HomeMy WebLinkAbout26-0024Z
O
I® H
LZ
'0
oz
z
a W
a/
W UJ
In
0.
WI
Z
O
a)
L �L
Orn
w
I
J
C N
O O
1 Q
Q
ca
€E
c' 0
I I I U
(a
U N
W >-< m
}= m
DQ<<
ac,WU)U)m
ZZWWQ
I --
J
O
d'
N
LO
N
0
x
caQ
W
N W
O
Cl
(0 0
N
a)
U)
z
to
O
z0
Z
d
F- Q
V) Z
00
-i-' C
OO
JI—
r
I -
0
O
co
z
I—
0
a
W
I-
0
0
N
O
06
M
IF -
0
J
U)
0
U)
U)
W
U)
U)
U)
0
0
>-
C
O
U)
C
O
U
..O
a)
N
0
ca
a)
4-
a)
U
C
C
Cn
U)
`+--
0
a)
a)
r:
o
C6 _o
o
U)
U)a)
a) L
Q w
a) -o
E
m
L
L
Q. O
W
I-
0
(a
U
0
C)
U)
U)
a)
N
O
p. -
('3O
0
C
C .2
.C
(0
O
C C
O
L o
O n a
� � E
E O O
O
-a L C
0 0 0
C > N
C
(6
L +. N
O
C Y 2L.
O O (')
!1- U O O a)
0
O a)
a) a) 0
O .n O
(CN 0 E
o -E C
C. a)
Eo
C) >
m.
U 0
N
4-
0
C
a)
CO
Cn
C
O
O
C
O
U
U O
C
E O
,tO .>
a)
>-.
C
(C1 O
a) C
O
O U
O
0-
"O -C
O
> 0_
a)>,
fl C
tt3
CL.
4-, O
a)a)
C_ a
�)E
O
Land Use Permit Application Review Checklist
Submission #: `,"
Tax ID:
S -T -R:
Town:
What zoning district is the project located in?
Li R-1 ❑R-2 ❑R-3 ❑R-4 GI-R-RB ❑C ❑I ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W ❑M -M
'Q Yes ❑ No
Does lot meet the zoning dimensional requirements or is it substandard?
Deed of record:
❑ Yes U 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 '`❑'No
Is the project located in the Floodplain?
Zone:
❑ Yes T7I No
Are there wetlands on the property?
E7. Yes ❑ No
Is project associated with a nonconforming use or structure?
[ ..Yes ❑ No
Does the project require sanitary?
Sanitary Permit # � Public System:
# of bedrooms:
❑ Yes 1f,No
Does the project require an affidavit? ❑ LLC ❑ Trust
Affidavit #:
Number of Units: ;-
Number of Bedrooms:
Number of Bathrooms: `z
Number of Stories:
❑ 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):
"fl 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.
'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 P. 6'1Street
PO Box 403
Washburn, WI 54891
(715)373-6109
Lj'mit a hay iR ldeouffly\Vi,uuv
p VFIELD
Short -Term Rental Application Packet
This application packet contains information for a Short-term Rental permit through Baylield County Planning and
Zoning Department. Completed application can be mailed/emailed to the address/email above,
SECTION A: ESTABLISHMENT INFORMATION
Establishment Name ftabhishment l ax 1D 5
1 ac.4���ew dc,` lfS
6stahlishment Street Address City
�(a ' ���� r R, ,d � Vo It Cu L'Ac•
SECTION B: OWNER INFORMATION
Property Owner 13►nai I fldch css
-
Owner Mailing Address - C'it
y
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee (lua•urenMp. 1.I(. L1,, nr Inc.) Email Address
-
Licensee Street Address J City
2v _Lck
Agent Name (it applicable) Email Address
Agent Street Address 1(ity
SECTION D: RENTAL UNIT INFORMATION (see
Unit Unit 11) Structw.e I IIcatin water
Iyj e Source _So wee
0 o CJ
4
own/,City of
State Zip
WWI1,5u )i
Phone Number
State lip
Phone Number
Th
f�
.State r1Z.i
...-..—.._.._--
Phone Number
Sanitary Source I # of Stories
Li
Slate Zip
#of tof
Bcdroonisf Bathrooms
2b Z
House(H) Du flex (D) Cabin (C) Yurt (Y) ApartmentA)Condo (CC) Other (O), asc describe
Heating Source: — . — _ — —
Electric (1.;) Natural Gas (NG)_ Propane (P) _ Wood (W) Fuel (F) Other (O), Tease describe
Water Source Sanitary Source: —
Public'Municypal (M) Private Well( P) Public/Muniei gal (M) Private Onsite Wasteater System (P)
if
{{ 1