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Home My WebLink About26-0220117E 6'h Street Po Box 403 R-� YFIELD Washburn WI 54891 ______® (715)373.6109 W.11tdbaNlicldcount\ ei Short -Term Rental Application Packet This application packet contains information for both a Tourist Rooming House license through Bay r th Department and a Short -Tenn Rental permit through Barfield County Planning and Zoning Department oZr inplcted" aPPhcaton and applicable fees can be mailed/cmailed to the addrrss/email above. Establishment Ta I�} p [ er{ through NOWS Qrttns !/no�vc h, f .la r� i or a �ccimastcr aso) �I't( �U(p City of Washburn, City of Bayfield, Town of Pilsen: License through Bayficid County HealtlPpo hayfield cc i 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 are required. Please review and fill m,t ..�..nc r c I, SECTION A: ESTABLISHMENT .- . INFORMATION Establishment Name Establishment Tax ID ii To City of m/vv-Gr �4ba3 N-evb5 Esstablishme t Address . 1 C i TTJJ bg a / State T V} Zi SECTION B. OWNER INFORMATION �/ P rtv Owner Email Address Phone Number ut'icttks 'r4Cr'9PA - Owner Mailing Address I . ve, G Co I- z&() OL0z 0—1 I 1c i A -e S }v State 'Zip C o" (xOve M.h1 SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (pazmerahip, LLC, LLP, or inc.) Email Address - I Phone Number L —L - G k- - l m lv e • Gevn (r zoo O&z. Licensee StrtAddress l7 c�G Cm'6Y2tate SM_ pP tl Agent Name (if applicable) Email Address j I P one Number rn t ►Ae ' S - 0 -ctt2 Agent Street Ol � Address U Ave S ' Ci CYO State � SSG( SECTION D: RENTAL UNIT INFORMATION (see ke below) Unit Unit ID Stmcture Heating Water Sanitary Source # of Stories # of # of Source Source Bedrooms Bathrooms ' P !� 1 2 1.5 2 3 4 Structure Type: HouseDuplex D Cabin C Yurt A A Condo CO Other (O), please describe Heating Source: Electric Natural Gas G Pro Wood Fuel Other (O), lease describe Water Source: Sanitary Source: Public/Municipal Private Well (P) Public/Municipal (M) Private Onsite Wastewater S stem (P) Site Plan Show location of: 0 Unveways ❑ Frontage Roads (include name) ❑ Existing Structures 7 Well (W) : Septic Tart (Si) : Urain Field (DF) ❑ F Tank 0 Lake ❑ River ❑ SueamCn c 1 Pond O floo4tin 7 Wetlands 0 ova 2w. RECEIVED' IO APR 282026 (Y .y Bayfield Co. va() Planning and Zoning Agen f - Setbacks from furthest extent including eaves and County Use Only Verified setbacks overhangs of structure to: Road Centerline ft ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line I (North East South West, circle one) ft ft Side Lot Line 2 (North East South West, circle one) ft. ft. Rear Lot Line It It Septic/Holding Tank ft. ft. Drainfield R- R Privy fl. ft. Well ft. ft. Existing Structure/Building ft ft. Wetland ft ft Elevation of Floodplain ft. ft. Ordinary High-Walcr Mark (OH WM) ft. ft. ing site plan as a separate document. „I , - - -- --- j---------- - --- o APR 282026 Bayfield Co. Planning and Zoning Agency i Bayfield County Health Department — State Lodging License Health Department (State Lodging License): All rental units require a Tourist Rooming House license through the State of Wisconsin Department of Agriculture, Trade and Consumer Protection (WDATCP) or their authorized agent (Bayfield County Health Department. ➢ Bayfield County Health Department issues permits on behalf of the State ofWDATCP DATCP under 78 and 79. ) ATCP 72 regulates lodging facilities including hotels, motels and tourist rooming houses. APR 28 2026 > B vfield County Ordinance Title 9 - Chapter 2 Food Protection Lodgine Pools CamD4replYa& Bayfield Co. 1 P 8 and Zonin A Recrcational/Educational Camps. Tattoo and Body Piercing Establishments outlines the licensing program arttfle authorized agent agreement between the Bayfield County Health Department and the State of Wisconsin. > ATCP 72.03(20): "Tourist rooming house" means all lodging places and tourist cabins and cottages, other than hotels and motels, in which sleeping accommodations are offered for pay to tourists or transients. It does not include private boarding or rooming houses not accommodating tourists or transients, or bed and breakfast establishments regulated under Ch. ATCP 73. > Wis. Stat. § 97.67 (5) and § 97.605 (1)(c) "No license may be issued until all applicable fees have been paid" > Wis. Stat. § 97.605 (1)(a) "No person