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Home My WebLink About26-0108TRECEIVED Return to: County Use Only: 117 E 5t° Street, 202EPayfield County Planning and Zoning Department Submission 4: I-Uoa'i 36 Washburn, WI 5 LAND USE PERMIT APPLICATION Permit it: O 1 O t Permits anbayfieldcoot%ffvli v Date: 4 Ii a•• SECTION A: General Information Property Owner Name: Authorized Agent Name (if applicable): Eid1ERED SPLIT SmrmmE LLL CNlus pAQKc)2 Tele hone Number: Telephone Number: u P 1 �S - sgo tl00C p 71C- SSO — OOO 1 E -Mail Address: E -Mail Address: NWIA2 e YA.koo, torn Mailing Address: Mailing Address: R golf Sl Po BoX _ City, State, Zip: CALL _LL S Zk City, State, Zip: bbl e , o ( t 1541 Z 1 Contractor: I Telephone Number: I E -Mail Address Project Address (if different from mailing address): 11 i q g0 Gv. 4wV M /t l- aL�t� i S42� Legal Description (if additional space is needed attach a -separate sheet): 7 tl E,jj4tonitt o}sec•17T 3 -R W bEMC alotl Ew Section, Township, Range: Sec l7 t 7 42 psj_ R-•fw Town of: Cob Tax ID #: Lot Size (Acres/Square Feet): 3 228 gc'KS SECTION C: Pro•ect Information .check ail that 1. Project Use is: ❑ Residential ❑ Commercial 0 Municipal If Commercial, estimated cost of construction: $ Project Type is: ❑ New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) 0 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): Structure Type is: ❑ Residence ❑ Principal Structure (describe): Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured 5WtAII Ca b% rt date): ❑ Shipping Container El Other (describe): Foundation Type: -t Wt b e✓' ❑ Basement 0 Walkout Basement ❑ Slab ❑ Crawlspace ❑ Ground ❑ Skids S Other (explain): &, 1p5 i✓t- Eristine Structure: Length: UA Width: 2Z Height: 12 F -r Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade Basement Sq Ft: I9 Floor Sq Fr O Loft Sq Ft: 2"° Floor Sq Ft: 3'° Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: 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 en etv ..v.v F. Sttc Plan _ attach s: Information for infor Hilt o rte on Show n that is ,plan or draw site plan in box below Su is Bch ! _ of Land Use Permit in Field ( Iocatioo of: re cared to be trovid ❑ Driveways ❑ F ed on site Ian ( 16 Holdi ronta ❑ n Tank (HT) lj epnoad(Pi°Glade name) 0 Existing Straetares`WWell ( W)^O Septic Tank (ST) O Drain Field (DI N ) ❑ Lake ❑ Rivtt ❑Stream/Creek ppond ❑Floodplarn O Wetlands ❑Slopes over 20/ CO�7 Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline 3 3 ft. 7) =ft. t ft. Notes/Comments: Front Lot Line/Right-of-Way j 295 ft. Side Lot Line 1 (NorthDEast❑South West❑. check one) QQ ft. I . ft. y Side Lot Line 2 (Mort :as[❑South❑West❑, check one) ft. 305 _ ft. T' 5 Rear Lot Line pg ft. -- ft. Septic'Holding Tank i-iS ft. Drainfield ft 1 l o ft. v,;a AFo N ft. ft. Well 255 Existing Structure/Building J Lf7 ft. ti ft. Weiland NofNE ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) R Ii. I 2 RECEIVED MAR 112026 SEC 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 O 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. V -Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? Drainfield O Holding Tank O Municipal/Public O Other (describe): ❑ Yes 1�,'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 ❑ Munici al/Public ❑ Other (describe): ❑ 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: O Rezone O Class A Special Use ❑ Class B Special Use O Conditional Use O Variance Fee payment will be made via: ❑ 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? ❑ Mail to: OR'4mail to: O Property Owner Address Agent Address ❑ Contractor Address O Other (provide name and email or address): Section H A Sae". fknowledgeementand from if construction or use has not begun. Sanitary permit All Land Usethe date of issuance Permits expire Two (2) 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. 