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117 E 5'h Street, PO Box 58 Bayfield County Planning and Zoning Department
Washburn, WI 54891 LAND USE PERMIT APPLICATION
permits@bayfleIdcountv.wi.gov
County Use Only:
Submission #: I -U -
Permit #: ab• oogq
Date: 4 / 1 ?'oa
SECTION A: General Information
Prop Qr•ne(' `ame: /; C/ vt
Authorized Agent Name (if applicable): ENTERED
Te host e(NaamNNber
T ephoneNumber: /n� ��
�l' C'q�
J COC
E- ailaAdli� n N
E -Mail Address: RECEIVED
M ' ddressiw
Mailing Address:
3CcXtAJ4/fcd,ttb
MAR 197076
Cit Stateip: ,dd b ,-', 7
City, State, Zip:
Contractor:
Telephone Number:
E -Mail Address: Planning a,.d •-smog
SECTION B: Property Information P11J c -2 — //St Y- 3
Project Address (if diff nt from mailing address)'
/--A& ?,t -b, &A"fs WI
Q, v ) d4
Legal Description additional space is ce4ed, �tta`ch� a separate shee
gW 3' (if 5 p5 l tpi ti) �G �2 (,()5067 ! 36bft
Section, Township, Range: 1. 34 fi.1a4:Town
of: s
Tax [D #: 7
Lot Size (Acres/Square Feet): /a, 973
- - - - - - _
SECTION C: Project Information (check all that apply)
Project Use is: 4esidential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: O New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) O Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign O Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Cla A pp (,Other (describe:
Lh� ee s I£
,S L
required (Total sft): required 1T'% 1:;
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E ,
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
❑ Accessory Structure (describe): O Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
❑ Shipping Container 0 Othe (describe):
o ti-€ 6fleM41 smb
Foundation Type: ,,-
L
i e
❑ Basement ❑ Walkout Basement O Slab O Crawlspace ❑ Ground O Skids l Other (explain): 9 r
Existin g Structure: Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches): t t
Basement Sq Ft:
1" Floor Sq Ft:
Loft Sq Ft:
2°d 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:
K" ,
Overall Height (finished grade to peak):
# of Stories:
Existing # of Bedrooms on property:
j Proposed//of Bedrooms in project:
SECTION E: RV and Sign information (check all that apply)
Sign is:
R V is:
❑ New O Replacement
❑ On -premise ff-premise
O New n O Replacement
j A
❑ 1 -sided sided
v
Year: Vin#:
❑ On -building O Multi -Tenant
Length: Width: Height:
Make: Model:
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 O Frontage Roads (include name) El Existing Structures ❑ Well (W) El
Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑
Lake ❑ River ❑Sheam/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
N
c JVED
TITTflI
MAR 19 2026
Planning and Zoning Agency
II
Srk(] �9t'iI/ st,,d
lU
ri
CO$�
DPoT F' c `.
Tabb
6&b1
OR Uc way
Rbg,Nso"�
GGtCt ���
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline
"- ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
. ) ft.
ft.
Side Lot Line 1
R
ft.
orth outh West, circle one)
I V
Side Lot me 2
ft.
/ ft.
J
(North East South circle one)
Rear Lot Line
-: R.
ft.
Septic/Holding Tank
'2 S ft.
ft.
Drainfield
4250 ft.
ft.
Privy
ft.
ft.
Well
joOft.
ft.
Existing Structure/Building
ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe)
ft.
ft.
• E f9LAk)
RECEIVED
MAR 19 2026
Bayfield Co.
planning aid Zoning Agency
3.
fl
l
i
UlLtc. i
• ) I NO44JA-`
K
MAR 19 2026
Baylield Co.
-.'.ninn AflenCV
SECTION G: Additional Questions ---_.,.._ _._ ..__ _.... .._.._. _ _..
❑ Yes
No
Has the location of the proposed project including eaves apd overhangs and the sanitary system and well been
staked? If no, what date will this be completed: q 8t
❑ Yes
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.
Yes
❑ 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.
Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
Drainfield ❑ Holding Tank O Municipal/Public ❑ Other (describe):
❑ Yes
V No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ Yes
No
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and
inspection requirements.
lithe project associated with any of the following: ,t /,., A / E
❑ Rezone O Class A Special Use O Class B Special Use ❑ Conditio2 Use O Variance /
Fee ayment will be made via: / Q Y * 3. x ..-2O S & 7. Z
Check (attached) ❑ Cash (attached) O debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
l 6fail to: OR O Email to:
❑4operty Owner Address O Agent Address O Contractor Address O 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. 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 witen 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.aov/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
(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 reasonable time for the purpose of inspection.
r^
J 3[ A) E.4I£-e
Owner(s) or Authorized Agent Printed Nam
Owner(s) or Authorized Agent Signature. Datu�J'>
NOTES:
1. If you are signing on behalf of the owner(s) a letter of authorization company 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.
