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Return to: County Use Only: 117 E 5r" Street, PO Box 58 Bayfield County Planning and Zoning Department I Submission #:LLU - Oa•360 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a•6 , Oa -j4 permitst bavfteldcountv.wi.aov Date: 6I d& -/?'or -& SECTION A: General. Information Proppertyy Owner Name: BEN3AMM D & SARAH K, ILLICK Authorized Agent Name (if applicable): Telephone Number: 715-606-1543 Telephone Number: e(s(-' E -Mail Address: E -Mail Address: ben@buildcarlson.com Mailing Address: Mailing Address: 24530 Cherryville Road Bayfieid Co. City, State, Zip: City, State, Zip: F2lanninJ aro Lomn9 sgency Ashland, WI 54806 Contractor: Telephone Number: E -Mail Address: Sawgrass Development 715-209-0646 Ji@cadsenbuildingsupplies.com SECTION. B: Property Information Project Address (if different from mailing address): Legal Description (if additional space is needed attach a separate sheet): PAR IN NW NE IN DOC 2022R-597619 TOG WITH EASE Section, Township, Range: S36 T48N R06W Town of: Barksdale Tax ID #: 38069 Lot Size (Acres/Square Feet): 7.908 Acres SECTION C: Project Information (check all that apply) Project Use is: a Residential 0 Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: O New Construction Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) 0 RV Placement 21+ days ❑ Sign 0 Establishing a Business 0 Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A 0 Other (describe): required (Total sq ti): required • SECTION D: Structure Information (Does notapply to RVs and Signs, go to Section E) Structure 7jpe is: Residence ❑ Principal Structure (describe): El Accessory Structure describe): 0 Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured Detached Carport a Porch date): ❑ Shipping Container 0 Other (describe): Foundation Type: ❑ Basement 0 Walkout Basement ❑ Slab 0 Crawlspace 0 Ground 0 Skids O Other (explain): Helical Piers Existing Structure: House Length: so Width: 34• 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" Floor Sq Ft: 3N Floor Sq Ft: Garage Sq Ft: Porch Ft: Deck Sq Ft: Oth t (describe): Other Sq Ft (describe): 90sgfl 66.4 Cached Carport Total Sq Ft: q 0 Overall ght (finished grade to peak): 23' # of Stories: 1 Existing 14 of Bedrooms on property: 3 Proposed # of Bedrooms in project: 3 SECTION E:.RV and Sign Information check all thatapply) l Sign is: R t' is: 0 New 0 Replacement 0 New ❑ Replacement ❑ On -premise 0 Off -premise ❑ I -sided 0 2 -sided Year: Vin #: ❑ On -building 0 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 he provided on site plan) S4ow location of: / 1 E Driveways 0 Frontage Roads (include name) Existing Structures Cl Well (W) L Scptic Tank (ST) CJ Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) ❑ Lake ❑ River ❑Streain/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over20% N 5< '4 RECI!IVED tl MAY 2 B ZON papneu Co. piannln0 and ZoninU Agency Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified r. /Setbacks Road Centerline 385 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way 375 ft. ft. Side Lot Line I ft. ft. (North East South es , circle one) 150 Side Lo ' e2 230 ft. ft. ort ast outh West, circle one) Rear Loot Line 500 ft. ft. Septic/Holding Tank 80 ft. ft. Drainfield 100 It. ft. Privy ft. ft. Well 100 ft. ft. Existing Structure/Building 4 ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) It. ft. Other (describe) ft. ft. Application Page 2 RECEiVEG MAY 282026 savrcci co. SECTION G: Additional Questions r" " - El Yes O No Has the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no. what date will this be completed: ❑ Yes El 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 El o 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. O Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? O Drainfield ❑ Holding Tank ❑ Municipal/Public 0 Other (describe): ❑ Yes 17 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 0 Holding Tank ❑ Municipal/Public 0 Other (describe): ❑ Yes El No 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: El 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? O Mail to: OR 8 Email to: El Property Owner Address O Agent Address O Contractor Address O Other (provide name and email or address): Section II: 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.gov/topic/wetlands, or contact a Department ol'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. l (we) further accept liability which may be a result of Bayfield County relying on this information I (we) are providing in or with this application. I (we) consent to county officials charged with administering county ordinances to have access to the above -described property