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117 E 5th Street, PO Box 58 Hayfield County Planning and Zoning Department
Washburn, WI 54891 LAND USE PERMIT APPLICA'1lON
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Property Owner Name:
Authorized Agent'Name (if applicable):
Telephone Number. R ..-iVED
Telephone Number:
E -Mail Address:
E \Mail A
dress:
Mailing Address:
Msiling Address:
ea:;fieb7 co'
Cirv, Stat •. Zip:
City. State. Zip:
OLF W'
Co tractor•-
Telephone Number.
E -Mail Address-
1 . .t� U+�•
7iS G -42 S
ry e r r
SE ION B PropertyInformation -
Prglect address (it ditlerent from mailing address):
-, 77C V — --,
Legal Description (if additional space is needed attach a separate sheet):
PAL if •i i 9 iN Ll C. pozz.c5'?sld £2_.--- —
Section, Township, Range: Sv'9 T q Town of
Tax ID = l7 y j Let Si: e l a:, -s S. a re Fee:
SECTION C- Protect Information (check all that apply)
Project Use is: Residential ! Commercial ❑ Municipal
Project Type is: IN'New Construction J Addition Alteration (existing structure!
❑ Chance Use (existing structure) 0 Relocate (existing structure) ❑ 1W Placement 21- days
❑ Sign 0 Establishing a Business ❑ Temporary (12 or less months)
Shoreland Grading, Class A ❑ RV Placement 4+ months. Class A ❑ Other tdescribe):
required (Total S4 ti1 required
SECON D: Structure Information Does not apply y to RYs and Suns, go to Section E)
TI{
Structure Tt _„e is: 5, Residence ❑ Principal Structure (de ribs):
❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
❑ Shipping Container 0 Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement j Slab 0 Crawlspace 0 Ground 0 Skids ❑ Other (explain):
Existing Structure: Length: Width: Height
Sq Ft based on outside dimensions. including unfinished areas, attached garages/above grade
Proposed Structure (Provide
decks/porches):
Basement Sq Ft: p Floor Sq Fr: Lo q F_4: 2ae Floor Sq Ft: 34 Floor Sq Ft:
Garage S Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe):
17- Total Sq Ft:
Z & Overall Height (finished grade to peak): j ;'
.Si
of Stories: Existing R of Bedrooms on property: Proposed = of Bedrooms in project: t
SECTION E; KY ana IgU
,uaui.,........ - -
Sign is:
❑ New
❑ Replacement
0 On -premise
0 Off -premise
❑ I -sided
❑ 2 -sided
❑ On -building
0 Multi -Tenant
Length:
Width: Height:
R1'is:
0 New 0 Replacement
Year. \'ir,
Make: i\ lode:
NOV 052025
SECTIO\ F: Ste Plan — attach a Fitz pka es drtw site pica it boa beio* t� a paw t �9 L'se Perm: Appt vas
_!r4cWatSJt for ir.'2xsossm that u M.T ed t be ig'os'zja :c. sits $zS
§yw bastion of: --- �"
D ltrra}s IFr c RDLlF ( slmde ) i Eaxs=S SUsr"Es."'cx _ A'cil tll C Spt : Tani , S - . ` 1)1
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RECEIVED
NOV 0 52025
SEC'T'ION AdditionalQuestions pannns d'c,°'r` Ajn
❑ 1'cs
No
I lus the location of the proposed project including carves and overhangs and the sanitary system and well been
staked? If no, what date will this be completed:
Yes
❑ No
Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2o1 Land Use
Application Information for required
❑ Yes
S4o
setbacks.
Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? Sec page 2 of
Land Use Application Information for required setbacks.
Yes 0 No Is etc an existing sanitary system on the property? If yes, what kind?A(E W 597 O/ 4 CAI
Drainfield 0 Holding Tank O Municipal/Public O Other (describe):
YYes ❑ No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
anage wastewater?
Drainfield 0 Holding Tank ❑ Municipal/Public O Other (describe):
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and
.'Yes ❑ Not'i0pqnorlinn
requirements.