1 (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. t: hvlSgo .Pile ,_i E��.V Owner(s) or Authorized Agent Printed Name: Date: 3 / 2G Owner(s) or Authorized Agent Signature: 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 ".ECEIVED !eIAR 1 1 2026 PAt fl C% ❑ Yes o Will new electrical installation occur with project/structure? If yes, contact State for inspection requirements. ❑ Yes No Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements. ❑ Yes jJlo Is the project/structure to be used for commercial purposes? If yes, contact the State of Wisconsin Commercial Buildings & Structures to determine if they require review and approval. ❑ Yes .No is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the FEMA Map (https://mse.fema.gov/portal/home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance (hnpsi/www.bayfieldcounty.wi,gov/71_I/Title- /Avww.ba fieldcount y.wi.gov/7l I/Title-13---Zonine-Code . ❑ Yes ,..No Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage (whichever is greater)? If yes, shoreland regulations will apply. ❑ Yes Jlo Is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface Form (httns://www.bavfieldcountv.wi.gov/DocumentCenterfView/3 I 59/Imervious-Surface-PDF . ❑ Yes No Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map (https://dnrmaps.wi.gov/H5/?Viewcr=SWDV). 'S -Yes ❑ No If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of - — driveway? ❑ Yes No Was the property purchased recently? If yes, include a recorded deed. A copy of recorded deed can be acquired from the Bayfield County Register of Deed's office. -Yes O No Is a site plan included with all information requested on Page I of the Land Use Permit Application Information? If no, a site plan with all applicable information on Page I is required for all submissions. ❑ Yes No Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these structures. ❑ Yes OkNo If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use Permit Application Information been included? ❑ Yes No Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the - fact fee will a I . If not rmittable the structure will need to be removed. Yes ❑ No If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application Information? If no, be aware that it is the property owner's responsibility to show the structure was legally placed and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40 (https://www.bayfieldcounty.wi.gov/7 I I/Title-l3--Zoning-Code), p -Yes O No is the use of the project/structure allowed per Bayfield County Section 13-1-62 (https://www.bavfieldcountv.wi.gov/71 i/Title- 13---Zoning-Code). If no, be aware it is the property owner's responsibility to show the use was legally established and there may be limitation to expansion of the use, see Bayfieldfleld County Section 13-1-40 (httos://www.bavfieldcounty.wi.gov/71 I/Title- 13---Zonin-Code. 'Yes O No Have all fees been included with the completed application? See Fee Schedule on website (httosJ/www.bayfieldcounty.wigov/1389/Fee-Schedule). If no, all applicable fees need to be paid before permit can be issued. Yes O No Is property owned by multiple owners or is someone aside from the property owner applying? If yes, a Letter of Authorization Form needs to be included. Form available on website htt s://w'�w.ba -fieldcount ,.wi_pov/1340/A lications-forms . Yes ❑ No Is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority needs to be included. Forms available on website (httns://www.bayfreldcounty.wi.gov/1340/Aoolications- Forms. Yes O No Is Land Use Application completed and signed? Land Use Permit Application Information Page 6 VAR 112026 Bgyfield Co. planning aj1d Zoning Agency HAYFIELD COUNTY CERTIFIED SURVEY MAP# 2435 LOCATED IN GOVT. LOT 2, SECTION 17, T43N - R7W, TOWN OF CABLE, HAYFIELD COUNTY, WISCONSIN. LANDS TAXIU& 39668 TOTAL AREA 173,480.28 SOFT 3.982 ACRES LANDS TAXID#:39668 CJ DOCUMENT NUMBER 2026R-610650 VOL: 14 CSM PAGE: 85-86 MAP#:2435 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 01/09/2026 AT 1:30 PM RECORDING FEE: $30.00 PAGES:2 143,238.04 5 W LAND TAXID39667 N N � o Ln O sxm iA15OS2. 