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HomeMy WebLinkAbout26-0035Z O U) Z U 9oz Q W n W W a WI Z CD 0) LL. 0) L �L O cr ice+ (1) d) C^ 0u) ow I-0 O C' 00 U N Z ❑ N W (1S w F - z W W z Cl 0o (N F- a) O (1] z2 O z o G u) z OO OO J F- M N. O N. O LO O O N N. N. ti d O T- 09 z z z w U O N. 00 T IL LO N. tC N. U I - O N C C O N m .E E L � c � WI u 100 IL ci d) i O (0 d) ci 0 C a) ci a) T5 0 U) C O (I) C (0. ci a) 9- a) 1O O a) a O C O E x 10 E 10 O 10 10 C a) E a) t O C E 0) 0) 0) 10 E O N C C O U C O U 2 U) C 0 a) N 0 C (0 U) 9- U C a3 U) U) 4-- O m C a O U O 0) C U) 0 U) N .C O 9- O N O N N N CO C CO 0 O a4- a � C C .0 .C U) E O 0 C O O U a a C0 E 0 N a) C C 0 00 C >, C 0 O C a C C O O O a) U_ � C 00 U) Q U) o L 00 E o E C C} a) U)E� 0) O > C a) O C c) U) C O O C 0 U U) C ca E o Q C O D0 Q) C Y 0 O O o p -C 0 >> 0. E "0 0 00 O Q ?2 E H o Land Use Permit Application Review Checklist Submission #: S Ti2—Or c ,(4 Tax ID: Lj1 Lr S -T -R: p`1V L(�-O(, Town: 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 Does lot meet the zoning dimensional requirements or is it substandard? ,'No Deed of record: ❑ Yes `RYNo 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 `l1No Is the project located in the Floodplain? (( Zone: ❑ Yes No Are there wetlands on the property? Yes ❑ No Is project associated with a nonconforming use or tructure XYes ❑ No Does the project require sanitary? Sanitary Permit # < `V Public System: # of bedrooms: ❑ Yes )4No Does the project require an affidavit? ❑ LLC ❑ Trust Affidavit #: Number of Units: I Number of Bedrooms: Number of Bathrooms:.a, 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): 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 E 6111 Street PO Box 403 Washburn, WI 54891 (715)373-6109 1r� rraiif rt'trdyarlt4�ourityw 'ov J _, YFIELD Health Zonin Submission # Fee Paid Refund Permit # Date Issued Short -Term Rental Application Packet This application packet contains information For a Short -Term Rental permit through Bayfield County Planning and Zoning Department. Completed application can be r))ailetllernailed to the address/email above, SECTION A: ESTABLISHMENT INFORMATION Establishment Name Establishment Tax II_) { 'o'n/City of Establishment Street Address City State Zip 1 k'oad C? (,(' (,{ / (/ 2) SECTION B: OWNER INFORMATION Property Owner Email Address I Phone Number ' - 1 Owner Mailing Address 1 I tt-a e Z Tip SECTION C: IF OPERATING WITH PARTNER OR AGENT t,egal Licensee (partnership�,LI (', I,LP, or Inc.) Email Address Phoneme Number �/�(�p Licensee Street Address I City State I Zip® __� Agent Name (if applicable) J Email Address Phone Number Agent Street Address I City SECTION D: RENTAL UNIT INFORMATION (see 1, Unit 1. )nit ID Structure —.E?e-..___. Heating Source Water Source 4 Structure Type: house(II) DLplex (D) Cabin (C) Yurt (Y) A )alCmerit Heating Source: Sanitary Source i of Stories v-tI J1ate[ZiP #oF floc Bedrooms Bathrooms Condo_(CO) Other (()),please describe Electric (p) Natural Gas (NU) Propane (P) Wood (W) Fuel (F) Other (O), )lease describe Water Source: Sanitary Source: —_ Public/Municipal(M) Private Well I(') Public/Municipal(M) Private Onsite Wastewater System (P) Ei it 3�J 4 "� Site Plan Show location of: ❑ Driveways ❑ Frontage Roads (include name) L7 IF'xisting Structures ❑ Well (W) ❑ Septic Tank (Si) ❑ Drain Field (DF) ❑ Holding Tank (I -FT) ❑ Lake ❑ River Li Stream/Creek ❑ Pond F] Floodplain ❑ Wetlands ❑ Slopers over 2U°„ N Setbacks from furthest extent including eaves and County Ilse Only overhangs of structure to: Verified setbacks Road Centerline ft, ft. Notes!Comments: Front Lot Line/Right-of-Way ft, ft. Side 1.ot line I ft. Ii. (North Gast South West, circle one) Side Lot Line 2 ft. ft. (North Fast South West circle one) Rear Lot Line ft. ft. Septic 'Holding Tank it. ft, Drainfield I ft.I ft. Privv I,� Well_____ ft. Existing Structure`Building ft, ft, Wetland I ft. 1 ft. I} Elevation of Floodplain ft. � ft, Ordinary I ligh-Water Mark (OH WNl) ft. ft. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. 2 Bayfield County Planning and Zoning Short -Term Rental Permit PLANNING AND ZONING QUESTIONS Is the property in the shoreland, within 300 feet ofariver/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater? I❑ Yes No O Unsure 2. Is there a wetland located on the ❑ Yes O No tlUnsure 3. Is there a floodplain located on or near the propert, 4. Is this project associated with any of the following Variance 5. Did you contact the town to see if an ❑ Yes © No !.Unsure ❑ Rezone El Conditional Use ❑ Special Use its/requirements apply to your toroiect? ❑ Yes ❑ No Zoning Department Ilse Permits: Short -Term Rental permits through Bayfield County Planning and Zoning Department are non -transferable, except as per the exemptions identified in ATCP 72.04(3). Short -'term Rental permits are regulated by Baylield 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 1 2 Linits : $ I M0o 3 units : $1,500 4 units : $2,000 To ensure your application is complete and can be processed by the Department, check you have the following items: El Applicant Intbrrnation (Page 1) El Site Plan (Page 2) El Floor Plan(s) — Provide sheet for each floor within each twit. 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 Baylield 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 ofticiaIs charged with administering county ordinances to have access to tl above -described property at any reasonable time for the purpose of inspection. ,: Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: /ter .,-t� � ) Date: L NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. Ll1 t<< r r e 3