Is the project associated with any of the following: o
❑ Rezone ❑ Class A Special Use O Class B Special Use ❑ Conditional Use O Variance
Fee payment will be made via:
,�//
❑ Check (attached) ❑ Cash (attached) JB' lcbit/crcdit/echcck (department to call once payment is ready to be taken)
How would you like to receive your permit card? ,, G
❑ Mail to: OR )�1 Email to: py etmpelefs'n L€?yaJ Cost
❑ Property Owner Address O Agent Address b 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 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 cov,'toniuwetlands, 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 1(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 lime for the purpose of inspection.
Owner(s) or Authorized Agent Printed Name: Era/ pf eSe~—f
Owner(s) or Authorized Agent Signature: Date/ Sr3YS
NOTES:
1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application.
2. Specific conditions/instructions maybe 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 reject.
RECEIVED
BIRCH LAKE LODGE
NOV
102025
PfiId
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3770 LAKE ROAD - BARNES, WI
Planning and Zoning Agency
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RECEIVED
NOV 102025
Bayfield Co.
Planning and �;n 1. a Agency
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ROOM FINISH SCHEDULE
ROOM
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CEILING
NO.
NAME
FINISH
BASE FINISH
NORH
EAST
SOUTH
WEST
MATERI
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NOTES
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MATERIA
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FINIS
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MATERI
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FINSH
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FINISH
DOOR SCHEDULE
DOOR
NUMBER
BOOR
FRAME
NOTES
TYPE
MATERIAL
WIDTH
HEIGHT
MATERIAL
pL:ff;f
ODOOR ELEVATIONS
na = ra
Bayfield Co.
Planning and Zoning Agency
PECEVED
NOV 10 2025
Bayfield Co.
Planning and Zoning Agency
ATMAXIA
MCXITEemm. LLC
SITE PLAN
+ PROPOSED SITE PLAN
0104 r.ma
I G104 I
RECE WED
NOV 10 2025
Bayr Cc
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FOUNDATION
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A201
NOV 10 2025
Bayfield Co.
Planning and Zoning Agency
RECE WED
NOV 10 2025
Bayfield Co.
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FLOOR PLANS
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RFGEIVED
NOV 10 2025
gayfield Co.
Planning and Zoning Agency
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ROOF PLAN
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NOV 10 2025
Bayfield Co.
Planning and Zoning Agency
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Bayfield County
Impervious Surface Calculations
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c) and 13-1-40(h) of the
Bayfield County Code of Ordinances. The undersigned hereby makes application for construction, reconstruction,
expansion, replacement or relocation of any impervious surface within 300 feet of the ordinary high-water mark and
agrees that all activities shall be in accordance with the requirements of the Bayfield County Code of Ordinances and all
other applicable ordinances and the laws of the State of Wisconsin. The calculations are also REQUIRED in the case of a
land division where the lot to be created or reconfigured will be reduced in lot area.
Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and Zoning
Department employees assigned to inspect properties shall have access to said properties to make inspections.
Property Owner(s):
Bobbie Jo Miller
Mailing Address:
Property Address:
N7597 St. Rd.40, Colfax wi 54730
3770 lake rd. barnes wi
Legal Description:
Section, Township, Range
1/4,
1/4,
Sec 09 Township 44
N, Range 09 W
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
ken pederson
4
Lot(s) #
Block(s) #
Subdivision
Town of:
RECEIVEb
barnes
Parcel ID # (PIN #)
Tax ID #
Date:
PFR 2.3 2026
04- 004-2-44-09-09-1 05-004-60000
1745
4-23-26
aayfield
planning
Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it. "Impervious
surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets unless specifically
designed, constructed and maintained to be pervious. Impervious surface standards shall apply to the construction,
reconstruction, expansion, replacement or relocation of any impervious surface that is or will be located within 300 feet of
the ordinary high water mark of any navigable waterway on any riparian lot or parcel and any nonriparian lot or parcel that
is located entirely within 300 feet of the ordinary high—water mark of any navigable waterway.
Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area
of the existing and proposed impervious surfaces on the lot or parcel by the total surface area of that lot or parcel and
multiplying by 100. If an outlot lies between the ordinary high-water mark and the developable lot or parcel described in
subd. 1. and both are in common ownership, the lot or parcel and the outlot shall be considered one lot or parcel for the
purposes of calculating the percentage of impervious surfaces.
Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% impervious surface on the
portion of a lot or parcel that is within 300 feet of the ordinary high-water mark. A permit can be issued for development or
land division approved that exceeds 15% impervious surface but not more than 30% impervious surfaces with a mitigation
plan that meets the requirements of the Bayfield County Ordinance(s).
Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed but that do
not comply with the standards in Section(s) 13-1-32(c) and Section 13-1-40(h), the property owner may do any of the
following:
a. Maintenance and repair all impervious surfaces:
b. Replace existing impervious surfaces with similar surfaces within the existing building footprint;
c. Relocate or modify existing impervious surfaces with similar or different impervious surfaces, provided that the
relocation or modification does not result in an increase in the percentage that existed on the effective date of the
county shoreland ordinance and meets the applicable setback requirements in Section 13-1-22.
Impervious Surface Item Dimension Area (Square Footage)
Existing House
Existing Accessory Building/Garage
Existing Sidewalk(s), Patio(s)
Existing Covered Porch(s), & Deck(s)
Existing Driveway
kEe€Iv.s
Other Structures
Bayfiekj C,,
Proposed Addition/House
28x12 70x24 6x16
2112 Planning and Zoning Agency
Proposed Accessory Building/Garage
26x32
884
Proposed Sidewalk(s) & Patio(s)
12.5x13.5 26x2
221
Proposed Covered Porch(s) & Deck(s)
8x28 24x13.5 44x12
1076
Proposed Driveway
960x8 40x20 44x22
9448
Proposed Other Structures
Total:
13741
a. Total square footage of lot: 174240
b. Total impervious surface area: 13741
c. Percentage of impervious surface area: 100 x (b)/a = 7.9
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% @ 30%
(County Use Only)
Date of Inspection:
Inspection Record:
Zoning District ( )
Condition(s):
Stormwater
Management Plan Required:
❑ Yes ❑ No
Signature of Inspector:
Date of Approval:
u/forms/impervioussurface
Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by:
Tracy Pooler
From: tel: 7155582183 <non-mail-user@myphone.norvado.net>
Sent: Monday, March 30, 2026 9:49 AM
To: Tracy Pooler
Subject: Fwd: Voice message from PEDERSON,KEN (7155582183) to 7153733512
Attachments: message.wav
The attached message was recently left in your voicemail account for 7153733512. We are sending you
this email because you have asked for your messages to be forwarded to this address.
Login toyourvoicemail account
Hi, Tracy, this is Ken Peterson calling, calling in regards to Bobby Miller in Barnes Fire number 3770.
Umm, as we left it last fall, uh, we were just about ready to give you some marks, uh, on the 75 foot mark
and how the house was gonna sit in there and of course, uh. Snow hit and blah blah. Uh, the winter got
got going hot and heavy. So we have the marks there now, uh, ready for your review to go look at you had
last fall, you said you were going to go in and as soon as we got it marked, I was to give you a call. And you
were gonna go look at it and, uh, now we have the marks there. F. After the road bands go on. They are go
off. I mean they will, uh, they're going to schedule to get that those old buildings. Knocked down. But, uh,
you'll be able to see the marks, umm, where and how these things, uh, how the house is sitting, uh. I
would like to talk to you probably before you go so I can explain the Marks and and tell you what's going
on there. Mine again. This is Ken Peterson for Bobby Miller. Project umm, you have the information on her
and uh. My number is 715-558-2183. Thank you. I'll, uh, if I don't hear from you in, uh, and I'll in a short
while, I'll be giving you a call back to make sure you got this. Thankyou. Uh, bye.
RLC1 VEO
4
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APR 227026
Bayfield Co.
Planning and Zoning Agency
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APR 232026
Bayfieid Co.