may conduct, maintain, manage or operate a hotel, restaurant, temporary restaurant, tourist rooming house, vending machine commissary or vending machine if the person has not been issued an annual license by the department or by a local health department that is granted agent status under s. 97.615 (2)." > Within 30 days after receiving a complete application for a license, the department or its agent shall either approve the application and issue a license or deny the application. If the application for a license is denied, the department or its agent shall give the applicant reasons, in writing,for the denial. > A license shall not be issued to an operator without prior inspection. > Tourist rooming houses license expires on June 30t°. ATCP 72 requires an annual renewal application and fee. Failure to maintain proper permitting will result in penalties. Licenses arc non -transferable, except to immediate family members as allowed in ATCP 72. APPLICATION FEES — Required for all tourist rooming house within Bayfield County Check or money order payable to Bayfield County Health Department When will your rental be in operation: ❑ Summer O Winter jUrYear--Round 7$586.30 — License Fee ($286.30 (County fee: $272, State fee: $14.30))+Pm-Inspection Fee ($300) Pre -Ins lion Fee includes bacteriological sample analysis for private drinking water supply. ❑ Rush Fee ($50) — A one-time $50 rush fee will be charged for inspections requested within 7 business days. However, depending on scheduling, staff may not be able to accommodate all rush requests. Your signature below will acknowledge you have received information as to where to obtain a copy of the code and will comply with applicable Wisconsin Administrative Code(s). Personally identifiable information you provide may be used for purposes other than that for which it was collected (Wis. Stat. 15.04 1 m . Signature: Date: RECEIVED Bayfield County Planning and Zoning Short -Term Rental Permit APR 28 2026 Bayfield Co. Planning and Zoning Agency PLANNING AND ZONING QUESTIONS 1. Is the property in the shoreland, within 300 feet of a river/stream OR landward side of floodplain OR I (In) feet of a lake/pond/flowage, whichever isgreater? ❑ Yes O No Unsure 2. Is there a wetland located on the rty? ❑ Yes fl4o ❑ Unsure ?. Is there a floodplain located on or near the property? ❑ Yes No ❑ Unsure 4. Is this project associated with any of the following: 0 Rezone Conditional Use ❑ Special Use ❑ Variance 5. Did you contact the town to see if any rmits/ uircments apply to your ro'ect? Yes ❑ No Zoning Department Use Permits: Short -Tenn 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 arc regulated by Bayfield County Ordinance Section 13-1-35. APPLICATION FEES Check or money outer payable to Bayfield County Planning and Zoning I unit: 5500 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) 0 Site Plan (Page 2) ❑ Floor Plan(s) — Provide sheet for each floor within each unit. ❑ Fees paid 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. Owner(s) or Authorized Agent Printed Na Owner(s) or Authorized Agent Signature: NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. Municipality Code: 04-014 Bayfield County. WI STR Initial Application and License Town of Cl*ver P.O Box 94 • Herbster • WI .54844 • Phone: 715-774-3780 • Fax: 715-774-3792 tncloy rie 1L�(I r.Lm1 • 111}]L.hCib51CSl1.Yf�4I14Stl.Lt1L Short -Term Rental (STR) Application and License' Initial License R LIVEG APR 28/026 Instructions for completing this form are in Section Don page two (2) Section A. Applicant Information. Bayfield Co. Planning and Zoning Agency CVL" hs By?Jc rsui Name of Property Owner 0rt/m Ave Mailing Address of Property Owner (&992- 0- 0(n -s +"Pl'y)%�J lVie . GcwI hone ,email address of Property Owner and TRW site Address Address of Short -Term Rental 474 S FiVy�P,In ProperS Manager (if applicable) (Required if owner ' es more than 15 miles aWay from STR Property Manager is required to live within 15 miles from the 5Th Property) S-15 V1wt.Vw Pcw. S Mailing Address of Property Manager (if applicable) ?