HomeMy WebLinkAbout26-0017z
O
F-
aN
�z
0
Cl)
o❑M
NJ
O
aW
ILl
A2
2
W UJ
16
_ W
a
w=
O
C)
LL
L
�L
N
d
I
_" J
z
0 O
<
R3
O
III
+_+
a oo
d
z
<D.a.O
E -a
Jv)(J)u)00
0
U)
w
z
a
O
J
(O>
O
x LL
�mZ
U)
z
w
F-
U)
U)
J
ti (7
O
O..
N �
a)
0(/)
zA
0 0
00
-a'--
0
O
co
0)
ti
U
O)
O
N
U
O
z
U
w
❑
n.
U)
w
J
F-
`0
O
O
z
w
a
O
J
Co
N.
a
z
('.1
(fl
N.
U)
L)
C)
0
O
a
U
a)
O
(0
0)
J
a
C
O
c):
ai
a
0
W
O
a)
(D
O
U)'
C
O.
C'
c
a
a)
ci:
U)
U)
U)
C
U)
C
0
U)
U)
ci
ci
C
U)
ci
C)
E
0
x
U)
E
U)
C
U)
E
U)
t
U,
th
E
U)
ci
U)
U)
(a
C
0
N
C
C
0
U
C
O
C
O
O
0
U)
N
O
L
(0
a)
U
C
(0
(I)
(I)
0
U)
O
z
U
0)
C
(1)
.a
a)
N
0
N
O
N
C)
O
U)
C
U)
ma
L
0u -
Ca)
C .0
E
0
OC
O
U a)
- Q
E O
a) C C
O OO
C
—C
O
aCi
(I) C
0 O a)
U
a O
N
a)O t-
L Q.
Oa)
(Cm 0 E
�-E C
C+ a)
(0.2 -
c) F o
O
C
U)
(0
U)
C
O
0
C
0
E O
C>
Q.
N
>-a)
r-
0
4-
a) C
� O
0
O
S.- ;n
2
> 0_
-0 C
>_ a)
n3�
E LO
E 0
L
a) N
°- a
�' E
O
Land Use Permit Application Review Checklist
Submission #:
Tax ID:
S -T -R
Town:
What zoning district is the project located in?
El R-1 El R-2 El R-3 El R-4 LI.R-RB El C ❑ I El M ❑ A-1 ❑ A-2 El F-1 ❑ F-2 El W ❑ M -M
El Yes P No
Does lot meet the zoning dimensional requirements or is it substandard?
Deed of record:
'L''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)?
El Yes 'MNo
Is the project located in the Floodplain?
Zone:
El Yes El No
Are there wetlands on the property?
`ayes El No
Is project associated with a nonconforming use or structure? <,
D`Yes El No
Does the project require sanitary?
Sanitary Permit # Public System:
# of bedrooms:
El Yes U", No
Does the project require an affidavit? El LLC El Trust
Affidavit #:
Number of Units:
Number of Bedrooms: `• ,;
Number of Bathrooms:
Number of Stories:
El 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):
LI Town/State/DNR/Federal may require permitting.
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.
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance.
Other Conditions:
117 16"i Street
PO Box 403 P YFIELD
Washburn, WI 5489I
(715)373-6109
pewlmits(ahu ieldcounty.vt
Health Zonijg
Submission # OJZc
Fee Paid
Refund
Permit #
Date Issued
Short -Term Rental Application Packet
This application packet contains information for a Short -Tenn Rental permit through Ba}'field County Planning and
Zoning Department. Completed application can be mailed/emailed to the address/email above.
SECTION A: ESTABLISHMENT INFORMATION
Establishment Name
_
Establishment Tax ID # owt)/City of
Establishment Street Address
tx,
J Oi)cdQ V' C�
SECTION
Zip
CCityStatUSYS
�"Gt b l e wj z
B: OWNER INFO ATION
Property Owner Email Address Phone Number
X7-1.5 SCk oy! it L4cf . C 5iel S(�� ' n!te't��;�I�lvac ( fO lhs
Owner Mailing Address C t State Zip
16(x) O,(A f ti-ecr St✓h S i 2r �. Pw
u . M N -S/
SECTION C: IF OPPRATING RATING WITH PARTNER OR AGENT
Legal Licensee (parineiship, IA C', 1.1.1'. or Inc.) Email Address Phone Number
- o4, p Q t tww3 rs o' (S - 7jj 21
Licensee Street
Address JCit Tate I Zi
__J_Finail
Agent Name i f applicable) plicable)
Agent ( IINumber
Address Phone
Agent Street Address City State Zip
SECTION
D: RENTAL UNIT INFORMATION see ke
below
IJnil Unit I D Structure Heating Water Sanitary Source 1 of Stones # of got,
T> >e Source Source Bedrooms Bathrooms
Gip
Structure Type:
House (H) Duplex (D) Cabin (C) Yrn•t (Y) Apartment (A) Condo (('O) Other (O) 2eAase describe — ..
Heating Source:
Electric (L) Natural (ras (NG) 1 ro pan`(l) Woodfuel (1,) Other (O), alease describe
S)
Water Source; —
SW ouice:
Public/Munici (M) Private Well (P) Public/Municipal (M) Private Onsite Wastewatc'"r S)stem (P)
x r 4 t I{fit