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26-0150
R turn to: County Use Only: 117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: ____ a_�O Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #:-- permits@bavfieldcounty.wi.gov Date: S"/ h/docA A: General Name (if applicable): Telephone7 1_—Number:'VO4 ` 6 3 K ^ Telephone Number: E -Mail Address: d/, E -Mail Address: ✓1 n2 xCnl n .nni/ 7' ,nn 'L UQ_rP. e-YJi1ootC- 1't Malin Addr₹5s: I Mailing Address: lob &vco Hit te, Zip: iii,. �i )"a-61 City, State, Zip: (if different from is Section, Township, Range: l `fr —1i/ eJ p/ /jt rA eS I Town of: jr) Tax ID #: yam Lot Size (Acres/Square Feet): /k' Project Use is: ❑ Residential ❑ Commercial 0 Municipal Project Type is: D5 New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days ❑ Sign ❑ Establishing a Business 0 Temporary (12 or less months) 0 Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): Structure 1)Pe is: ❑ Residence ❑ Principal Structure (describe): Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): \nla S Gave Foundation Type: �y ❑ Basement ❑ Walkout Basement XSlab ❑ Crawlspace ❑ Ground 0 Skids 0 Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: I" Floor Sq Ft: Loft Sq Ft: 2"d 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 't of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: RI' iv: 0 New ❑ Replacement ❑ New ❑ Replacement El On -premise El Off -premise ❑ 1 -sided El 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant O=CENED Length: Width: I-leight: M - Model: I Bayfield Co. Planning and Zoning Agerx.Y 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) ❑ Existing Structures ❑ Well (W) O Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) O Lake O River ❑Stream/Creek OPond DFloodplain DWetlands ❑Slopes over 20% N * H _ Q fi _ Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline /(J —' ft. ft. Notes/Comments: At Front Lot Line/Right-of-Wayes— ft. ft. Side Lot Line 1 ft. 17 ft. orth East❑South❑West❑, check one) 1 // df 4 / RECEIVED Side Lot Line 2 North❑EastISouth❑West❑ check one) �� eft. 7 ft. Rear Lot Line 7Jr-- ft. ft. Septic/Holding Tank ft. 7 ft. Drainfield ft. ft. Privy ft. ft. APR 13 2026 Well 70 ft. ft. Existing Structure/Building 100 ft. ft. Bayfield Co. Planning and Zoning Agency Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OI IWM) ft. ft. Other (describe) ft. ft. Ho L6a RECEIVED APR 13 2026 Bayfield Co. Planning and Zoning Agency SECTION C: Additional Questions 5(I Yes ❑ No Has the location of the proposed project including caves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: Ipl 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. Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? O Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): Yes ❑ No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used manage wastewater? ,tQ�ot Drainfield ❑Holding Tank ❑ Munici al/Public ❑ Other (describe): ❑ Yes ItNo 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 ❑ Conditional Use ❑ Variance Fee payment will be made via: O Check (attached) ❑ Cash (attached) 4ebitJcrediilecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? O Mail to: OR" -Email to: ❑ Property Owner Address O Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address): SectionSectionH:AcknowledgemeatandSignsture 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.pov/tooic/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 pu ose of inspection. Owner(s) or Authorized Agent Printed Name: i � e_`l Owner(s) or Authorized Agent SignatureDate: NOTES: 1. 1. If you are signing on behalf of the owner(s) a letter of authorization must accompan thi lication. 2. Specific conditions/instructions may be stated on the face of the issued LaREEners, agents, & contractors must all be aware of permit details & conditions and permit card must be posted on property prior to start of project APR 13 2026 Bayfield Co. Planning and Zoning Agency Top oz Qoorp_IS, _ /�_ GY1 GC I%it AU EL ED — o-Lwol( q' w L-tuf/ 0, o' Te Bo L1 o, e RECEIVED APR 13 2026 eayfield co. Planning and Zoning Agency Tracy Pooler From: Tracy Pooler Sent: Wednesday, April 15, 2026 10:38 AM To: 'kharings32@gmail.com' Subject: 55110 George Lake Rd - tax 4022 - Koehler Laurie, I was at the above site yesterday and have the following questions/needs before permit issuance. • In the planned workshop/garage will there be any sleeping within the structure? • What is the plan for the RV currently upon the site? If kept on site where and will it be connected to water or septic? • I did not see any staking of the proposed structure, How is the project indicated upon the ground? 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: tr_acy.pooler a ba ieldcounty.wi. v I3YFIELD 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 atzoning@bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. Tracy Pooler From: Kevin Harings <kharings32@gmail.com> Sent: Wednesday, April 15, 2026 4:52 PM To: Tracy Pooler Subject: Building permits I'll get it staked soon , camper will be moved to accommodate worksho no bedrooms in new construction, but plan on leaving camper hooked to septic system Bayfield County, WI D= '55 VNA\AdO J '-. Ir E1L-AKC e kEDFOX' ro GEORGE RADEI ' �`�—aX ID# 2585 g� a't ��'! 