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Return to: County Use Only: 117 E 5'h Street, PO Box 58 Bayfeld County Planning and Zoning Department Submission #: L_U-(945 I Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a6- o aS permits[�bavfieldcounty.wi.gov Date: 17 SECTION A: General Information Property Owner Name: Authorized Agent Name (if applicable): Ca a eiercffe Telephone umber: Telephone Number: - 7/S -a flks E -Mail Address: E -Mail Address: MAY 117026 Meiefoffe C.c a S. ric, corn Mailing Address: Mailing Address: Bayfield Go. a9SA/e PC 1. Planning and Zoning Agency City, State, Zip: tl City, State, Zip: 9 c n W S`/Ff5% FLIPS Contractor: Telephone Number: E -Mail Address: S` / SECTION B: Property Information Project Address (if different from mailing address): 7a,5 D h e Line iU j(c.i Raoer,WT 3'1897 Legal Description (if additional space is needed attach a separate sheet): Lc,)-/ esnl(.,la f/bl4"+e 9 Pjc 3095c.n/& j9 -fl -SW oCane-.t 1110. acw -sao ba Section, Township, Range: Town of: 7r ;pp Tax ID ii: 3o Lot Size (Acres/Square Feet): 7. ,;,, r 5 SECTION C: Project Information. check all that apply) Project Use is: RI Residential 0 Commercial 0 Municipal If Commercial, estimated cost of construction: $ Project Type is: 0 New Construction 0 Addition/Alteration (existing structure) ❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days ❑ Sign 0 Establishing a Business 0 Temporary (12 or less months) ❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A 0 Other (describe): required (Total sft): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: 0 Residence 0 Principal Structure (describe): 19 Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured l��ra5e date): ❑ Shipping Container 0 Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement [&Slab 0 Crawlspace 0 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'"r Floor Sq Ft: 38yra 3b Floor Sq Ft: rxtc csA,cc Garage Sq Ft: )(pay Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): )fl Total Sq Ft: c/ Overall Height (finished grade to peak): aa.fi- of Stories: a Existing # of Bedrooms on property: l Proposed !I of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: ❑ New 0 Replacement - ❑ New 0 Replacement ❑ On -premise 0 Off -premise ❑ I -sided 0 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page I SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application Information for information that is required to be provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures 0 Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek OPond ❑Flood lain ❑Wetlands ❑Slopes over 20% N I RECEIV'EU MAY 1 1 2026 Bayfiold Co. Planning and Zoning Agency V 4 d. Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline ft. Ii. Notes/Comments: Front Lot Line/Right-of-Way ft. i- ft. Side Lot Li ZZ ft. �f ft. IW (North East ou est, circle one) S" Lot Line ft. 73 + ft. ort East South West, circle one) (W I414 I G Rear Lot Line o0' ft. ft. I ft. ft. Septic/Holding Tank S Drainfield Q ft. ft. Privy Yj ft. Jjtft. Well (Pt o ft. Existing Structure/Building ft. ft. Wetland Q ft. ft. Elevation of Floodplain NA ft. ft. Ordinary High -Water Mark (OHWM) µq ft. ft. Other (describe) ft. ft. Application Page 2 f 4 K t • �f jr______ _ p .d ti ^F• .C ..r fv4�t `��•'i 'mod ' +�<�;JP RECEIV U MAY 112026 SECTION G: Additional Questions C<Yes O No Has the location of the proposed project including eaves any pgsciozd the sanitary system and well been staked? If no, what date will this be completed: ❑ Yes M 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 tNo 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. t 'Yes O No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield O Holding Tank O Municipal/Public Pr Other (describe): U'Yes ❑ 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 olding Tank ❑ Municipal/Public 0 Other (describe): O Yes l 14o 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 O Class B Special Use O Conditional Use O Variance Fee payment will be made via: Check (attached) ❑ Cash (attached) 0 debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? @45C Me;ererto a98yo Kc//y Rc Mail to: OR ❑ Email to: MgsonrWT 5fl5(o O Property Owner Address ❑ Agent Address O Contractor Address ® 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.eoc tonivwetlands, 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 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 thepurpose of inspection. _� VC- V ✓l tr Z �d1 Owner(s) or Authorized Agent Printed Name: �� `4—f Owner(s) or Authorized Agent Signature: E' -. / ✓ l / I�r_.La Date: NOTES: I. 