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Return to: 117 E 5`^ Street, PO Box 58 Washburn, WI 54891 permits@bayfieldccunty.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION VPJ°°F A County Use Only: Submission #: LU- o 1SL( Permit#: -O O Date: _-(a-oCl(� Property Owner Name: Authorized Agent Name (if applicable): Whitecap LLC RFCVFfl Telephone Number: Telephone Number: 651-206-5007 E -Mail Address: E -Mail Address: lL robe0453@alumni.umn.edu _ Mailing Address: Mailing Address: Plannin., coi _ ,; ^,: Agency 1009 18 1/2 Ave NE City, State, Zip: City, State, Zip: HJEJjED Minneapolis, MN 55418 Contractor: Telephone Number: E -Mail Address: Matt Lazorik 715-475-8462 tobchair@bellwi.gov SECTION B: Property Information Project Address (if different from mailing address): 21380 Blueberry Lane, Cornucopia WI 54827 Legal Description (if additional space is needed attach a separate sheet): Lot 28 in Govt Lot 3 in D0C 2017R-569721 481 F Section, Township, Range: S33 T51 N R06W Town of: Town of Bell Tax ID #: 7896 Lot Size (Acres/Square Feet): 1.32 SECTION.C Pr ct . o ._ tion (check all that apply). Project Use is: H Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: O New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days ❑ Sign O Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A O Other (describe): required Total sq It): required ;SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E Structure Type is: ❑ Residence ❑ Principal Structure (describe): O Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured Garage date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement H Slab ❑ Crawlspace O Ground O Skids O 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: 1" Floor Sq Ft: Loft Sq Ft: 2"d Floor Sq Ft: ara Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 1323 Total Sq Ft: 1323 Overall Height (finished grade to peak): 23' 7" # of Stories: 2 Existing It of Bedrooms on property: Proposed # of Bedrooms in project: E: RV and Sign Information (check all that a - . " RV is: Sign is: ❑ New ❑ Replacement O New O Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided O 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 REC 11(e:D MAR 242026 SECTION -F: -Site Plan — attach a site plan or draw site plan in box below (See pages -1 & 2 of Land Ljag {yt}t _t pplt a��ipp i Information for information that is required to be provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures O Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) ❑ Lake O River ❑ Stream/Creek ❑Pond ❑Floodolain ❑Wetlands ❑Slopes over 20% ltltli .. Ittl'tFIt It tIt IF lllt t It ltlt lllt It t tl _. '---- ---- t'tia ,�[t t1) _—� ..a Ih Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline ft. ft. Note Comments: 1'.) &'n' l ' 6roM (J`^'� C ����` It' ( dM ` . r �Q�/� ( t ≤zi t 4 M Q O Front Lot Line/Right-of-Way 18' g-08" ft. ( ft Side Lot Line I (North South West, circle one) ft. bft. � Side Lot Line 2 (North East South circle one) 11' 0-12" ft. ft. Rear Lot Line 527' 0-00" ft. loot ft. Septic/Holding Tank N/A ft. ft. Drainfield N/A ft. ft. Privy N/A ft. ft. Well 47'7-00" ft. ft. Existing Structure/Building 58' 0-00" ft. ft. Wetland 117' 10-04" ft. • ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 RECEIVED JUN 252026 Bayfield Co. Planning and Zoning Agency SECTION G: Additional Questions f El Yes ❑ No Has the location of the proposed project* been staked? If no, what date will this be completed: Note: The site will not be inspected nor permit issued until after the staking date listed above. [2]Yes ❑ 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. El Yes O 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. El Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? El Drainfield ❑ Holding Tank El Municipal/Public ❑ Other (describe): ❑ Yes O 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 ❑ Holding Tank El Municipal/Public ❑ Other (describe): ❑ Yes [7 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: O Rezone ❑ Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: El Check (attached) ❑ Cash (attached) El debit/credidecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? O Mail to: OR El Email to: robe0453@alumni.umn.edu El Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): 'Include eaves, overhangs, sanitary system, and well in staking measurements _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.gov/tooic/wetlands, 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 the purpose of inspection. Owner(s) or Authorized Agent Printed Name: w -nom• G Owner(s) or Authorized Agent Signature: Kevrh Robevtc Date: 06-25-2026 NOTES: 1. 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 u/r MAR Z 4u26 Bayfield Co. [a Planning a,:j ZoningAgency * '+ O O F 3 a flmm 4 fi-m+n->�m-m-mm 7,'- - nc� —man- — —'T''^' an- flyaT (DG 0 EXISTING HOUSE e o/n Y e � EnE 5 ® 3 BLUEBERRY LANE N SITB PLAN N anaomawa RECEIVED MAR 242026 Bayilcld Co. AFFIDAVIT OF AUTHORITY Planning ar'. Z.x Ino Agency (Corporation, LLC, etc.) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a corporate/business entity. STATE OF WISCONSIN ) ss. BAYFIELD COUNTY The undersigned affirms and states as follows: 1. Address of Subject Property: 21380 Blueberry Ln Cornucopia, WI 54827 2. The Subject Property is owned by: Whitecap LLC (Name of Company) 3. The name(s) of the current President or Managing Member: Kevin Roberts Chandra Akkari 4. I certify that the company named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Company named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to 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 Company to apply for and bind the Company to the terms and conditions of any decision or permit issued 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. Dated: It F JAm ( VL1✓`. Print ame („ Subscribed and sworn to before me this ,%,•+�R"(,RF••,,� day of /t4arck 202(0. •" Co 10.• •. 1p Notary Public, County, Wisconsin ; N; °(/BL%G : 2 My commission:1,/sq/at. ''... OF WISG_...•o LJSI C.'f/E &9AIG e PrrrI (Truer: WIIIIEW 1LC Tn ID I5 9r aM Rmmwayft(yy' 9;�q9 Name: 288M mo:.WHRECAPLLC S5a Md. (Pliysi W M&4Mk 21380 C. IESEPIR W.COIM000PI& WL54BD 4a lAddrou: 1MW 1B IRIVENF. GSJAN.554IB Crnn Ll.,l Mdreu WV Ta Amomt $3.756.37 Ea F* M,NVS Imp: Si 14.60000 W F4ir MI I W 14t 0105.10a00 loS0 , rvm ..579.400.00 TPW L. d Wlls S12L400.00 54MMmum 5264,000.00 D..dWP9BB: RactivED MAR 242026 Bayfield Co. Planning and Zoning Agency PROJECT OilER UTILITIES SERVICES: WXITh:fl'1l. NIA RWMTEWAES- N/A ELECTRICAU WCA71011: BOW SEaIBRPAAB (LTD BE lOCATED IN R CEIVED Bayfield Co. Planning and Zoning Agency A 01 RECE WED 2 4 ZOZo MAR Bayfield Co. Planning arid ?erring Agency NORTH ELEVATION A w-ra 3 SOUTH ELEVATION y.. rs 3 WEST ELEVATION LB 3 EAST ST ELEVATION D 3 A 03 FSCEf'VED MAR 242026 Bayfield Co. Dlanninn Tc ^. 7 :,;no Aaencv EXTERIOR ELEVATIONS GENERAL NOTES IuusuniLESTWcVN 1R nulECT iNSI, FLAW INM „ OI.w NFNf NNL TA O.ON.Y. N ORIINIs`in ""Ee ourvo OF0101 :010103 SEALER: SEE P000FMi.."uwXTPvuiss: WAwxaoPIRmsmans PP'uxiED/NT N050:10 ELFlw.van000ALL°E SEES P110110 INRNl EXTERIOR ELEVATIONS KEY NOTES: Q ROOEINOu6GSTANOINGSEAM PASCIA: ROLLEXALUMINUM OR EQ. COLOR TIRO SOFFIT: ROLLER ALUMINUM OR EQ. COLOR TED Qp CORNERTRIM: METAL MANUFACTURE AND COLOR TED. O SIDING: METAL MANUFACTURE AND COLOR TED. © WINDOW TRIM: METAL MANUFACTURE ANDCOLORTED. © WINOOW/ DOOR: SEE SCHEDULE MSUTATION: CINSUTATING DRAINAGE RIO OR EQUAL © GARAGE {6. A 04 RECEIVED MAR 242026 Bayfield Co. Planning er:.". Zoning Agency r Y mh' ® 649 SQ. Ff. �.. 0 r y lta d,. d:. 41 l/4 PL00R PLAN GENERAL NOTES: I.O IWDt lEwga NOAH ALL Td¢i nnTssTflrn®1'AraSa IDDLIV RWA OO LkL l Al V NW. AttMADE. 90I+F i;WNFWMi N'IXI�W U.mu.fONt IONC,11X.OIAJO IOVRNLSWOa LOS 9AIEAT aO ® IMEUICA LWa919 L flTANTU Msmn°RA&"" c aNOP&Fln"aullLfl `wAu"SAuwaa "`ANu"'.minxoDolt AA+ UiINye�wnn°N Aft ONv OUDUNDIN wiWy NP. 