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26-0321
Return to: County Use Only. 137E 5" Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: L"OHO Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: , 00 a permits@bayfieldcounty.wi. ov Date: - SECTION A: General Information Property Owner Name: KQw fia Authorized Agent Name (if applicable): Telephone Number 4en6s" Telephone Number: RECEIVE E -Mail Address: • i 'W10 E -Mail Address: ¢ q t^ tk Mailin Address:oh Mailing Address: .311 12- 5... eayfleld Co. City, State, Zip_n Ad 1 ' A City, State, Zip: onin7 Agency f O Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if different from mailing address): t6C>�.L9 k9, Legal Description (if additiqnal space is eeded attach a separate sheet): Section, Township, Ran e: 3 — q( —& Town of: o,,r ►'-Sdal 2 — Tax ID #: (q i G 6 Lot Size (Acres/Square Feet): (pj SECTION C: Pr 'ect Information (check all that apply) Project Use is: M Residential 0 Commercial 0 Municipal If Commercial, estimated cost of construction: $ Project Type is: New Construction 0 Addition/Alteration (existing structure) 0 Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days 0 Sign 0 Establishing a Business 0 Temporary (12 or less months) 0 Shoreland Grading, Class A 0 RV Placement 4+ months, Class A 0 Other (describe): required (Total sq ft): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section) E Structure 7)'pe is: ❑ Residence kincipal Structure (describe): 117Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured (2&J -&5e. * ) date): ❑ Shipping Container 0 Other (describe): Foundation 7ype: 1 ❑ Basement 0 Walkout Basement IvJ Slab ❑ Crawlspace 0 Ground 0 Skids ❑ Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft base on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): CoD 5 Ft , Basement Sq Ft: 1" Floor Sq Ft: Loft Sq Ft: 2n° Floor Sq Ft: 3'a Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: f 3 o Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: O Proposed # of Bedrooms in project: SECTION E: RV and Sign Information ( (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New 0 Replacement 0 On -premise 0 Off -premise 0 1 -sided 0 2 -sided Year: Vin #: 0 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 1 & 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 ❑ Well (W) ❑ Septic Tank (Si) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake El River ❑Stream/Creek ❑Pond ❑Floodplain El Wetlands ❑Slopes over 20% N kECEIVED JUL 022026 Plannin Yfieb Co. 9 and Zoning Agency 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. ft. Notes/Comments: r/% t G Front Lot Line/Right-of-Way g 1 Z ft. ft. Side Lot Line ft. ft. (NorthEast o est circle one � /5 p11Jol Gdn Si tLine2 /7 ft. o ast South West, circle one Oft. N Rear Lot Line ft. ft. Septic/Holding Tank .i. ft. ft. Drainfield .-, ft. ft. Privy .—. ft. ft. Well ft. ft. Existing Structure/Building H . ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 RECEIVED lv2L t.. &Sf �15C 01ov\ to r* & tx 1.D 9Z j5 JUL 022026 Bayfield Co. Planning and Zoning Agency 'a1. lcd t U n N SE ION G: Additional Questions 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. ❑ 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. Ye ❑ 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 ❑ Munici blic ❑ Other (describe): ❑ Yes Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holdin Tank ❑ Munici al/Public ❑ Other (describe): ❑ Yes N Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UggM nd inspection requirements. Is the pAjj6t associated with any of the following: JUL 02 2X26 ❑ Rezone ❑ Class A Special Use O Class B Special Use O Conditional Use O Variance Feypayment will be made via: Bayfield Co. n 'Check (attached) O Cash (attached) ❑ debit/creditJecheck (department to call once payment is $&%4A fluency How would you like to receive your permit card? ❑ Mail to: OR 7Email to: 19 Property Owner Address O Agent Address O Contractor Address O Other (provide name and email or address): Include eavesfoverhangs. 