The URL can be used to link to this page

Home My WebLink About26-0059Return to: County Use Only: 117 E 5t" Street, PO Box 58 Baytield County Planning and Zoning Department Submission #: LO-Oc}Oqg WasTburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a'b'OO __ perm st�ba fieldcounty wi.gov Date: cl- SECTION A: General Information Proper Owner N e: ' Authorized Agent Name applicable): Jaci &t,t Telephon umber: ''c- Telep one Number: '7 G S RECEIVED E -Mail Address: r / E -Mail Address: CLV & i & 0 t— JAN 142026ENTERED Mailing Address: / / Mailing Address: LLIILfP L/ctkt Bayfeld Co. City, State, Zip: �/ S3[� uTel7eplyqns City, Sta e, Zip: artflin9 a oning gency Contractor:/% eNu: � E -Mail A'ddTes^ /� / SECTION B: P o e Information Project Address (if differ�it frqm mailing addre ): / / e al Des ipti n (if additional sp ce s needed attach a separate sheet): 5 ijf #lU ( '/4/i� Section, Township, Range: V j'3 iZ O? Town of: C'/pJ&-k Tax ID # ' '' / fljj J Lot Size (Acres/Square Feet): /O//s SECTION c: ero ect Information (check all that apply) Project Use is: E Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: O'New Construction ❑ Addition/Alteration (existing structure) ❑ 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 ❑ Other (describe): required (Total sIt): required SECTION D: Structure Information Does not apply to RVs and Signs, go to Section E) Structure Type is: Residence C )01 t n ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement O Walkout Basement ❑ Slab l Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): .Existing-Struchure. Length: 3Z' Width: ?b'Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches,): Basement Sq Ft: 1't Floor Sq Ft: O�P 0 Loft Sq Ft:- 2"a Floor Sq Ft: i 3n' Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (de cribe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): j # of StorieExisting # of Bedrooms on property: Proposed # of Bedrooms in project: CZ eG. SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise L:: Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: t Make: Model: I Application Page 1 SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application Information for information that is required to be provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) El Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline ft. ft. Notes/Comments: XC n� V¢(t�,p(4 17 RECEIVED AS 6� r f � oL ✓" JAN 14 2026 � F3areew c<,. Planning and Zoning Agency Front Lot Line/Right-of-Way Scbcb ft. 4.o+- ft. Side LotLinel North as oath West, circle one) 55 ft. cJ�� Side Lot the 2 (North East South West, circle one) ft. / I7 it. Rear Lot Line 53ft. A- ft. Septic/Holding Tank ft. 4- ft. Drainfield ft. ft. Privy � Q 0 ft. Q ft. Well [k�e ft. _._. ft. Existing Structure/Building i ft. ft. Wetland i ft. ft. Elevation of Floodplain i ft. ft. Ordinary High -Water Mark (OHWM) i ft. ft. Other (describe) i ft. ft. Application Page 2 \P Z. 2J'x32� 1"34? (( )J.. /7• I�l I 1� ��.� RECEIVED kX7 ' JAN 14 2026 Bayfield Co. Planning and Zoning Agency 1•'�L cd !"7 ` V T SECTION G: Additional Questions Yes ❑ No Has the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: ❑ Yes N 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. 61 Yes O 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. N Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? LI,Drainfield ❑ Holding Tank O Municipal/Public ❑ Other (describe): C�Yes O No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? N Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): N.Yes ❑ No 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 O Class A Special Use ❑ Class B Special Use O Conditional Use O Variance Fee payment will be made via: IN, Check (attached) O Cash (attached) O debiticredit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? I k ❑ Mail to: OR' Email to: CoYry c� j aC.IL�O61 P • Cot/VI O Property Owner Address ❑ Agent Address O Contractor Address ❑ Other (provide name and email or address): Section H: Acknowledgement and Signature All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. 