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RE: W� vA fr0Rwu FOR AmFnow 150 ROAR. s ROAR RMONIT FOR AROOIOMC usaRAmN FOUNDATION OVERVIEW w c ] IIOTTOMOFD SI'IIEADER FOOTING it 4.O NELOWGIIJ.I)TT. FOUNDATION WALL /SPREAD FOOTING 0 A) k CEIVED MAR 242026 Bayfleld Co. Planning J,,d Z,ning Agency II mow IWA.NNI1I. WNNa wN Onc�.ronnw,n iATW]MI1R.LL mn,,N lUAU. yD[. VY NLA¢X v A AWAY` NII TYFICALDEW W GROUND FOUNDATION WALL . iRf bl O&GRFlLL -eNI NINI.xom WuuntwcwR!ov. mIR.W4NNINI EQUM1 rwKwn FOUNDATION WALL wvmvaww�m�mevTmacvr '/N' IN A.I WLNOAnII WAUC4YRA31O]E ® STANDING SEAM: GAUGE: 26 PANEL RIB HEIGHT: 1" PANEL COVERAGE: i6" WIDE MANUFACTURE: TED COLOR: TED VENTED RIDGE SCISSOR TRUSS WITH DROP DOWN SCISSOR TRUSS ENDS ILAND FRAMED ROOF DORMERS II- 24. liftOvwlan� r Right ovnhsng r Rxk 7/12 toter Nth: 7/12 & dnylrinshe: i1R' sp.my r R.e taa& 42.7410 KFM bvd 9g ALL DIMENSIONS SHOWN ON THIS PAGE ARE OF THE ROOF SHEATHING BEING TERMINATED AT THE SUB FASCIA, PEAK, OR ONTO THE ROOF DECK. PLEASE SIZE METAL ROOFING TO ACCOMMODATE VENTED RIDGE AND ALL REQUIRED OVERHAGS FOR DRIP EDGE AND TRIMS. GARAGE ROOF p R 2 A o8 3/30/26, 11:21 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 3/30/2026 S Description Updated: 12/13/2021 Tax ID: 7896 PIN: 04-010-2-51-06-33-2 05-003-04000 Legacy PIN: 010107309000 Map ID: Municipality: (010) TOWN OF BELL STR: S33 T51N R06W Description: LOT 28 IN GOVT LOT 3 IN DOC 20178- 569721 481F Recorded Acres: 1.320 21380 BLUEBERRY LN CORNUCOPIA 54827 Calculated Acres: 1.321 Lottery Claims: 0 ® Property Assessment Updated: 8/9/2018 First Dollar: Yes Zoning: (R-1) Residential -1 2026 Assessment Detail ESN: 107 Code Acres Land Imp. G1 -RESIDENTIAL 1.320 128,400 79,400 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE a Ownership WHITECAP LLC Billing Address: WHITECAP LLC 1009 18 1/2 AVE NE MINNEAPOLIS MN 55418 Property Status: Current Created On: 3/15/2006 1:15:02 PM Updated: 12/13/2021 MINNEAPOLIS MN Mailing Address: WHITECAP LLC 1009 18 1/2 AVE NE MINNEAPOLIS MN 55418 10 Site Address * indicates Private Road of Recorded Documents O WARRANTY DEED Date Recorded: 8/25/2017 ® QUIT CLAIM DEED Date Recorded: 8/14/2007 ® CONVERSION Date Recorded: Updated: 3/15/2006 2017R-569721 2007R-515589 976-675 319-21;467-165;701-99 2 -Year Comparison 2025 2026 Change Land: 128,400 128,400 0.0% Improved: 79,400 79,400 0.0% 207,800 207,800 0.0% tTotal: tom' Property History N/A https://novus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=7896 1/1 Bayfield County, WI Bluff ID 75 n Z h Oro vlI\.•. I' wl �i.NllY 1 t f U' ina L �.. I. �r EF 'IF $� I � a r. f $i\ � •'Y p j rRplD/Ta. ID F ]BY) 0 k0 _ .R.'.: FANTA LEGACY LC a � . Lo Z w W F :� e1 �^ s _ m,�yY :c." nRPIu OF,F,WI5COSCONS'D �--'' ijM.. t TATS EN INDNk ..., 3/30/2026, 11:21:49 AM Wetlands Rivers Approximate Parcel Boundary Road Type — Town Lake Superior Shoreline Recession Segments There is no bluff and, thus, no average annual rate of bluff recession In this reach of shoreline. 1:698 Flood Plain Boundaries Active Dec 16th, 2011 0 0.01 0.01 0.03 ml AE = Base floodplain where base flood elevations are provided. \ T� 0 0.D1 0.03 0.05 km --- Lake Superior Proposed Setback Line Building Footprint 2015 Bayneid County Lam Records Department 4 Building Bayfied County Zoning Application blips//maps.bayseldcounly x.igov/ZorungWAB/ 673-8710 File Code: 29BayFI File Number: 114621 ADDENDUM/EXHIBIT A A parcel of !and in Government Lot Three (3), Section Thirty-three (33), Township Fifty-one (51) North, Range Six (6) West, described as follows: Starting at the North 1/ 16th corner between Sections 32 and 33, thence 548° 34' E., 253.3 feet. Thence S. 68° 34' E, 1136.4 feet. Thence S. 750 13' E., 446.8 feet. Thence S. 82° 34' E., 332.73 feet to an iron pine, which is the point of beginning. Thence N 1° 09' W., 214 feet to an iron pipe. Thence N. i° 09' W., 