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, cinr.wi.gov/topic/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: Q t Owner(s) or Authorized Agent Signature: Date: 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 State of Wisconsin DEPARTMENT OF NATURAL RESOURCES 1300 W Clairemont Ave. Eau Claire, WI, 64701 September 9, 2024 Ken Simon 311 12th St W Ashland, WI 54806 Tony Evers, Governor Telephone 608-266-2621 to Toll Free 1-888-936-7463 TTY Access via relay -711 WIC -NO -2024-4-02246 RECEIVED JUL 022076 Barfield Co. Planning and Zoning Agency RE: Wetland Delineation Confirmation for an Approximately 8.65 -Acre Project Review Area, located in NE 1/4, NE 1/4, Section 36, Township 48 North, Range 06 West, Town of Barksdale, Bayfield County Dear Ken Simon: We have reviewed the wetland delineation report from Tamarack Wetland Services, LLC prepared for the above - mentioned site. This letter will serve as confirmation that the wetland boundaries shown on the enclosed wetland delineation figure are acceptable. This finding is based upon a field visit on August 29, 2024. Boundary revisions were based on site conditions observed during the field visit. Revised and approved delineation boundaries were provided by Tamarack Wetland Services, LLC and the Department Any filling or grading within these areas may require DNR approvals. Our wetland confirmation is valid for five years. Be sure to send a copy of the report, as well as any approved revisions, to the U.S. Army Corps of Engineers. To comply with Chapter 23.321, State Statutes, please supply the department with a polygon shapefile of the wetland boundaries delineated within the project area. Please do not include data such as parcel boundaries, project limits, wetland graphic representation symbols, etc. If internal upland polygons are found within a wetland polygon, then please label as UPLAND. The shapefile should utilize a State Plane Projection and be overlain onto recent aerial photography. If a different projection system is used, please indicate in which system the data are projected. In the correspondence sent with the shapefile, please supply a brief description of each wetland's plant community (eg: wet meadow, floodplain forest, etc.). Please send these data to Calvin Lawrence (608-266-0756 or email at calvin.lawrence@wisconsin.gov). If you are planning development on the property, you must avoid take of endangered and threatened species or obtain an incidental take authorization to comply with the state's Endangered Species Law. To ensure compliance, submit an endangered resources review form (Form 1700-047 available at https://dnr.wi.gov/topic/ERReview/Review_html) and t the DNR Endangered Resources Program will provide a review response letter identifying any endangered and threatened species and any conditions that must be followed to address potential incidental take. In addition, be sure to contact your local zoning office and the U.S. Army Corps of Engineers to determine if any local or federal permits may be required for your project. If you have any questions, please contact me at (715) 829-5644 or Travis.Holte@wisconsin.gov. Sincerely, Travis Holte Wetland Identification Specialist Enclosures: Project Location Figure Revised Wetland Delineation Figure Email CC: Alan Vorse, Project Manager, U.S. Army Corps of Engineers Ruth Hulstrom, Bayfield County McKenzie Slack, DNR Water Management Specialist Anna DeMers, Tamarack Wetland Services, LLC. RECEIVED JUL 022026 BaYfield Co. Planning and Zoning Agency Legend ❑ Township n Section County Boundary Cities, Towns & Villages Coy fl wlage civil Town Municipality i. _; State Boundaries fl County Boundaries Major Roads — Interstate Highway — Slate Highway = US Highway County and Local Roads — County Hwy — Local Road -I- Railroads I _! Tribal Lands Rivers and Streams Intermittent Streams Lakes and Open water RECEIVED JUL 022025 8ynPlanning and Co. Zl Doing Agency Notes 0.5 0 0.25 0.5 Miles DISCLAIMER: The Information shown on these maps has been obtained from various sources, and are of varying age, reliability and resolution. These maps are not Intended lob used for navlgatlon, nor are these maps an autoritaMe source of information about legal a ownership or public access. No warranty, expressed or implied. Is made regarding accuracy NAD_79e3_HARN_Wlsconsln TM 1: 15,84 applicability for a particular use, completeness, or legafiy of the information depicted on this map. For more information, sea the DNR Legal Notices web page: htp9/dnr.wi.govllegaV Th 1-W 1-U 3-W L } f: 711 Google Earth atland 1 (Extends beyond Study Area) ,rn Wetland 2 tX 4-U • x "�>x `,�� -\(!7/7/26. 