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 R1Ce1VEG MAY 112016 I$fr /,00i &4f44c ' r i p Bayfiold Co. L ra p{anningandZoningA9ancY f ; I I HeJJ \ CaN i_ (GS �I 6 I � fI j I S41 ^ (Q�Yr l ! G4f45c H. �I. L. ___._.._ _1. ice_ I Ia' i — Id' - f— 1' - ---I Flobr $+ol'45e- RiECEIVtL) MAY 1 72026 PlanningTarq l,d, ggge w I —b -- I� !o—i ia' I 3a 1 B•' Fro-+ State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number 11 Document Name THIS DEED, made between Peter?. Ganapes and Suzanne R. Schilling_ huchand and wife, as joint tenants ("Grantor," whether one or more), and ��,,Jason A. Zak and Jenell R Ogilvie -Zak. husband and wife. and Gage J. Meierottn. asjojoint tenants (`Grantee." whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Bayfield County, State of Wisconsin ('Property") (if more space is needed, please attach addendum): Lot One (1), Certified Survey Map No. 1612 as recorded in the Office of the Register of Deeds for Bayfield County, on April 25, 2008 in volume 9 of Certified Survey Maps on Page 309 as Document No. 2008R-520362, located in the Town of Tripp, Bayfield County, Wisconsin [,At 112026 3_e, i,cld Co. P,irnning a J Zoning Agency Recording Area Return Address Gage J. Meierotto 29840 Kelly Road Mason, WI 54856 20260-25 04-4)48-2-48-08-19-2 03-000-40000 Parcel Identification Number (PIN) This is not homestead property Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: RACRMF.NTS. RESERVATIONS AND RESTRICTIONS OF RECORD. " Suzanne IfSchilling AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. authenticated on � A" ( o.kj7@ltML. COUNTY ) ,gHnnnnnph, s GRE 'o �G Personally came before me on 9uht. � .• 1 the above -named Peter P. Ganaoes and Suzanne R. Schilling TITLE: MEMBER STATES OFo NSIN 3 (If not - _ _`� to me known to be the person(s) who executed the foregoing authorized by Wis. StL 706.0)C" ` = instrument and ate' ,know ]edged t e same. THIS INSTRUMENT D Of 00 ATTORNEY MAX T. LINDSEY, S)#n 14'i 28B§ WI 54806 r Notary Public, State of Wisconsin J 1/ as Anich, Wickman & Lindsey. S.C. Ashland, My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 Type name below signatures. FECE1VEO Letter of Authorization MAY 11 2025 Bayfield County Planning & Zoning Department PlenninJ Z. -.J ;d Co. _ &r.:Agency PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. I, ZIQSO n Zak (property owner), authorize Coal a /ye 'e rof-fo (authorized agent) to submit a l' "a k te. (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) con roA + P Caa rye application on my behalf for the following described property: Legal description of subject property: i-S I. C S P7 +r l6la J Jelu,., e 9, Pa yc ieg . s wuw i 4 -Y8 -8W Town of Tr;pp r5r,yfie/d Lo..nt7 jk11 Address of subject property: 7a S .O Rc,aij e Line Rep irc ., X; ✓ cr ,4)J 55'8Y7 Si ure Dated Letter of Authorization MAY 112026 Bayfield County Planning & Zoning Department eayrkid co. Planning zM_ Zoning* Agency PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. I, E nz 1 l Q t v it -Zak- (property owner), authorize &&5f %Y� i N c 44-0 (authorized agent) to submit a >I a „4 r,t c e . (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) Ccnsi-r } i'cn Mf C,c,ra41 c- application on my behalf for the following described property: Legal description of subject property: Loi- I CS rrn if I bl a Val arnc `'I , Eases ;dq ,S wN t J 0-V9$LJ Ton of n- e y, aaaF7cici Goun-,1 t.'