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Home My WebLink About26-0121117E6'"Street PO Box 403 Washburn, WI 54891 (715) 373-6109 rtnii,u1havlirldcnuutV wiAZov Rae # YFI mLD APR 14 2028 B and Planning aZoning Agency Short -Term Rental Application Packet Health Zoning Submission # s'TR-334 Fee Paid Refund Permit # Date Issued 1 I his application packet contains information for both a Tourist Rooming house license through Baytield County I lealth Department and a Short -Term Rental permit through Baytield County Planning and Zoning Department. Completed application and applicable fees can be mailed/emailed to the address/email above. Property Tax ID can be fo h NOVUS(httns://novtis.bavficldcounty.wi.uov/access/mastcr.asp). City of Washburn, City of Bayfield, Town of Pilsen: License through Bayfield County Health Department is red. Please review and fill out pages 1-4. All Other Towns: A license through the Health Department and permit through the Planning and Zoning Department arc required. Please review and fill out pages 1-5. SECTION A: ESTABLISHME ' FORMATION Establishment Name F` h e 6kv hncSe-' Property lax II) # a san8 fowl city of Ke tavua Establishment Street Address\5 Se I K e- R. City )) i so State Zip S�85 SECTION B: OWNER INFORMATION Pro erty Owner 176kV a TC>d �v Email Address 1 2Ssi Cc.-b___ls� atIQD- Phone Number 21 S' 13- I Owner Mailing Address I-1(-psc us a City rn0-sovm State w 1 Zip S�-f?5[p SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership. LLC. LLP. or Inc.) Email Address Phone Number Licensee Street Address City State Zip A nt Name (if ap cable) if2SS(CG- Ya rdIS Email Address eSS6C,brandi4 oo. Phone Number -71S-y(3_130.3 A ent Street Address I1(esc t4S 1 h-� City ill4 so, , State wt Zip 5`f_ SECTION D: RENTAL UNIT INFORMATION (see key below) I nit Unit II) Structure Type I leafing Source Water Source Sanitary Source # of Stories # of Bedrooms of Bathrooms P 3 7 3 ___P ___}its ___ 4 Structure Type: House (I -I) Duplex D Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O), please describe Heating Source: Electric (E) Natural Gas G Propane (P) Wood Fuel (F) Other (0). please describe Water Source: Public/Municipal Private Well (P) Sanitary Source: Public/Municipal (M) Private Onsite Wastewater System (P) Site Plan County GIS mapping tool can assist with development of a site plan. Note that parcel lines in this tool can be up to 200 feet off of the true surveyed location: https://maps.bavfieldcountv.wi.gov/ZoningWAB/ Show location of: ' Driveways M, Frontage Roads (include name) C Existing Structures Z Well (W). Septic Tank (ST) Drain Field (DI) ❑ Holding Tank (I -IT) ❑ Lake ❑ River S. Stream/Creek ❑ Pond ❑ Flood lain ❑ Wetlands El Slopers over 20% N $6 \ ✓ C I E1 I 4 H_____ Setbacks from furthest extent including eaves and County Use Only overhangs of structure to: Verified setbacks Road Centerline C76 It. ft. Notes/Comments: Front Lot Line/Right-of-Way ti. ft. Side Lot Line I ft. SOD U. o East South West. circle one) Si e Lot Line 2 (North Easi Maul West, circle one) ft. 3000 It. Rear Lot Line 30o O ft. Septic/Ilolding'frtik H5 ft. It. APR 9 zo�9A53ene'/ Drain field 1.00 ft. U. Well ft. It. ptanninBatetd Existing Stmcture/Building / D o ti. IL. Wetland taco ft. ft. Ordinary High -Water Mark (OHWM) 2p00 ft. ft. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. Floor Plan One floor plan for each level of building which will be available to renters. Please attach additional sheet if needed. Provide exterior dimensions sufficient to calculate floor area (square feet) for each Icvel. Label each internal room and indicate if it will be used for sleeping space eit�� 4kv 12 �J, r ≥tifi � k 154 2 RECEIVED APR 1 b 2026 Bayfield Co. Planning and Zoning Agency NOTE: Please indicate "see attached" on this page if submitting floor plan as a separate document. S Bayfield County Planning and Zoning Short -Term Rental Permit ELANI¼ENG AND ZONING QUESTIONS I. Is the property in the shoreland, within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater? ❑ Yes No O Unsure 2. Is there a wetland located on the property? O Yes No ❑ Unsure 3. Is there a floodplain located on or near the property? O Yes No O Unsure 4. Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use ❑ Special Use ❑ Variance 5. Did you contact the town to see if any ermits/re uirements apply to your project? Yes O No Zoning Department Use 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 Bayfield County Ordinance Section 13-1-35. APPLICATION FEES — Required for Short Term Rentals where Bayfield County Zoning Regulations apply Check or money order payable to Bayfield County Planning and Zoning 1 unit: $500 2 unit: $1,000 3 unit: $1,500 4 unit : $2,000 To ensure your application is complete and can be processed by the Department, check you have the following items: ❑ Applicant Information (Page 1) ❑ Site Plan (Page 2) ❑ Floor Plan (Page 5) ❑ Fees paid — Health Department and Zoning Department 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 (arc) responsible for the detail and accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County ip 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:.SSI CA w aY�f Owner(s) or Authorized Agent Signature: l O 'y Q A Date: `7 - 13' a-Ee NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. iReCEzlveD APR 1 6 2026 Planninggaand Zoning Agency Land Use Permit Application Review Checklist ,Submission #: ci - o O 3 ;g Tax ID: ?--a-66 S -T -R: - y -7 Town: What zoning district is the project located in? ❑ 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 Does lot meet the zoning dimensional requirements or is it substandard? Deed of record: ❑ Yes JNo 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 'No Is the project located in the Floodplain? Zone: es ❑ No Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? Yes ❑ No Does the project require sanitary? SanitaryPermit #: . 7S Public System: # of bedrooms: a ❑ Yes No Does the project require an affidavit? ❑ LLC ❑ Trust Affidavit #: Number of Units: 1 Number of Bedrooms: 3 Number of Bathrooms: Zo Number of Stories: ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: Date of Inspection: 71U7 9 iL 2t Inspection Notes: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: �S\ Vv Date of Approval: _ I-1 r� f p� to 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: it YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: TORRKO, DAVID M & LORRAINE M STR-00334 17655 US HWY 2 Mason, WI 54856 Transaction Number: STR-00334-441F9 Description Amount 1 unit $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 3753 Paid by: Eric and Jessica Brandis Payment Type: Check Transaction Date: 4/17/2026 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 ,Wetlands LAND USE —X X SANITARY - 07-113S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0121 Tax ID: 22266 Issued To: TORRKO, DAVID M & LORRAINE M Location: S26 - T47N - R07W Town of Keystone Legal Description: E 1/2 NE NW 420 Residential Structure in A-1 zoning district For: [1 -Unit] Short -Term -Rental BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Town may require permitting. Short -Term Rental is for a maximum occupancy of 4 persons. 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. Desi Niewinski Authorized Issuing Official April 17, 2026 Date