�5 j-ueo--o(oz4 T-nni ? ue_cokvi Property Manager's Phone #, email Address and, if appli ble, Management Company Website Address Attachments: Bayfield County Zoning Special or Conditional Use Permit Bayfield County Health Department Lodging License _ Wisconsin Department of Revenue Seller's Permit _____Town of Clover Driveway Permit $300 Initial Fee Submitted to the Town Clerk on Date Submitted by Property Owner or Legal Representative (required) Accepted by the Town Clerk on by Date Clerk's Initials A separate Application is Required for each Unit not under the same Tax ID Municipality Code: 04-014 Bayfield County, WI STR Initial Application and License Section B. License Conditions 1. This license is valid from the date of approval to June 30 of the following year if RECEIVED issued between June 30 and December 31, and June 30 of the same year if issued between January 1 and the 2"d Wednesday of June. APR 2 8 2026 2. When the Short -Term Rental is rented, the Owner or Property Manager must be Bad co. available 24 hours a day within 15 miles of the Short -Term Rental. Planning and Zoning Agency 3. Quiet hours are 11:00 pm to 7:00 am. No fireworks permitted. 4. Maintain a guest register for one year as required by the Wisconsin Department of Agriculture and Consumer Trade Protection. 5. This license is not transferable if the property is sold. 6. The use of temporary lodging (like tents or trailers) on the property to allow the property to have more overnight guests than allowed by the tourist rooming house license is prohibited. 7. Additional conditions imposed by the Town of Clover: Section C. Approval. (for Office use only) A Short -Term Rental License is approved for for a Short -Term Rental Property Owner located at Address Expiration date of June 30, 20_ Issued by: Clerk, Town of Clover Date: Section D. Instructions. the Town of Clover Applicant: 1. Compete Section A. 2. Attach copies of requested documents. 3. Attach required fee. 4. Submit to the Town Clerk at any time for an initial license, or between April 1 and May 31 for a renewal. All STR Licenses expire on June 30 of each year. 5. Post approved Short -Term Rental License (two pages) in the STR. Town Clerk: 1. Review and process as determined by the Town Board 2. Send approved Short -Term Rental License to the Applicant. Approved: 3/08/23 Land Use Permit Application Review Checklist Submission #: S'( - 8O Tax ID: S -T -R: 4-5)...7 Town: Over' What zoning district is the project located in? ❑R-1 ❑R-2 ❑R-3 DR-4R-RB ❑C ❑1 ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes No Does lot meet the zoning dimensional requirements or is it substandard? 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' No Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? Is project associated with a nonconforming use or structure? Does the project require sanitary? ❑ Yes $ No TKYes ❑ No Sanitary Permit B: as-(2SS Public System: I # of bedrooms: 2 a000 OA\ ho\C\n Yes ❑ No Does the project require an affidavit? )(LLC ❑ Trust Affidavit #: Number of Units: Number of Bedrooms: Number of Bathrooms: Number of Stories: ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: Date of Inspection: Inspection Notes: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: \, \! \ Date of Approval: �Cs� ��;Wh 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: B=YFIELD Bayfield County Planning & Zoning Department 117E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: TOUCHSTONE PROPERTY AND STR-00336 MANAGEMENT LLC 8078 KIMBRO AVE S Transaction Number. COTTAGE GROVE, MN 55016 STR-00336-458A0 Description Amount 1 unit $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 6400 Paid by: Touchstone Property Management LLC Payment Type: Check Transaction Date: 5/29/2026 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 LAND USE - X SANITARY - 22-125S SPECIAL A - SPECIAL B/CONDITIONAL - BOA - No. 26-0220 Tax ID: 37823 Issued To: TOUCHSTONE PROPERTY AND MANAGEMENT LLC BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S26 - T51 N - R07W Town of Clover Legal Description: LOT 3 CSM #2041 IN V.12 P.84 (LOCATED IN GOVT LOT 2) Residential Structure in R-RB zoning district For: [1 -Unit] Short -Term -Rental, Maximum Occupants Allowed is 8 (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 8 persons. NOTE: This permit expires two years from date of issuance if the authorized construction Desi Niewinski 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. May 29, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.