/ Address of subject property: -1 ?So /Ca.y (line ad L-iw 2,vte w I ig lure S -iv 9oaco Dated 6/16/26, 9:12 AM Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:16:04 PM Real Estate Bayfield County Property Listing Today's Date: 6/16/2026 Description Updated: 7/14/2025 SO Ownership Updated: 2/10/2026 Tax ID: 30264 JASON A ZAK MASON WI PIN: 04-048-2-48-08-19-2 03-000-40000 JENELL R OGILVIE ZAK MASON WI Legacy PIN: 048102703000 GAGE J MEIEROTTO MASON WI Map ID: Municipality: (048) TOWN OF TRIPP Billing Address: Mailing Address: STR: 519 T48N R08W GAGE 3 MEIEROTTO GAGE J MEIEROTTO Description: LOT 1 CSM #1612 IN V.9 P.309 29480 KELLY RD 29480 KELLY RD (LOCATED IN SW NW) IN DOC 2025R- MASON WI 54856 MASON WI 54856 608082 232E Recorded Acres: 7.640 t! . P Site Address * indicates Private Road Calculated Acres: 7.640 72520 RANGE LINE RD IRON RIVER 54847 Lottery Claims: 0 First Dollar: Yes 8 Property Assessment Updated: 8/16/2022 Zoning: (AG -1) Agricultural -1 FSN: 129 2026 Assessment Detail Code Acres Land Imp. Tax Districts Updated: 3/15/2006 G1- RESIDENTIAL 7.640 43,900 10,200 1 STATE 04 COUNTY 2 -Year Comparison 2025 2026 Change 048 TOWN OF TRIPP Land: 43,900 43,900 0.0% 044522 SCHL-SOUTHSHORE Improved: 10,200 10,200 0.0% 001700 TECHNICAL COLLEGE Total: 54,100 54,100 0.0% S Recorded Documents © WARRANTY DEED Date Recorded: 6/30/2025 ® WARRANTY DEED Date Recorded: 8/30/2021 ® WARRANTY DEED Date Recorded: 4/16/2012 U CERTIFIED SURVEY MAP Date Recorded: 4/25/2008 ® CONVERSION Date Recorded: 3/15/2006 Updated: 5/7/2012 2025R-608082 2021 R-590612 2012R-543370 1080-960 2006R-520362 9-309 219-60;289-98;563-87 Property History N/A https:/Inovusbayfieldcountywi.gov/access/master.asp?paprpid=30264 1/1 Bayfield County, WI 6/1612026, 9:12:50 AM 1:415 Rivers Approximate Parcel Boundary Road Type — Town Building Footprint 2015 Building 0 0.01 0.01 0.02 ml 0 0.01 0.01 0.03 km Bayfel County Land Records Oepa'unenl Baya&d Cowny Zonkg Applicalbn niWs:/mwps.oayf&dcounry wl.ge+IZaningWAB/ 1735 BAYFIELD COUNTY CERTIFIED SURVEY MAP NO. _____ A PARCEL OF LAND LOCATED IN THE SW 1/4 OF THE NW 1/4, SECTION 19, T. 48 N., R. 8 W., IN THE TOWN COUNTY, WISCONSIN - : BEARINGS ARE BASED ON THE WEST LINE OF THE NW 1/4 OF SECTION 19 ASSUMED AS N 01'23.19' E 5131S18 S 18 i 5 S 24 S 19 1-1/2' IRON PIPE ry -. • 5 irP D.R: S 8G 20'00 E \\\ \\ LI 667.24' 1342.48' \\ \\ I 235.34' 356.50' r ! C I Il LOS' N ! ; ' .,�vE� - S (EXCLUDING 0.19 ACRE IN RO4D RIGHT—OF—WAY) 1+ i ^ `, ( 12 1072.64' o � I Zo I N 88'20'00" W &7.69' 152.94' 13 46.57 1' c(I) . tl a I! J ti LINE TABLE `9 LINE BEARING DISTANCE LI S 8820'00' E 33.00' SCALEI INCH = 150 FEET S 24 I S 19 L2 N 88'20'00' W 33.00' 1/4 CORNER 0 150 300 LEGEND • I' IRON PIP£ POUND, UME!S ? JIDD OINERWISE CLIENT.• JOHNSON, GARY dO8 M0. MD7_ 180 F L'N D B1" P. NELSIZN f]L/WTi�/T48AfRBM/:S(C19/ NELSON J URVE'YI1vG snw 07 SuIF TII 545 o 1' X !a' 01100 PIPE $EIGNAIG f.13 LBS/FE SGLE INVfi! • ISO ACAO/Ap7_l80/PSMD�AYO?_105 APR1t 4 2OOB IFFY AS 342 PC. 149 INCORPORATED nl�s 6_ FAC (715) 60-5100 SET 1Iu5 spy SWEET I OF 2 SNE£15 SURPT1 R1rlaWr F= sOra 1951 MAP NO. CSM 1735 BAYFIELD COUNTY CERTIFIED SURVEY MAP NO. A PARCEL OF LAND LOCATED IN THE SW 1/4 OF THE NW 1/4, SECTION 19, T. 48 N., R. 8 W., IN THE TOWN OF TRIPP, BAYFIELD COUNTY, WISCONSIN SURVEYOR'S CERTIFICATE I, Timothy E. 0ksiuta, Registered Land Surveyor in the State of Wisconsin. hereby certify; That on the order of Gary Johnson, I hove surveyed and mapped a parcel of land located in the SW 1/4 of the NW 1/4, Section 19, T. 48 N., R. 8 W., in the Town of Tripp, Boyfield County, Wisconsin; described as follows: To locate the Point of Beginning, commence at the northwest corner of said Section 19 and run S 01'23'19` W, 2054.85 feet along the west line of said Section 19. to lice Point of Beginning; Thence from said Point of Beginning by metes and bounds: Leaving said west line, S 8&20'00" E, 1342.08 feet to the west 1/16 line; Thence S 00'19'33" W, 247.57 feet along said west 1/16 line; Thence leaving said west 1/16 line, N 8820'00" W, 1346.67 feet to the west line of said .tian 19; Thence along said west line. N 01'23'19" E, 247.50 feet to the Point of 8eainnin ^ 1 Said parcel is subject to easements, reservations, and re rICIAL ' I Said parcel contains 332.727 square feet, whichl is 4 ng That That this map is a true representation of said iurvo That I have fully complied with section 236.34 o the Wisconsin Statu he I ly Subdivision Co Ordinance in making said survey and rnup; and That said survey and map are correct to the bet of my knowledge a i lie . Timothy E. Oksiutd RLS — #1550 BAYFIELO COUNTY PLANNING AND ZONING APPROVAL This Boyfield County Certified Survey Map, jareb pproved by the Bayfield County Planning and Zoning Department. Doted this y _ day of /!