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Return to: 117 E 5t" Street, PO Box 58 Washburn, WI 54891 permits(albavfieldcou nty.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION 1c A County Use Only: Submission #:f 02108 Permit#: _ _____ Date: eneral Information Proper Owner Name: 17/ Authorized Agent Name (if applicable): Telephone Number: S-- o9-- 8aa o Telephone Number: - E -Mail Address: C fs e Wig LL G U E -Mail Address: J-• I. l0 e Mailing Address: P_ v. (So l2..1 Mailing Address: FED 03Z026 City, State, Zip �� S y y City, State, Zip: Planning and Zoning Agenc 3 7 3 7 Contractor: Telephone Number: E -Mail Address: SECTION B:Property Information Project Address ddiiI'erent froi 1 mailing ad ress): Le al Desc ption (if ad itional space is needed tta h separate sheet): ' / P/*t o br Gil Lot P�ac�C oaa4&GC1dT 2/C Section, Township, Range O5 rs ft,Q 7 w Town of: GIOI, a C Tax ID #: Z a. Lot Size (Acres/Square Feet): 0-170 ,,SECTION C: Project nforma�tion check;allthatapply) Project Use is: ❑ Residential IO 'Commercial ❑ Municipal If Commercial, estimated cost of construction: $ gp00 Project Type is: 0 New Construction 0 Addition/Alteration (existing structure) 0 Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A IIkOther (describe): ft a Cr -) required Total sq ft : required 'atos`i sicA SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: ❑ Residence ❑ Principal Structure (describe): 'Accessory Structure (escribe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured 5%. ` date): ❑ Shipping Container ❑ Other (describe): Foundation Type:: ❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace ❑ Ground E'Skids ❑ Other (explain): Existing Structure: Length: ')„ Width: 12.. Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/arches): Basement Sq Ft: I ISFloor Sq Ft: I Loft Sq Ft: 2nd Floor Sq Ft: 3'd Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: .Z. c' 0 Overall Height (finished grade to peak): 1 r It # of Stories: Existing II of Bedrooms on property: _ Proposed #of Redronms in project: Q SECTION E: RV and Sign Information check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page I SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application Infonnation for information that is required to he provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (ITT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N IN I_f �f h a !H .t\ I, I r CO t , l ° RECE;VEL 1i wI FEB 032026 Bayfield co. P'ann!ng and ?cning Ane Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 7 S ft. t' ft. Notes/Comments: — �r(Lnd�i Sal,& « klic e5 Front Lot Line/Right-of-Way 5 d ft. f. Side Lot Line I (Northas South West, circle one) 5 ft. tt � �1 ft. 1 �"� 1,I„, a� IirtSYY� UKl M , bacea! at Side Lot Line 2 (North East South es circle one) ft. ft. G< Mrs (Co p�j�J b '"1t Qp DO Rear Lot Line L+j ft. ft. ,. b, I. -w4 of try `( Septic/Holding Tank ft. ft. E_ .$PJ ' ' $J 6 V' - II �l 1t l('rQ f t�% 6(JM V Drainfield ft. ft. Privy ft ft. Well ft. ft. VJit , , ,,, C / V Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. f. Application Page 2 3-� �' SECTION G: Additional Questions ❑ Yes No Has the location of the proposed project including eaveeand overhangs and the sanitary system and well been staked? If no, what date will this be completed: a tJ , Ob 44-.j Yes El 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. es El 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 Application Information for required setbacks. es El No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes o Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? El Drainfield El Holding Tank ❑ Municipal/Public ❑ Other (describe): El YesIo 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) El debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card?LLC. A n� a' LO v ❑ Mail to: OR I�'Email to: e l S- e V e J ❑ Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): Section H: Acknowledgement and Si attire 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/topic/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 (ow) 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: f`Ot O " ( L, O,^ C MJ. $6r' 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, ag� ors V must all be aware of permit details & conditions and permit card must be posted on property prior to s t. FEB 03 2026 Application