Planning and ZoningAgenoy
^x'11/13/25, 10:16 AM
/'(f
Novus-Wisconsin Access rev. 12.0206
7. Real Estate
Bayfield County Property Listing
Property Status: Current
Today's Date: 11/13/2025
Created On: 3/15/2006 1:14:46 PM
Description
Updated: 8/15/2022
91 Ownership
Updated: 8/8/2022
Tax ID:
1745
SCOT M MILLER & BOBBIEJO MILLER COLFAX WI
PIN:
04-004-2-44-09-09-1 05-004-60000
REVOCABLE TRUST
Legacy PIN:
004108808000
Map ID:
Billing Address:
Mailing Address:
Municipality:
(004) TOWN OF BARNES
SCOT M MILLER & BOBBIE JO SCOT M MILLER & BOBBIE JO
SIR:
509 T44N R09W
MILLER REVOCABLE TRUST
MILLER REVOCABLE TRUST
Description:
PAR IN GOVT LOT 4 IN DOC 2022R-
N7597 STATE RD 40
N7597 STATE RD 40
595718 502 (SCOT M MILLER & BOBBIE
COLFAX WI 54730
COLFAX WI 54730
JO MILLER REVOCABLE TRUST DTD
5/25/2016)
10 Site Address * indicates
Private Road
Recorded Acres:
2.714
3770 LAKE RD
BARNES 54873
Calculated Acres:
2.771
Lottery Claims:
0
® Property Assessment
Updated: 10/4/2016
First Dollar:
Yes
Zoning:
(R-1) Residential -1
2025 Assessment Detail
ESN:
104
Code
Acres Land Imp.
Gl-RESIDENTIAL
2.714 141,100 41,600
'S Tax Districts
Updated: 3/15/2006
2 -Year Comparison
2024 2025 Change
I
STATE
Land:
141,100 141,100 0.0%
04
COUNTY
Improved:
41,600 41,600 0.0%
004
TOWN OF BARNES
Total:
182,700 182,700 0.0%
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
y* Recorded Documents Updated: 3/15/2006
O TRUSTEES DEED
Date Recorded: 7/29/2022
0 WARRANTY DEED
Date Recorded: 7/25/2019
O TERMINATION OF DECEDENT'S INTEREST
Date Recorded: 7/25/2019
O CONVERSION
Date Recorded:
O WARRANTY DEED
Date Recorded: 8/20/1990
Property History
N/A
2022R-595718
2019R-578396
2019R-578395 '4b
lb f5/
152-625;515-365 "/ V I ((
387652 515-365
Pr fltN
https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=1745
1/1
AFFIDAVIT OF AUTHORITY
(Trust)
PURPOSE. This Affidavit of Authority Is used to certify the individual applying for a permit Is authorized
when the property Is owned by a Trust.
STATE OF WISCONSIN )
) ss.
BAYFIELD COUNTY )
The undersigned affirms and states as follows:
1. Address of Subject Property: ��� l✓'� ��
2. The Subject Property is owned by: a NCO I'i\ i`C1�\\arm OA
(Name of Trust) e.�10c0..��
3. The name(s) of the current Trustee(s): C dC v . a
4. I certify that the Trust named In paragraph 2 is valid and In effect on the date signed below. I am
the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under
the terms of said authorization to apply for permits from 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 Trust to apply for and bind the Trust to the terms and
conditions of any permit that may be issue 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 indemnify Bayfield County or such person or legal entity
suffering a damage resulting from any illegalities of the application for permit.
Dated: ca
o
Print Name
Subscribe an sworn befor �1e this /8_ ���.�'� �►, BRUN �'''�.,
day of 20,V °��' .•• ••,�t�` '',,
Q': apIAR
otary P lic County, Wisconsin
My corn ion: J2OZjgtS
•,,N►•••.•. g
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Tracy Pooler
From: Tracy Pooler
Sent: Wednesday, April 15, 2026 11:34 AM
To: 'ryanpedersonl @yahoo.com'
Subject: FW: Voice message from PEDERSON,KEN (7155582183) to 7153733512
Attachments: message.wav
Ryan,
I was at the site and saw the staking and I received the Letter of Authority.
I do not yet se the impervious surface Calculation Form in the system
https•//www baldietdcounty wi goviDocumentCenter/View/18598/Impervious-Surface-FILLABLE?bidld=-
Tracy Pooler - AZA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3512
Fax:715-373-0114
Email: tracy.pooler@4ayf eld_Gounty. i. ov
F' YFTELD
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.gov or 715 373-6138 with any questions or concerns.