586.32'49"E 150.83'(ANDS LOT2 'va. TAX ID 39667 5 -aNN a w��.. LOT2 , "'""�/ 0 0.694 SOFT �* "��/// 0.690 ACRESM`'�9' 15092' POD 2618.49' 15623S'4:.—__.._L_�_ N86YSD2"W 41� FO. 1'TOP SURVEY CAECC114 —C/L CNTYH _ m 1 SPIKE CORNER N85'5950'W 526327' W 1/4 CORNER . (0185 $9'47"IV 526332') LANDS 0185 59'47"W SEC17-T43N-R7W (N85 -59'45'W 5263441 LANDS 8817 665.00' FD. 578' IRON ROD LEGEND E114CORNER SEC17-T43N-R7W • SETS/8'X 18"SQ IRON ROD, WT=1.328#/FT PLSS CORNER (AS NOTED) - 0'Y� PROPERTYUNE OSTRUCTURE OVERHANG Q FOUND 5/8"SQ IRON ROD S -SEPTIC ' W- WELL 5DM4Yff: , cLL ( l� SCALECUEN: INCHIAlS 1 SCALE: ]WOLP 110 TODD GOMD-RL521B9 FIELD WMK DATE: 5/2012025 MAP DATE: IZW20 5 xmralB,K Fllf: 1743OZDWG GRAPHIC SCALE I ss jo 1 inch =11of SHEET IOfSHEET2 MAR 1 1 2026 . . Bayfield Co. Planning ad Zoning Agency BAYFIELD COUNTY ��?[ CERTIFIED SURVEY MAP # J.J ASURVEYLOCATED IN GOVT. LOT 2, SECTION 17, T43N- R7W, TOWN OF CABLE, BAYFIELD COUNTY, WISCONSIN. DESCRIPTION MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE EAST 1/4 CORNER OFSECDON 17- T43N -R7W, THENCE ALONG THEE - W QUARTER LINE, N85'5947'W 665.00; THENCE N02'34'35"W 48.20' TO THE NORTHERLY R -O -W OF COUNTY HWYM AND BEING THE POINT OF BEGINNING; THENCEALONG SALD R -O -W, N86'15'07"W 417.21; THENCE LEAVING SAID R -O -W, NO2'3435"W 419.19; THENCE 585'59'47"E 417.42; THENCE 502'34'35"E 417.42' TO THE POINT OF BEGINNING. SUBJECT TO ALL EXISTING EASEMENTS, COVENANTS, RESERVATIONS AND PUBLIC USE OF ROADWAYS. THIS SURVEY WAS MADE IN COMPLIANCE WITH CHAPTER 236.34 OF WISCONSIN STATUTES, AE -7 OF THE WISCONSIN ADMINISTRATIVE CODE AND THE SUBDIVISION REGULATIONS OF BAYFIELD COUNTY. AND THATI HAVE SURVEYED, DIVIDED AND MAPPED THE LAND HEREIN DESCRIBED, AND THE MAP IS A CORRECT REPRESENTATION OF ALL OF THE EXTERIOR BOUNDARIES OF LAND SURVEYED TO THE BEST OF MYKNO WLEDGE AND BELIEF. THIS SURVEY WAS MADE UNDER THE DIRECTION OFSPUTSTONE PROPERTIES LLC TODD C. OOOL D TODD C GOOLD un S-2489 PROFESSIONAL LAND SUR HAY WARD WISCONSIN REGK S-2489 WIS. 12/4/2025 STTwil BAYFIELD COUNTY PLANNING AND ZONING APPROVAL THIS BAYFIELD COUNTY CERTIFIED SURVEY MAP IS HEREBY APPROVED BY THE BAYFIELD COUNTY PLANNING AND ZONING DEPARTMENT. 'FMS, .DATE Tan. 8 �.0ZSo RUTHHULSTROM PLANNING AND ZONING Sheet 2 012 Sheets VAR 1 1 2026 Bayfield Co. Pbnning 8d ?-unin9 Agee% AFFIDAVIT OF AUTHORITY (Corporation, LLC, etc.) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a corporate/business entity. STATE OF WISCONSIN ss. BAYFIELD COUNTY The undersigned affirms and states as follows: 1. Address of Subject Property: I L+890 Co. H -WY. M. Ca bW e , W I S4 i Z 2. The Subject Property is owned by: SPIT S jog6 PROPERTIES L_L.C (Name of Company) 3. The name(s) of the current President or Managing Member: CNRIS70El1tP_ ff-Rk� 4. I certify that the company named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Company named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to the Bayfield County Zoning Department concerning the Property described in paragraph 1. I further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. I am authorized by the above -named Company to apply for and bind the Company to the terms and conditions of any decision or permit issued by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnity Bayfield County or such person or legal entity suffering a damage _resulting from any illegalities of the application. Dated: 3r cD ^ 21" Vuu1z pkt r -Poiytwv Print Name Subscribed and sworn to before me this i0 day ofMorri't .201k. p�r'•......F!rfOOis NOTARY Notary u icc County, Wisconsin —t`.- My commission:______________________________ PUBLIC S?'