5 3/25/26, 7:30 AM Novus-Wisconsin Access rev. 12.0206 7>
Real Estate Bayfield County Property Listing
Today's Date: 3/25/2026
Z Description
Updated: 10/23/2024
Tax ID:
3147
PIN:
04-004-2-45-09-34-3 03-000-20000
Legacy PIN:
004121902000
Map ID:
Municipality:
(004) TOWN OF BARNES
STR:
534 T45N R09W
Description:
W 396' OF SW SW IN DOC 2024R-605051
1355A
Recorded Acres:
12.273
Calculated Acres:
12.273
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(F-i) Forestry -1
ESN:
104
Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
004
TOWN OF BARNES
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
Property Status: Current
Created On: 3/15/2006 1:14:50 PM
a Ownership Updated: 10/23/2024
RODNEY C & CAROLE JEAN BALER ELMWOOD WI
Billing Address:
Mailing Address:
RODNEY C & CAROLE JEAN
RODNEY C & CAROLE JEAN
BAIER
BAIER
N739 COUNTY RD D
N739 COUNTY RD D
ELMWOOD WI 54740
ELMWOOD WI 54740
P Site Address * indicates Private Road
4040 E ROBINSON LAKE RD BARNES 54873
L i Property Assessment Updated: 10/4/2016
2026 Assessment Detail
Code
Acres
Land
Imp.
GI -RESIDENTIAL
1.000
5,000
17,800
G6 -PRODUCTIVE FOREST
11.000
14,900
0
2 -Year Comparison
2025
2026
Change
Land:
19,900
19,900
0.0%
Improved:
17,800
17,800
0.0%
Total:
37,700
37,700
0.0%
4° Recorded Documents
Updated: 3/15/2006
D) QUIT CLAIM DEED
'� Property History
Date Recorded: 10/10/2024
2024R-605051
N/A
O PERSONAL REPRESENTATIVES DEED
Date Recorded: 9/19/2019
2019R-579136
2 (JJJn
3/
® WARRANTY DEED
Date Recorded: 5/9/2019
2019R-577368
® CONVERSION
Date Recorded:
418-11
® QUIT CLAIM DEED
Date Recorded: 7/5/1985
359344 418-11
® LAND CONTRACT
Date Recorded: 1/12/1976
304552 286-78
https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=3147 1/1
Land Use Permit Application Review Checklist
Submission #: >'
What zoning district is the project located in?
❑R-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M ❑A-1 ❑A-21 ❑F-2 ❑W DM -M
❑ Yes ,lo
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes I2i(o
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 t2q&
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes No
Is the project located in the Floodplain? Zone:
❑ Yes 04o
Are there wetlands on the property?
❑ Yes p'No
Is project associated with a nonconforming use or structure?
❑ Yes 04o
Is project associated with a variance? Case #:
❑ Yes 1710
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes
Is the project associated with a Special A Use Permit?
❑ Yes ja1Io
Does the project require sanitary?
❑ Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
❑ Yes ' 'No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes Ip-co
Does the project require an affidavit? Affidavit #:
❑ Yes p o
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes O'No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? -Residential ❑ Commercial ❑ Municipal
Project type is?,2'New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement 0 Sign
❑ Establishing a Business 0 Temporary ❑ Shoreland Grading 0 Other, describe:
Structure Type is: 0 Residence ❑ Principal Structure 12 -Accessory Structure 0 Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container 0 Other, describe
Total Sq. Ft. of Project:3b Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
❑ Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
$0.50 x sq ft
(minimum $125)
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
Non -Habitable Residential Principal and Accessory
s'tructures
3 3G s ft
O. x q :,A$
(minimum $75)
❑ Commercial Principal Structures
$250 + $0.005 x
cost of construction
(minimum $250)
$
❑ Commercial Accessory Structures
$150 + $0.005 x
cost of construction
(minimum $150)
$
❑ Municipal Principal and Accessory Structures
n/a
$0 (exempt from fees)
❑ Return Inspection 0 Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine
❑ After -the -Fact (ATF)
I $
Si
r
Inspected by:
Date of Inspection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
C�
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
over angs.
For personal storage only.
❑ For personal residence only.
,aicot for human habitation or sleeping purposes.
)2'twn/State/DNR/Federal may require permitting
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtai ed 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.
❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
1be 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:
K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk
B =YFIELD 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:
BAIER, RODNEY C & CAROLE JEAN LU-02152
N739 COUNTY RD D
ELMWOOD, WI 54740 Transaction Number.
LU-02152-42D8A
Description Amount
Non -Habitable Residential Principal and Accessory $75.00
Structures - $0.20/square foot (minimum $75)
Total: $75.00
Payment Amount: $75.00
Reference: 9434
Paid by: Rodney & Carole Jean Baler
Payment Type: Check
Transaction Date: 4/2/2026
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
X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0099 Tax ID: 3147
Issued To: BAIER, RODNEY C & CAROLE JEAN
Location: S34 - T45N - R09W
Town of Barnes
Legal Description: W 396' OF SW SW IN DOC 2024R-605051 1355A
Residential Structure in F-1 zoning district
For: New Construction [1 - Story ], Accessory Structure [336 Total sq. ft. ] Height of 12'
(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 Tracy Pooler
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. April 02, 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): For personal storage only.
Not for human habitation or sleeping purposes.
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 (if applicable).
To be constructed per plan.