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. JAN 1 4 2026 The local Town, Village, City, State or Federal agencies may also require permits. The new construction of onba*tW o family dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. AdditioiFsadl4fl iTt?8R& ft9 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, pr.wi.gov/t�j/\.vetjjtI1ds, 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 (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 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 reaso able time for the urpose of inspection. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: Date: ?4 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, agents, & contractors must all be aware of permit details & conditions and permit card must be posted on property prior to start of project. Application Page 3 Em z -SIB x 4'-5h' __fl;_tL j j it RECEIVED JAN 142026 Bayfield Co. Planning and Zoning Agency s 1r in01 1/13/26, 5:26 PM 3d2.jpg m o RECEWtD JAN 14 2026 Bay ld �O Agency Planning and https://mail.google.com/mail/u/0/?tab=rm&ogbl#inbox/FMfcgzQfBGjMfnRmgwhJQWfpnrNHMGrR?projector-1&messagePartld=0.3 1/1 1/13/26, 5:25 PM 3dl .jpg RECEIVED JAN 14 2026 Bayfield Co. Planning and Zoning Agency https:llmail.google.com/mail/u/0/?tab=rm&ogbl#inbox/FMfcgzQfBGjMfnRmgwhJQWfpnrNHMGrR?projector-1&messagePartld=0.2 1/1 RECEIVED Letter of Authorization JAN 14 2026 Bayfield County Planning & Zoning Department Bayieij Co. Planning anzoning Zonp ADS' PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. 1, /ly1leu� J CCJ�c5� l(ope owner), authorize _G_'y Ja4�$wl (authorized agent) to submit a /2 ii ri /, Se (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: constructipn of residence or other structure, short-term rental or other use change, etc.) VPs j dnp application on my behalf for the following described property: Legal description of subject property: /O!� ( %�/U30 �//aQ lt% � 55f71/ y Address of subject property: /°&C ,Lki/'IL f/i / Signature Dated Ile,"4sl� 6/ 1/20!26, 8:42 AM Bayfield County GIS Web Map ® Bayfield County GIS Web a Lan codsle age [Z it -91.211 4. Bayfield County Land Records Department [� Powered by Esri https://maps.bayfieldcounty.wi.gov/BayfieldCountyGISMap/ 1/1 Bayfield County, WI 1/20/2026, 8:42:39 AM 2 ft. Contours from 2009 LiDAR Lake Superior I mile inland from the shoreline Index 2 R. Intermediate 10 ft. Approximate Parcel Boundary Building Footprint 2015 Building 6 C y"'- --'F am,. ^ . YLfy s 600 .b9a «. ly r+.l x. 1:840 0 0.01 0.02 0.04 ml 0 0.01 0.03 0.06 km eay1le county lad Ramrds Department BayneCounty Zoning Apploegon M1IIps l maps.Wyf&do unry.wigwQoningWA& 1/20/26, 8:43 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 1/20/2026 Z Description Updated: 6/3/2024 Tax ID: 12177 PIN: 04-014-2-51-07-35-2 02-000-40000 Legacy PIN: 014110004000 Map ID: Municipality: (014) TOWN OF CLOVER STR: 535 T51N R07W Description: LOT 15 CSM #1080 (LOCATED IN W 1/2 NW NW) IN DOC 2024R-603363 Recorded Acres: 9.840 Calculated Acres: 9.981 Lottery Claims: 0 First Dollar: Yes Zoning: (R-RB) Residential -Recreational Business ESN: 109 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 014 TOWN OF CLOVER 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE Recorded Documents Updated: 3/15/2006 ® WARRANTY DEED Date Recorded: 4/28/2024 2024R-603363 91 TRUSTEES DEED Date Recorded: 9/8/2021 2021R-590806 O QUIT CLAIM DEED Date Recorded: 6/4/2018 2018R-573146 ® CONVERSION Date Recorded: 466-327:777-788 Property Status: Current Created On: 3/15/2006 1:15:14 PM a Ownership CORY & JESSICA JACKSON ANDREW & KRISTIN JACKSON Billing Address: CORY & JESSICA JACKSON 30684 JOHNSON LAKE DR DANBURY WI 54830 ted: 6/3/2024 DANBURY WI WEBSTER WI Mailing Address: CORY & JESSICA JACKSON 30684 JOHNSON LAKE DR DANBURY WI 54830 11 Site Address * indicates Private Road 17060 BARK BAY RD ® Property Assessment 2026 Assessment Detail Code Gl-RESIDENTIAL G6 -PRODUCTIVE FOREST Updated: 6/3/2025 Acres Land Imp. 2.000 13,000 9,900 7.840 11,000 0 2 -Year Comparison 2025 2026 Change Land: 24,000 24,000 0.0% Improved: 9,900 9,900 0.0% Total: 33,900 33,900 0.0% L* Property History N/A https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=12177 1/1 Land Use Permit Application Review Checklist Submission #: O What zoning district is the project Wcated