•.. ..?ate:� i#�7p i s'`, Y.ECEIVED MAR 112026 Bayfield Co. planning a, ld Zoning Agency PROCESSING INFORMATION INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for completeness. If the information is not complete, the department may reject your affidavit and the application. REQUEST FOR MORE INFORMATION. The department may request that you provide more information or evidence to support your affidavit. DECISION. The department will review all documents submitted as part of the application for registration and title, this form included, and may approve, deny or request more information. Land Use Permit Application Review Checklist Submission #: LLi. - D What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes Jqio Is lot substandard (doe 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 2½o 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 No Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes q Is project associated with a variance? Case #: ❑ Yes >No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes'7do Is the project associated with a Special A Use Permit? ❑ Yes 4o Does the project require sanitary? ❑ Existing ❑ New 0 Intercept ❑ Reconnect 0 Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: ❑ Yes o Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes ≥ttsJo Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? esidential 0 Commercial ❑ Municipal Project type is? ❑ New Construction 0 Addition/Alteration ❑ Change Use , I:Relocate 0 RV Placement 0 Sign ❑ Establishing a Business Temporary 0 Shoreland Grading 0 Other, describe: Structure Type is: esidence ❑ Principal Structure 0 Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/streened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: 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) $ on -Habitable Residential Principal and Accessory Structures $0.20 x sq ft (minimum $75) $ 6O ❑ 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 0 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) $ Inspected by: �j3 Date of Inspection: Re -Inspected by: Date of Re-Inspectio . Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: p� c, Date of Approval: iF Condition(s): JP lust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. O For personal storage only. O For personal residence only. Clot for human habitation or sleeping purposes. ❑ Town/State/DNR/Federal may require permitting O A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. O A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). se best management practices to limit and prevent erosion during construction. O This permit cannot be transferred if property is sold. O A Bayfield County Health Dept permit is required. O 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. O To be constructed per plan. O 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. O RV allowed for O RV must be removed by o sewer and pressurized water allowed in the structure. o plumbing or plumbing fixtures allowed. o 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 ;E Land use permits shall be obtained prior to the initiation of construction or a change in land use O Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required O 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 P ' 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: SPLIT STONE PROPERTIES LLC PO BOX 56 CABLE, WI 54821 Description Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number: LU-02136 Transaction Number. LU-02136-43CC2 Amount $100.00 Total: $100.00 Payment Amount: $100.00 Reference: 9052 Paid by: Split Stone Properties LLC Payment Type: Check Transaction Date: 4/13/2026 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 TEMPORARY Substandard — No / Nonconforming — No Shoreland — No I 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. 26-0108T Tax ID: 39819 Issued To: SPLIT STONE PROPERTIES LLC Location: S17 - T43N - R07W Town of Cable Legal Description: LOT 1 CSM 2435 IN DOC 2026R-610650 Residential Structure in C zoning district For: Temporary, Residence on Timber Cribbing [880 Total sq. ft.] (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 Scott Roush 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 13, 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. Use best management practices to limit and prevent erosion during construction. 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.