Page 3 Bayfield Co. Planning and Zoning Agency 2/4/26, 8:11 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 2/4/2026 Description Updated: 12/18/2023 Tax ID: 12229 PIN: 04-014-2-50-07-05-4 00-238-05000 Legacy PIN: 014110503000 Map ID: Municipality: (014) TOWN OF CLOVER STR: 505 T50N R07W Description: PLAT OF ORCHARD CITY LOT 2 BLOCK 2 IN 2022R-594599 816 Recorded Acres: 0.160 Calculated Acres: 0.161 Lottery Claims: 0 First Dollar: No Zoning: (C) Commercial ESN: 109 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 014 TOWN OF CLOVER 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE 047090 CLOVER SANITARY #1 Property History ' Recorded Documents Updated: 3/15/2006 N/A ® WARRANTY DEED Date Recorded: 5/12/2022 2022R-594599 O QUIT CLAIM DEED Date Recorded: 11/15/2016 2016R-566183 ® LAND CONTRACT Date Recorded: 10/26/2007 2007R-517209 982-433 © CONVERSION Date Recorded: 472-269;676-350 Property Status: Current Created On: 3/15/2006 1:15:14 PM a Ownership Updated: 12/18/2023 BRANDON & RUTH E MADISON HERBSTER WI Billing Address: BRANDON & RUTH E MADISON PO BOX 121 HERBSTER WI 54844 Mailing Address: BRANDON & RUTH E MADISON PO BOX 121 HERBSTER WI 54844 T Site Address * indicates Private Road N/A 19 Property Assessment Updated: 4/29/2013 2026 Assessment Detail Code Acres Land Imp. G2 -COMMERCIAL 0.160 7,300 0 2 -Year Comparison 2025 2026 Change Land: 7,300 7,300 0.0% Improved: 0 0 0.0% Total: 7,300 7,300 0.0% https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=12229 1/1 2/4/26, 8:11 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 2/4/2026 S Description Updated: 12/18/2023 Tax ID: 12229 PIN: 04-014-2-50-07-05-4 00-238-05000 Legacy PIN: 014110503000 Map ID: Municipality: (014) TOWN OF CLOVER STR: S05 T50N R07W Description: PLAT OF ORCHARD CITY LOT 2 BLOCK 2 IN 2022R-594599 816 Recorded Acres: 0.160 Calculated Acres: 0.161 Lottery Claims: 0 First Dollar: No Zoning: (C) Commercial ESN: 109 r Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 014 TOWN OF CLOVER 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE 047090 CLOVER SANITARY #1 ''' Recorded Documents Updated: 3/15/2006 0 WARRANTY DEED Date Recorded: 5/12/2022 2022R-594599 0 QUIT CLAIM DEED Date Recorded: 11/15/2016 2016R-566183 0 LAND CONTRACT Date Recorded: 10/26/2007 2007R-517209 982-433 0 CONVERSION Date Recorded: 472-269;676-350 Property Status: Current Created On: 3/15/2006 1:15:14 PM S Ownership Updated: 12/18/2023 BRANDON & RUTH E MADISON HERBSTER WI Billing Address: Mailing Address: BRANDON & RUTH E BRANDON & RUTH E MADISON MADISON PO BOX 121 PO BOX 121 HERBSTER WI 54844 HERBSTER WI 54844 T Site Address * indicates Private Road N/A ® Property Assessment Updated: 4/29/2013 2026 Assessment Detail Code Acres Land Imp. G2 -COMMERCIAL 0.160 7,300 0 2 -Year Comparison 2025 2026 Change Land: 7,300 7,300 0.0% Improved: 0 0 0.0% 7,300 7,300 0.0% lTotal: LV Property History ilG https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=12229 1/1 Bayfield County, WI 2/4/2026, 8:13:52 AM 1:373 L — Approximate Parcel Boundary — Town Road Type State Building Footprint 2015 Building 0.01 0.02 ml 0.01 0.01 0.02 km aeydee county land Records DepaMnnt 9ayfeid Coe ty ZceS'g 4,�calion lips/Sapeeayilaidmuntywi grvloningWAal Bayfield County, WI 2/4/2026, 8:12:48 AM 1.500 Tie Lines 0 Section Lines ® Town Meander Lines 0 Municipal Boundary Survey Maps Approximate Parcel Boundary All Roads UnRecorded Map State • Recorded Map Driveways Buildings 0 0.01 0.01 0.02 ml 0 0.01 0.01 0.03 km Bayfield BayWd County Lana Records Department Caps Irwaps.bayiie!drounty w!.govleayOe!C WAB/ Emily Macgillivray From: Emily Macgillivray Sent: Thursday, February 5, 2026 11:40 AM To: elsiebluellc@gmail.com' Subject: Land Use Permit Application Hi Brandon and Ruth, I should be on -site to check setbacks for your Land Use Permit application this afternoon. I saw on the tax records that the property is listed in both your names, not the LLC. Do I have your permission to change the application to list "Brandon and Ruth Madison" as the owners rather than Elsie Blue LLC? If you have any questions for met, please let me know! Thanks, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117 E 5`h Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.macgillivray(bayfieldcountv.wi.gov Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our office at zoning(bayfieldcounty.wi.gy or 715 373-6138 with any questions or concerns. kavj% JJ -4 U e+* <+id art''" Land Use Permit Application Review Checklist Submission #: — What zoning district is t e project located ln? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB C❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M Yes ❑ No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: a / 0( ✓ Q/ Yes ❑ No Ithe project located in he Shorelands (Shorelands are lands within 300 fe of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whlchevd is greater)? ❑ Yes No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes N Is the project located in the Flood plain? Zone: ❑ Yes cwSio Are there wetlands on the property? ❑ Yes N ' Is project associated with a nonconforming use or structure? ❑ Yes o Is project associated with a variance? Case #: ❑ Yes ISfli�v Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes 04i0 Is the project associated with a Special A Use Permit? ❑ Yes 910 Does the project require sanitary? ❑ Existing ❑ New O Intercept O Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes GY4o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: Q'Yes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? �j'es ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? ❑�Re"sidential ❑ mmercial ❑ Municipal Project type is? �W Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement 0 Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: ❑ Residence ❑ Principal Structure ccessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: Number of Stories: f Overall Height: I Fee Type Calculation Fee Amount ❑ Dwelling Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $075 x s ft q (minimum $125) $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ ❑ Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) $ ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x sq ft (minimum $75) $ ❑ Co mercial/Municipal Principal Structures $250+$0.005 x cost of construction (minimum $250) $ Commerclal/Municipal Accessory Structures $150+$0.005 cost of construction (minimum $150) $ ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: J1 Oa Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved y: Date of Approval: Condi (s): ust mee nd maintain setbacks fr m furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. for human habitation or sleeping purposes. I'town/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permitfrom the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. ❑ A Uniform Dwelling Code (UDC) Permitfrom 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 for a maximum occupancy of persons. ❑ Sign 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 ❑ R/ must be removed by No sewer and pressurized water allowed in the structure. ❑ 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 ❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required ❑ Sanitation requirements must be met (if applicable) ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: FIELD Bayfield County Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number. MADISON, BRANDON & RUTH E LU-02108 PO BOX 121 HERBSTER, WI 54844 Transaction Number. LU-02108-3D3E7 undefined, Description Amount Commercial/Municipal and Accessory Structures - $190.50 $150.00, plus $5.00/$1,000 cost of construction Total: $190.50 Payment Amount: $190.50 Reference: 1969 & 1968 Paid by: Elsie Blue LLC Payment Type: Check Transaction Date: 2/6/2026 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 — Yes / Nonconforming — No Shoreland — Yes / Impervious Surface — No Floodplain — No I Wetlands — No Mitigation — No / Affidavit #: LAND USE —X X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0052 Tax ID: 12229 Issued To: MADISON, BRANDON & RUTH E Location: S05 - T50N - R07W Town of Clover Legal Description: PLAT OF ORCHARD CITY LOT 2 BLOCK 2 IN 2022R-594599 816 Commercial Structure in C zoning district For: New Construction [1 - Story ], Accessory Structure on Skids [240 Total sq. ft. ] Height of 11' 6" (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 Emily Macgillivray 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. February 06, 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): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting. To be constructed per plan. No sewer and pressurized water allowed in the structure.