0.K?F 4/14/26, 8:57 AM Novas -Wisconsin Access rev. 12.0206 Real Estate Bayfleld County Property Listing Property Status: Current • Today's Date: 4/14/2026 Created On: 3/15/2006 1:14:52 PM Description Updated: 3/12/2019 a Ownership Updated: 3/12/2019 Tax ID: 4022 LAURIE M KOEHLER BLOOMER WI PIN: 04-004-2-45-09-18-4 00-264-21000 Legacy PIN: 004131903000 Billing Address: Mailing Address: Map ID: LAURIE M KOEHLER LAURIE M KOEHLER Municipality: (004) TOWN OF BARNES 19181 130TH ST 19181 130TH ST STR: 518 T45N R09W BLOOMER WI 54724 BLOOMER WI 54724 Description: REDFOXS ADD TO POTAWATOMI LOT 61 IN DOC 2019R-576641 2217 Site Address * indicates Private Road Recorded Acres: 0.459 N N/A - __- -- -- Calculated Acres: 0.459 Lottery Claims: 0 ® Property Assessment Updated: 10/4/2016 First Dollar: No Zoning: (R-1) Residential -1 2026 Assessment Detail ESN: 104 Code Acres Land Imp. G1 -RESIDENTIAL 0.460 3,200 0 Tax Districts Updated: 3/15/2006 2 -Year Comparison 2025 2026 Change 1 STATE Land: 3,200 3,200 0.0% 04 COUNTY Improved: 0 0 0.0% 004 TOWN OF BARNES Total: 3,200 3,200 0.0% 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE W' Recorded Documents © WARRANTY DEED Date Recorded: 3/8/2019 O CONVERSION Date Recorded: 1 WARRANTY DEED Date Recorded: 9/7/2005 Updated: 3/15/2006 2019R-576641 501681 926-824 2005R-501681 926-824 E! Property History N/A 9/If i/'pllfg - ly e — W7/d https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=4022 1/1 Land Use Permit Application Review Checklist Submission #: Whjtioning 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 2` es 0 No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ?a It, c G ❑ Yes ja'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 o 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 o Are there wetlands on the property? ❑ Yes D,No Is project associated with a nonconforming use or structure? ❑ Yeso Is project associated with a variance? Case #: ❑ Yes �33b Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes zJ0 Is the project associated with a Special A Use Permit? es No Does the project require sanitary? %isting ❑ New 0 Intercept 0 Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: 4?A -'/205 # of Bedrooms: ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes ❑kNo Does the project require an affidavit? Affidavit #: ❑ Ys ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? Yes ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is?J'Residential ❑ Commercial ❑ Municipal Project type is?.B'Kew Construction ❑Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement 0 Sign ❑ Establishing a Business 0 Tempor ry 0 Shoreland Grading ❑ Other, describe: Structure Type is: 0 Residence Principal Structure 0 Accessory Structure 0 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: 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 Structures $0.20 x sq ft (minimum $75) $ 2, yo ❑ Commercial Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ y1unicipal 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 $ 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• Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. ❑ For personal residence only. ,sit for human habitation or sleeping purposes. ,ZCfwn/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. 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. must meet the requirements of Article E of the Bayfield County Zoning Ordinance. ASi❑ e 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. ❑ 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 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: KOEHLER, LAURIE M 10184 County Hwy C BLOOMER, WI 54724 Description Return Inspection Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number: LU-02170 Transaction Number. LU-02170-44DA6 Amount $75.00 $172.80 Total: $247.80 Payment Amount: $247.80 Reference: 2109 Paid by: Laurie Koehler Payment Type: Check Transaction Date: 5/6/2026 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 — Yes / Nonconforming — No Shoreland — No / Impervious Surface — No Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE -X SANITARY — Existing 22-120S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0150 Tax ID: 4022 Issued To: KOEHLER, LAURIE M Location: S18 - T45N - R09W Town of Barnes BAYFIELD COUNTY a *:i_IJI_`_ 1 WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: REDFOXS ADD TO POTAWATOMI LOT 61 IN DOC 2019R-576641 2217 Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Principal Structure on a Slab [864 Total sq. ft. ] Height of 15' (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. Tracy Pooler Authorized Issuing Official May 06, 2026 Date 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.