/L , 2008. Karl Ka o�P1 ning and Zonieq'tlirec(or CLIENT: JOHNSON, GARY NJ?LON iiiK JOQ NO. N07_ 180 FlL£:N/QATA/T4BNR8W/SEC19/ SuIZVL'YING so= CERTIFICATES ORAFIED QY P. NELSON RED/N07 180/PSOA.A/N06_ 105 2 0iM M -S,0 APRIL 0, 2008 NQ. 342 PC. 149 INCOI?PO1tlTED SURYSYING NOHJi18RN 1?ScONSIN SINC8 1954 I SHEET 2 OF 2 SUMS MAP N0. CSM 1735€) Land Use Permit Application Review Checklist Submission #: O What zoning district is the project located in? ❑ R-1 0R2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M -1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes IJLN≤ 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 R10 Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes Q1p Is the project located in the Floodplain? Zone: ❑ Yes Q410 Are there wetlands on the property? ❑ Yes N Is project associated with a nonconforming use or structure? ❑ Yes Is project associated with a variance? Case if: ❑ Yes Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Y cffo Is the project associated with a Special A Use Permit? es ❑ No Does the proje require sanitary? ❑ Existing E1 New ❑ Interce t Reconnect 0 Non-Plu bing 0 Public Sanitary Permit if: # of Bedrooms: &j j fO6rhh ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Y s Igilo Does the project require an affidavit? Affidavit #: Yes ❑ 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? 2'fe5klential 0 Commercial 0 Municipal Project type is? 4ew Construction 0 Addition/Alteration 0 Change Use ❑ Relocate 0 RV Placement 0 Sign ❑ Establishing a Business 0 Temporary 0 Shoreland Grading 0 Other, describe: Structure Type is: ❑ Residence 0 Principal Structure DXccessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters 0 Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: 4,0 S Number of Stories: Q 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 Att shed Non -Habitable Garages $0.20 x sq ft (minimum $125) $ Non -Habitable Residential Principal and Accessory Structures $0.20 x 4p sq ft (minimum $75) $ ❑ 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. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of lnspectiow Re -Inspected by: Date of Re -Inspection: Denied by: Reason for Denial: Date of Denial: Date Denial Letter Mailed: Approved by: Date of Ap roval: �m((l a /an„JIrL//�J. 047/An. (0 - ft meet and maintain setbacks ings. personal storage only. rthest extension of structure including eaves and DoNNor personal residence only. t for human habitation or sleeping purposes. own/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. ❑ 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. D)Tign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. o be 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. ❑ 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 IYFIELD 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: ZAK, JASON A LU-02251 29840 KELLY RD MASON, WI 54856 Transaction Number: MEIEROTTO, GAGE J LU-02251-47009 29480 KELLY RD MASON, WI 54856 OGILVIE ZAK, JENELL R 29840 KELLY RD MASON, WI 54856 Description Amount Non -Habitable Residential Principal and Accessory $281.60 Structures - $0.20/square foot (minimum $75) Total: $281.60 Payment Amount: $281.60 Reference: 1051 Paid by: Gage J Meierotto Payment Type: Check Transaction Date: 6/17/2026 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 Substandard — No / Nonconforming — No Shoreland — No I Impervious Surface — No Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE - X SANITARY — New 26-62S SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0257 Tax ID: 30264 Issued To: ZAK, JASON A & MEIEROTTO, GAGE J & OGILVIE ZAK, JENELL R Location: S19 - T48N - R08W Town of Tripp Legal Description: LOT 1 CSM #1612 IN V.9 P.309 (LOCATED IN SW NW) IN DOC 2025R-608082 232E Residential Structure in A-1 zoning district For: New Construction [2 - Story ], Accessory Structure on a Slab [1408 Total sq. ft. ] Height of 22' (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. Emily Macgillivray Authorized Issuing Official June 17, 2026 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting. To be constructed per plan.