associated with any of the following: El Rezone ❑ Variance .No ❑ Unsure ❑ Conditional Use El Special Use 5, Did you contact the town to see if any permits/reduirennents apply to your project? ❑ Yes ❑ No Zoning Department Use Permits: Short -Term Rental permits through Bayfield County Planning and Zoning Department are non -transferable, except as per the exemptions identified in AT( 'P 72.04(3). Short -Term Rental permits are regulated by Bayfield County Ordinance Section 13-1-35, APPLICATION FEES ($500 per unit) Check or money order payable to Bayfield County Planning and Zoning I unit : $500 2 units : $1,000 1 3 units : $1,500 1 4 units : $2,000 1'o ensure ,your application is complete and can he processed by the Department. check you have the following items: Applicant Information (Page 1) ❑ Site Plan (Page 2) LI Floor Plan(s) Provide sheet tbl' each Moor within each unit. I (we) declare that this application, including any accompanying information, has been examined by me (us) and to the best of nay (our) knowledge and belief it is true, correct, and complete. I (we) acknowledge That I (we) am (arc) responsible four the detail and accuracy of all information that I (we) are providing and that will be relied upon by Baylield ('ounty in determining whether to issue a peranit, I (we) further accept liability which may be a result of F3aytield County relying on this infornaation 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, / I Owner(s) or Authorized Agent Printed Name; =� ' 1'�'( a ► tr Ow ner(s) or Authorized Agent Signature: Date: ) NOI'I: II' you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 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