at any reasonable time for the purpose of inspection. Owner(s) or Authorized Agent Printed Name: m -muck Owner(s) or Authorized Agent Signature: Date: •_� NOTES: 1. If you are signing on behalf of the owner(s) a letter tauthorization 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 iiCEVED NAY L ti 2l L6 Applicant,Cbecklist Hari; ❑ Yes Itn No Will new electrical installation occur with project/structure? If yes, contact State for inspection requirements. ❑ Yes 9 No Will new plumbing installation occur with project/structure? If'yes, contact State for inspection requirements. ❑ Yes QK No is the project/structure to be used for commercial purposes'? If yes, contact the State of Wisconsin Commercial Buildings & Structures to determine if they require review and approval. ❑ Yes l' No Is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the FEMA Map (limps://insc.l'cnui.uov portal/home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance (https:i/www.bayfieldeounty.wi.gov/7J I/Title-l3-_Zoning-Code). ❑ Yes N No Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage (whichever is greater)? If yes. shoreland regulations will apply. ❑ Yes 0 No is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface Form lnt ts://www.ba fieldcountv.wi. zov/Documcn(Center,'View,'3159/fnr )crvious-Surface-PDF). ❑ Yes ® No Arc there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map nt s:fdnrma s.wi.ztvill5/?l'icwer—SWUV). ❑ Yes l7 o If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of O74 driveway? ❑ Yes JZI No Was the property purchased recently? If yes, include a recorded deed. A copy of recorded deed can be acquired from the Bayfield County Register of Deed's office. 4 Yes ❑ No Is a site plan included with all information requested on Page 1 of the Land Use Permit Application Information? If no, a site plan with all applicable information on Page I is required for all submissions. Yes ❑ No Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these structures. ❑ Yes ❑ No If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use r3rd- Permit Application information been included? ❑ Yes R& No Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the - fact fee will apply. If not permittable, the structure will need to be removed. ❑ Yes O No If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application Information? If no, be aware that it is the property owner's responsibility to show the structure was legally a'P placed and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40 lilt sd%www.ba'ficIdcqun(v.wi.gov!711/Title-l3--Z_onin -Code). ZJ Yes O No Is the use of the project/structure allowed per Bayfield County Section 13-1-62 (httn:i/www.bavtieldeountv.wi.gov/7 II/Title-13—Zoning-Code). If no, be aware it is the property owner's responsibility to show the use was legally established and there may be limitation to expansion of the use, see Bayfield County Section 13-1-40 (hlip://www.baviieldcouniy,wi,gov/7l 1/'l'itle-l3--Zoning-Code). Yes ❑ No Have all fees been included with the completed application? See Fee Schedule on website (https://www.bayfieldcounty.wi,govJl389/Fcc_5clietItjI), If no, all applicable fees need to be paid before permit can be issued. ❑ Yes No Is property owned by multiple owners or is someone aside from the property owner applying? If yes, a Letter of Authorization Form needs to be included. Form available on website hit s:Uwwwtbayfieldcount .wi. goy/ 1340f; licminns-Forms . ❑ Yes No is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority needs to be included. Forms available on website (httns://www.bayfleldcountv.wi.gov/l 340/Annlicalions- 1'orm5). ,Yes O No Is Land Use Application completed and signed? Land Use Permit Application Information Page 6 Bayfield County, WI. 8:16 AM Novus-Wisconsin Access rev. 12.0206 Z/ Jb Real -Estate Bayfield County Property Listing Property Status: Current Today's Date: 6/9/2026 Created On: 3/3/2023 10:17:49 AM 9 Description Updated: 3/7/2023 Tax ID: 38969 PIN: 04-002-2-48-06-36-1 02-000-32000 Legacy PIN: Map ID: Municipality: (002) TOWN OF BARKSDALE STR: S36 T48N R06W Description: PAR IN NW NE IN DOC 2022R-597619 TOG WITH EASE Recorded Acres: 0.000 Calculated Acres: 7.908 Lottery Claims: 0 First Dollar: Yes Zoning: (F-1) Forestry -1 ESN: 103 I Tax Districts Updated: 3/3/2023 1 STATE 04 COUNTY 002 TOWN OF BARKSDALE 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE 4' Recorded Documents Updated: 3/15/2006 © QUIT CLAIM DEED Date Recorded: 12/29/2022 2022R-597619 B QUIT CLAIM DEED Date Recorded: 10/20/2016 2016R-565804 ® TERMINATION OF DECEDENT'S INTEREST Date Recorded: 11/6/2015 20158.561114 1151-640 ® CONVERSION Date Recorded: 442-91 B WARRANTY