From: tel: 7155582183 <non-mail-user@myphone.norvado.net>
Sent: Wednesday, April 15, 2026 9:37 AM
To: Tracy Pooler <7153733512@myphone.norvado.net>
Subject: Fwd: Voice message from PEDERSON,KEN (7155582183) to 7153733512
The attached message was recently left in your voicemail account for 7153733512. We are sending you
this email because you have asked for your messages to be forwarded to this address.
Good morning, Tracy. This is Ken Peterson calling from Hayward. I'm calling in regards to Bobby Joe
Miller, UH-3770. And, uh, just wondering how things are, are, are going with the information that was
given to you if, uh, everything all, all came together. So if you get a chance, give me a Jingle and let me
know how. How that went I do. I do believe that. But, uh, Bobby Joe had filled out that one application.
Uh, and it had a notary on it, I and she thinks that she's, she sent that. Out to you, uh, quite a while back,
but uh, any rate we can still get that, but, umm. Just let me know if if things are in line. Thank you much as
Ken Peterson at 715-558-2183. Thank you.
Tracy Pooler
From: Tracy Pooler
Sent: Friday, April 17, 2026 9:12 AM
To: ryanpedersonl@yahoo.com
Subject: FW: Impervious Surface
Attachments: I mpervious-Surface-FI LLAB LE.pdf
Ryan
Gravel or natural material areas used as a driveway also count toward impervious surfaces.
I have a set of plans for the house from last November, have the plans changed?
Do you have a good idea of the driveway configuration?
The entire driveway out to Lake Road is within the area of impervious surface calculation.
By rough calculations I came up with approximately 36,000 sq.ft and based off the 4 acres of ownership I
am getting about 20% impervious surfaces necessitating mitigation. (13-1-32(c))
To make a mitigation plan that shows the details of how you'll be treating the impervious surface, you
can contact the Land and Water department at Bayfield County. Andy Teal who works in that Department
does most of the plans: 715-373-3417 or Andrew Teal@bayfielcicounty wi.go_v You can also have a
private entity create a mitigation plan; however, it would still need to be reviewed by the Land and Water
Conservation Department. Typically, there is a $300 flat fee, if Land and Water write a
mitigation/stormwater management plan. There is a $250 fee for Land and Water to review plans that you
wrote yourself or hired someone to write.
Dependent upon the type of action the mitigation plan will need to be recorded.
Tracy Pooler - AZA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3512
Fax: 715-373-0114
Email: trace.pooler(a)bayfieldcounty.wi gov
134YFIELD
Fraudulent Bitting 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(a)bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns.
4/7/26,8:41 AM
Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfield County Property Listing
Today's Date: 4/7/2026
Description
Updated: 8/15/2022
Tax ID:
1745
PIN:
04.004-2-44-09-09-1 05-004-60000
Legacy PIN:
004108808000
Map ID:
Municipality:
(004) TOWN OF BARNES
SIR:
S09 T44N R09W
Description:
PAR IN GOVT LOT 4 IN DOC 2022R-
595718 502 (SCOT M MILLER & BOBBIE
JO MILLER REVOCABLE TRUST DTD
5/25/2016)
Recorded Acres:
2.714
Calculated Acres:
2.771
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(R-1) Residential-i
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 1:14:46 PM
Ownership Updated: 8/8/2022
SCOT M MILLER & BOBBIE JO MILLER COLFAX WI
REVOCABLE TRUST
Billing Address: Mailing Address:
SCOT M MILLER & BOBBIE JO SCOT M MILLER & BOBBIE JO
MILLER REVOCABLE TRUST MILLER REVOCABLE TRUST
N7597 STATE RD 40 N7597 STATE RD 40
COLFAX WI 54730 COLFAX WI 54730
P Site Address * indicates Private Road
3770 LAKE RD
BARNES 54873
® Property Assessment
Updated:
10/4/2016
2026 Assessment Detail
Code
Acres
Land
Imp.