362 feet to the shore of Lake Superior. Thence South -Easterly along said shore 101.13 feet. Thence S. 10 09' E., 375 feet to an iron pipe. Thence S. 1° 09' E., 200 feet to an iron pipe. Thence N. 82° 34' W., 101.13 feet to the point of beginning. Being Lot 28 on the unof ical and unrecorded plat made by Thomas Nelson, dated July 15, 1957, Siskiwit ay ubdivision, Town of Bell, Bayfield County, Wisconsin. Land Use Permit Application Review Checklist Submission #: Waf zoning district is the project located in? 1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W OM -M Yes ❑ No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: es ❑ 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 VNo / Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes Bi10 Is the project located in the Floodplain? Zone: Yes ❑ DIo Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes No Is project associated with a variance? Case It: ❑ Yes l4io Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes cIpao Is the project associated with a Special A Use Permit? ❑ Yes EINo Does the project require sanitary? O Existing O New O Intercept ❑ Reconnect ❑ Non -Plumbing O Public Sanitary Permit #: # of Bedrooms: ❑ Yes o4io Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: Yes ❑ 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? R sidential ❑ Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Gra ing ❑ Other, describe: Structure Type is: ❑ Residence ❑ Principal Structure Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: K 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 Atta ed Non -Habitable Garages $0.20 x sq ft (minimum $125) $ Non -Habitable Residential Principal and Accessory Structures $0.20 x ( �a ) 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 ❑ Land Use Revisions O Special Use Permit - Class A O Floodplain horeland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ 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: I I Date of Approval: Cond' ' n(s): Must meet and maintain setbacks from fuhhet extension of structure including eaves and over ngs. For personal storage only. ❑ Fr personal residence only. iSIjgtfor human habitation or sleeping purposes. D'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. ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). �e 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. ❑ jgn must meet the requirements of Article E of the Bayfield County Zoning Ordinance. l7 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 ❑ RRVV must be removed by CSI 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 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: Submission Number: WHITECAP LLC LU-02154 1009 18 1/ 2 AVE NE MINNEAPOLIS, MN 55418 Transaction Number: LU-02154-491DE Description Amount Non -Habitable Residential Principal and Accessory $264.60 Structures - $0.20/square foot (minimum $75) Total: $264.60 Payment Amount: $270.90 Reference: 4412951275 Paid by: Kevin Roberts Payment Type: Credit Card Transaction Date: 7/2/2026 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 — Yes / Impervious Surface — No Floodplain — No / Wetlands — Yes Mitigation — No / Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0309 Tax ID: 7896 Issued To: WHITECAP LLC Location: S33 - T51 N - R06W Town of Bell Legal Description: LOT 28 IN GOVT LOT 3 IN DOC 2017R-569721 481F Residential Structure in R-1 zoning district For: New Construction [2 - Story ], Accessory Structure on a Slab [1323 Total sq. ft. ] Height of 23' 7" (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 Emily Macgillivray 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. July 02, 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): 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. Use best management practices to limit and prevent erosion during construction. To be constructed per plan. No sewer and pressurized water allowed in the structure.