in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 -RB ❑ C El ❑ 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: ❑ Yes ❑ 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 IWiJo Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) the project located in the Flood plain? Zone: Are there wetlands on the property? Is project associated with a nonconforming use or structure? VIs Is project associated with a variance? Case#: Is project associated with a Special B or Conditional Use Permit? Permit#: Is the project associated with a Special A Use Permit? Does the project requir anitary? (5- ooH` 6 - Oo$ 7 0 Existing ❑ New Intercept I iReconnect 0 Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: ❑ Yes No / Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes I'Np Does the project require an affidavit? Affidavit #: ❑ Y No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? i'ces ❑ No Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? B'Ratential ❑ Commercial O Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use O Relocate O RV Placement O Sign ❑ Establishing a Busin≤t O Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: Shesidence ❑ Principal Structure O Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: Number of Stories: f Overall Height: Fee Type Calculation Fee Amount ❑ Dwelling Enclosed Areas — all enclosed areas within except attached non -habitable garages $0.75x _s ft q XYWdwelling (minimum $125) $ %7211 ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ i i rA ❑ 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) $ ❑ Commercial/Municipal Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial/Municipal Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Return Inspection O Land Use Revisions O Special Use Permit - Class A O Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: b►m (6111101 Gt cbt Re -Inspected by: U U Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: I( o Ga Cond�i "on(s): o4iust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. 0 For personal residence only. Not for human habitation or sleeping purposes. —❑ O /State/DNR/Federal may require permitting Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. ❑ A Uniform Dwelling Code (UDC) Permit from 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. ❑ jgn must meet the requirements of Article E of the Bayfield County Zoning Ordinance. LgTo 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 ❑ RV 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: P YFIELD Bayfield County Planning & Zoning Department 117E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner. Submission Number: JACKSON, CORY & JESSICA LU-02095 30684 JOHNSON LAKE DR DANBURY, WI 54830 Transaction Number: JACKSON ,ANDREW & KRISTIN LU-02095-3B85D 27979 LEE RD WEBSTER, WI 54893 Description Amount Habitable Residential Principal Structures - enclosed $672.00 areas $0.75/square foot (minimum $125) Habitable Residential Principal Structure - $91.20 unendosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $763.20 Payment Amount: $763.20 Reference: 5985 Paid by: Jackson Plumbing Payment Type: Check Transaction Date: 2/18/ 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 - No / Nonconforming - No Shoreland — No / Impervious Surface - No Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE - X SANITARY — Intercept 26-0057 & 24-122S SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0059 Tax ID: 12177 Issued To: JACKSON, CORY & JESSICA & JACKSON , ANDREW & KRISTIN Location: S35 - T51N - R07W Town of Clover Legal Description: LOT 15 CSM #1080 (LOCATED IN W 1/2 NW NW) IN DOC 2024R-603363 Residential Structure in R-RB zoning district For: New Construction [1 - Story ], Residence [Cabin — A] on a Slab [1352 Total sq. ft. ] Height of 17' (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 work or land use has not begun. 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. This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Emily Macgillivray Authorized Issuing Official February 18, 2026 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. Town/State/DNR/Federal may require permitting. A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. To be constructed per plan.