G1 -RESIDENTIAL
2.714
141,100
41,600
2 -Year Comparison
2025
2026
Change
Land:
141,100
141,100
0.0%
Improved:
41,600
41,600
0.0%
Total:
182,700
182,700
0.0%
y� Recorded Documents Updated: 3/15/2006 Property History
® TRUSTEES DEED N/A
Date Recorded: 7/29/2022 20228-595718
0 WARRANTY /D
D7/25/2019
7>
Date Recorded: 7/2/2 5/2019 2o1sR-5783ss
® TERMINATION OF DECEDENT'S INTEREST
O Date Recorded: 7/25/2019 20198-578395
Date (�
/
CONVERSION /
Recorded: 152-625;515-365 {\
0 WARRANTY DEED
Date Recorded: 8/20/1990 387652 515-365 .)}_ (
https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=1745 1/1
Land Use Permit Application Review Checklist
Submission #:
What zoning district is the project located in?
1 ❑R-2 ❑R-3 OR -4 DR-RB ❑C ❑1 ❑M ❑A-1 ❑A-2 OF -1 ❑F-2 ❑W DM -M
❑ Yes .0'cIa
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)?
es ❑ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
0 Yes o
Is the project located in the Floodplain? Zone:
es ❑ No
Are there wetlands on the property?
❑ Yes .a- ll�o
Is project associated with a nonconforming use or structure?
0 Yes 421c10
Is project associated with a variance? Case #:
❑ Yes 21j
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes No
Is the project associated with a Special A Use Permit?
Yes ❑ No
Does the project require sanitary?
❑ Existing ❑ New ❑ Intercept 0 Reconnect 0 Non -Plumbing 0 Public
Sanitary Permit #: aS- I yq2 # of Bedrooms:
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes p1co
❑ Yes o
Does the project require an affidavit? Affidavit #:
❑ Yes 4aiI,
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
O Yes a-i
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? New Construction,, edition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is: esidence 0 Principal Structure O Accessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, describe
Total Sq. Ft. of Project: 5/.Z Number of Stories: Z.. Overall Height:
Fee Type
Calculation
Fee Amount
Dwelling Enclosed Areas — all enclosed areas within
dwel ing except attached non -habitable garages
Z 76
$0.75 x sq ft
(minimum $125)
$ , A 3Z
Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x c o s ft
q
(minimum / $125)
$ '
❑ Habitable Residential Accessory Structures
$0.50 x sq ft
(minimum $75)
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 x s ft
q
(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 0 Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 0 Tower Collocation 2 ❑ Metallic
Mine
❑ After -the -Fact (ATF)
$
I
Inspected by
Date of Inspection: 6
Re -Inspected b/
Date of Re -Inspection:
Denied by:
Dateof Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
El For personal storage only.
-For personal residence only.
❑ Not for human habitation or sleeping purposes.
p-Thwn/State/DNR/Federal may require permitting
P Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction.
El 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.
J2'te 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.
El No plumbing or plumbing fixtures allowed.
El 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
El Sanitation requirements must be met (if applicable)
El Additional conditions may be placed and need to be adhered to at the time of permit issuance
Other Conditions:
B' 1FIELD 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.
SCOT M MILLER & BOBBIE JO MILLER LU-02047
REVOCABLE TRUST
N7597 STATE RD 40 Transaction Number:
COLFAX, WI 54730 LU-02047-4462F
Description Amount
Habitable Residential Principal Structures - enclosed $2,232.00
areas $0.75/square foot (minimum $125)
Habitable Residential Principal Structure - $430.00
unenclosed area or non -habitable garage
$0.20/square foot (minimum $125)
Total: $2,662.00
Payment Amount: $2,663.25
Reference: 9474145095
Paid by: Bobbie Jo Miller
Payment Type: Other
Transaction Date: 4/ 23/2026
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 — Yes / Impervious Surface — Yes
Floodplain — No I Wetlands — Yes
Mitigation — No I Affidavit #:
WAUIIIUIISI
SANITARY — New 25-149S
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
LJ4II
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0123 Tax ID: 1745
Issued To: SCOT M MILLER & BOBBIE JO MILLER REVOCABLE TRUST
Location: S09 - T44N - R09W
Town of Barnes
Legal Description: PAR IN GOVT LOT 4 IN DOC 2022R-595718 502 (SCOT M MILLER & BOBBIE JO MILLER REVOCABLE
TRUST DTD 5/25/2016)
Residential Structure in R-1 zoning district
For: New Construction [2 - Story ], Residence on a Slab [5126 Total sq. ft. ] Height of 30'
(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 23, 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 residence only.
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.