8:31 AM Novus-Wisconsin Access rev. 12.0206 "`VVV Real Estate Bayeld County Property Listing Property Status: Current OO Today's Date: 7/7/2026 Created On: 3/15/2006 1:14:42 PM Lie Description Updated: 11/1/2023 Tax ID: 688 PIN: 04-002-2-48-06-36-1 01-000-10000 Legacy PIN: 002106306000 Map ID: Municipality: (002) TOWN OF BARKSDALE STR: 536 T48N R06W Description: PAR IN NE NE IN V.1152 P.750 478 IN DOC 2023R-600809 Recorded Acres: 6.910 Calculated Acres: 6.839 Lottery Claims: 0 First Dollar: No Zoning: (F-1) Forestry -1 ESN: 103 'P Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 002 TOWN OF BARKSDALE 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE a Ownership Updated: 11/1/2023 KEN SIMON ASHLAND WI Billing Address: Mailing Address: KEN SIMON KEN SIMON 311 12TH ST W 311 12TH ST W ASHLAND WI 54806 ASHLAND WI 54806 P Site Address * indicates Private Road 70895 RANGE RD 10 Property Assessment ASHLAND 54806 Updated: 4/12/2016 2026 Assessment Detail Code Acres Land Imp. G6 -PRODUCTIVE FOREST 6.910 11,100 0 2 -Year Comparison 2025 2026 Change Land: 11,100 11,100 0.0% Improved: 0 0 0.0% Total: 11,100 11,100 0.0% Q Recorded Documents Updated: 3/15/2006 Property History ©WARoAeTY DEED N/A Date Recorded: 10/13/2023 2023R-600809 D WARRANTY DEED 1/f Date Recorded: 11/23/2015 2015R-561393 1152-750 /IG�U\G25 /� ,Os % �� 0 CONVERSION /J J n G,/v Date Recorded: 490566 553-40;833-601;888- 35i y ,VI2' 454 D WARRANTY DEED Date Recorded: 4/14/2004 2004R-490566 888-454 D WARRANTY DEED Date Recorded: 4/7/2004 2004R-490459 888-54 D WARRANTY DEED Date Recorded: 7/23/2003 2003R-483960 864-497 https://novus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=688 1/1 Land Use Permit Application Review Checklist Submission #: 2(1.2/ What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-2 ❑ W ❑ M -M ❑ Yes j7'No Is lot substandard (does not meet current zoning dimensional requirements)? 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 impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes tNo Is the project located in the Floodplain? Zone: Yes ❑ No Are there wetlands on the property? fie/,;e.529111 d G ❑ Yes 4a -No Is project associated with a nonconforming use or structure? ❑ Yes 110 Is project associated with a variance? Case #: ❑ Yes L�-No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes 0'No Is the project associated with a Special A Use Permit? Does the project require sanitary? ❑ Yes ,'No 0 Existing ❑ New ❑ Intercept 0 Reconnect ❑ Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: Does the project require mitigation? ❑ Yes j2'IGo Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: ❑ Yes j2lcio Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes lo Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is?.2tesidential ❑ Commercial ❑ Municipal Project type is?,J 1I w Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: ❑ Residence ,incipal Structure ❑ Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: g39 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 ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 x sq ft (minimum $125) Attached Non -Habitable Garages $ ❑ Non -Habitable Residential Principal and Accessory y!, $0.20 x /l/ s ft q (minimum $75) Structures $ 6 ❑ 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 ❑ Land Use Revisions 0 Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) I $ FM 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: C� Condi ' (s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ,21& personal storage only. ❑ For personal residence only. t for human habitation or sleeping purposes. _p'lo n/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. ❑ SS' n must meet the requirements of Article E of the Bayfield County Zoning Ordinance. .BTo 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 ❑ N sewer and pressurized water allowed in the structure. 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 BYFIELD Bayfield County Planning & Zoning Department 117 E 50, Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: SIMON, KEN LU-02401 31112TH ST W ASHLAND, WI 54806 Transaction Number: LU-02401-49971 Description Amount Non -Habitable Residential Principal and Accessory $126.00 Structures - $0.20/square foot (minimum $75) Total: $126.00 Payment Amount: $126.00 Reference: 829 Paid by: Kenneth N Simon Payment Type: Check Transaction Date: 7/8/2026 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! Impervious Surface - No Floodplain - No I Wetlands - Yes Mitigation - No I 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. 26-0321 Tax ID: 688 Issued To: SIMON, KEN Location: S36 - T48N - R06W Town of Barksdale Legal Description: PAR IN NE NE IN V.1152 P.750 478 IN DOC 2023R-600809 Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Principal Structure [Garage] on a Slab [630 Total sq. ft. ] Height of 16' (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. July 08, 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. To be constructed per plan. No plumbing or plumbing fixtures allowed.