DEED Date Recorded; 10/30/1996 366941 442-91 a Ownership Updated: 3/3/2023 BENJAMIN D & SARAH K ILLICK ASHLAND WI Billing Address: Mailing Address: BENJAMIN D & SARAH K BENJAMIN D & SARAH K ILLICK ILLICK 1216 MACARTHUR AVE 1216 MACARTHUR AVE ASHLAND WI 54806 ASHLAND WI 54806 Site Address * Indicates Private Road 24530 CHERRYVILLE RD ASHLAND 54806 ® Property Assessment Updated: 3/27/2025 2026 Assessment Detail Code Acres Land Imp. GI -RESIDENTIAL 1.000 5,000 258,700 G6 -PRODUCTIVE FOREST 6.908 11,100 0 2 -Year Comparison 2025 2026 Change Land: 16,100 16,100 0.0% Improved: 258,700 258,700 0.0% Total: 274,800 274,800 0.0% If Property History Parent Properties Tax ID 04-002-2-48-06-36-1 02-000-30000 695 HISTORY ® Expand All History. White=Current Parcels Pink=Retired Parcels ®Tax ID: 695 Pin: 04-002-2-48-06-36-1 02-000-30000 Leo. Pin: 0021 308980 38969 This Parcel t Parents 4 Children https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=38969 1/1 Land Use Permit Application Review Checklist Submission #: f d What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-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 ff(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 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 Vf No Are there wetlands on the property? ❑ Yes jd No Is project associated with a nonconforming use or structure? ❑ Yes IZf No Is project associated with a variance? Case #: ❑ Yes EZI No Is project associated with a Special B or Conditional Use Permit? Permit #: Is the project associated with a Special A Use Permit? Does the project require sanitary? ❑ Yes gi No ❑ Yes No ❑ Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes Does the project require mitigation? ,'No Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: ❑ Yes 7No 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 regdired setback? Project use is? Residential 0 Commercial O Municipal Project type is? ❑ New Construction Addition/Alteration O Change Use 0 Relocate ❑ RV Placement O Sign ❑ Establishing a Business ❑ Tempor ry ❑ Shoreland Grading ❑ Other, describe: Structure Type is: Eliesidence - Principal Structure O Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: 9,9 Number of Stories: Overall Height: Fee,Type Calculation Fee Amount Habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas— all enclosed areas within $0.50 x _ sq ft $ dwelling except attached non -habitable garages welling Unenclosed Areas (decks, patios, etc.) or 0.20 �0 sq ft $ x (minimu $125) Attached Non -Habitable Garages $ 2 ❑ Non -Habitable Residential Principal and Accessory $0.20 x s ft q (minimum $75) Structures $ ❑ Commercial Principal Structures $250 + $0.005 x (minimum $250) cost of construction $ ❑ Commercial Accessory Structures $150 + $0.005 x (minimum $150) cost of construction $ ❑ Municipal Principal and Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection 0 Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ In 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: (O Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. 0 For personal storage only. or personal residence only. ❑ Not for human habitation or sleeping purposes. p'fown/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. i`-' i 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. To 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) 0 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 P 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: ILLICK, BENJAMIN D & SARAH K 1216 MACARTHUR AVE ASHLAND, WI 54806 Description Habitable Residential Principal Structure - unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Submission Number: LU-02360 Transaction Number: LU-02360-482A3 Amount $107.00 Total: $107.00 Payment Amount: $109.55 C.-Fval +oio-t Wo-S yT 1?J.°v Reference: 4853013395 Paid by:Benjaminlllick , I$,oO Sf/S)ro-v!G4 Pton 0verpLyM 7 Payment Type: Debit On I_u` 0)0q. ), o� f. Transaction Date:6/22/2026 J "l 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 / Impervious Surface - No Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE - X SANITARY — SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0278 Tax ID: 38969 Issued To: ILLICK, BENJAMIN D & SARAH K Location: 536 - T48N - R06W Town of Barksdale BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: PAR IN NW NE IN DOC 2022R-597619 TOG WITH EASE Residential Structure in F-1 zoning district For: Addition/Alteration [1 - Story ], Residence [Porch] [90 Total sq. ft.] (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. June 22, 2026 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Date 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 (if applicable). To be constructed per plan.