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HomeMy WebLinkAbout26-0376• Return to: 117 E 5th Street, PO Box 58 Washburn, WI 54891 perrnits@bayfietdcountv.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #:W- 0 )-353 Permit#: Date: SECTION A: General Information 1 Property O.yn er Name: Authorized Agent Name (if applicable): Telephone Number: Telephone Number: V E -Mail Address: E -Mail Address: Mailing dress: -- 7 / (0 A � : E�fQ. e o. Mailing Address: Planning and Zoning Agency City, State, Zip: City, State, Zip: Contractor: Telephone Number: E -Mail Address: SECTION II: Property Information Project Address (if different front mailing address): Legal Description (if additional space is needed attach a separate sheet): ^ Section, Township, Range: , t` p., Town of: Tax ID #: ' I ' I- Lot Size (Acres, Square Feet): P, q, % o- :SECTION C: Project Information (check all that apply) Project Use iv: ] Residential ❑ Commercial ❑ Municipal 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 ❑ Establishing a Business El Temporary (12 or less months) 19 Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A El Other (describe): required (Total sfl): required 'SECTION D: Structure Information (Does not apply to RVs and Signs, gO to Section E) Structure Type is: ❑ Residence El Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured �11 date); A ,I ❑ Shipping Container Other (describe): N s�u Uk l? t II" 9" 14l! 1,[ ) Z 1 2 U 2 6e . d s,tt npwiJii 61 4' Foundation Type: ❑ Basement ❑ Walkout Basement 0 Slab O Crawlspace ❑ Ground ❑ Skids [A Other (explain): )�/ A Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): nJ "b i1 Basement Sq Ft: I" Floor Sq Ft: Loft Sq Ft: 2'"t Floor Sq Ft: 3'° Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): # of Stories: Existing ,'4 of Bedrooms on property: Proposed k of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: I? Iis: ❑ New 0 Replacement ❑ New 0 Replacement ❑ On -premise 0 Oft premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: 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 providcd on site plan) Show location of: ❑ Driveways G Frontage Roads (include name) O Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy P) ❑ Lake ❑ River ❑Strearn/Creek ❑Pond ❑Flood lain ❑Wetlands❑Sloes over 20".6 N %t Gu ff a w{ - ate t v to' to ).c'-v`C Gid kjuce Slnlha iv 2.)URO 'q. CL QY-e(4 , A lipjA� ;, �Crcrt flit ! a h d R €e I t 1 l h - also flL(1 (' ic,c (3M 329, RECEIVED JUN 142076 Bayfield Co. Planning 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: �` tee�C�s Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 ft. ft. North❑East❑South❑West❑, check one) S Pei-" Side Lot Line 2 ft. ft. (NorthoEastDSouthoWesto, check one) i'f` V1 Rear Lot Line ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. SECTION G: Additional Questions O Yes UNo 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: gYes ❑ 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 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. ❑ Yes No Is there an existing sanitary system on the property? If yes, what kind? ❑Drainfield ❑Holding Tank ❑ Munici aVPublic ❑ Other (describe): ❑ 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 ❑ Holding Tank ❑ Munici al/Public ❑ Other (describe): ❑ Yes allo 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: RE(;EIVE j ❑ Rezone I 'Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: JUN 1 d6 Check (attached) ❑ Cash (attached) O debit/credit/echeck (department to call once payment is ready to be fa How would you like to receive your permit card? Bayfield Co. ti Mail to: OR ❑ Email to: Planning and Zoning Agency u;Property Owner Address O Agent Address O Contractor Address O Other (provide Name and Email or Address): `Section II; Acknowledgement andSi nature - Ali 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 of Natural Resources service center (715)685-2900. 1 (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. t/ /11 Owner(s) or Authorized Agent Printed Name: ( ��.% (','u' / I� \ Cl Z U Owner(s) or Authorized Agent Signature: Date: NOTES: 1. If you are signing on behalf of the owner(s) a leqr4fauthorization 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. O VIEWING PLAT FORM BMI REBAR - ELEV.- 730.04' AI LAND HIM €POP 6DDm. DC 1KAIDV u IID/, OfCLrSIL a Dos RA Y ONM.RS OF AND THE mVcW4f ROV SNONN ON FWS AMPS MQIttEDDE AND DDUDF Mn KST$ TIE fl ta�(q O, DRSQJ n #DU nTR4nw LOT 3 CSM #1060 120 FEET TOPOGRAPHIC SUR VEY PANroF1.0r,f t 1 UN 1 4 JUN IAI •1 A 2026 DD y1 11. 1pNN61MRC DDNORRM,DI ewt'ST. rowN aT rrnr • - -. eurrreto cour,rv..s�slwNSR eayreid Co. Planning and Zoning Agency --,��r TOP OF STAIRS VEF 1EGR RD N L ' '131 - 731--. TWIN 15'MAPL REBAR �` � EL ELEV.732.58' �/ •IN 10'MAPLE � � DRIVEWAY 7,$\� THANS ID /4 1•AT SAID `i TRlWS' ON R `.- MARKED COUN __/ �''i" .�� 1 / \ \ \\ / REGRESSION Lt 7 �� �``*� �y+' i 1 ` 11 `S. It w LOT4 CS #1060 n I Lo1 CSI�1 ---- — ! ��� IhY'Q�vl AM -A rte s� 1,'p, Mt 15 atTxc _ I,Z22a fP5°t,rows %S 18 Farr N L+ �,� g.?c i�hc wcuu//errr PVUMESE'R 2O24R-6O2559 BAYFIELD COUNTY CERTIFIED SURVEY MAP NO. 2329 LOT 4 OF CSM #1060 RECORDED WITHIN THE BAYFIELD COUNTY REGISTRY IN VOL. 6 OF CSM'S ON PG'S 408 & 409 AS DOC. #454152 TOGETHER WITH LOT 2 OF CSM #722 RECORDED WITHIN THE BAYFIELD COUNTY REGISTRY IN VOL. 5 OF CSM'S ON PG'S 96 & 97 AS DOC. #393667 ALL LOCATED WITHIN GOVT LOT 1, SECTION 11, TOWNSHIP 50 NORTH, RANGE 8 WEST, TOWN OF PORT WING, BAYFIELD COUNTY, WI. N O� BEARINGS ARE GRO BASED HGCS-SAYFEW COUNTY] 1fl LM F/ ThE SWS4W SAS MEDTV BEAN E OF THE y /�•15 ,art FD. DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 03/12/2024 AT 1 1 :22 AM RECORDING FEE: $30.00 PAGES:2 MEANDER CORNER I" '0 SEC. 11, T50N, R8W r �! $' CAPPFD RFRAR N E'- (N43'16'1YE) N43`23'2T'E 232.25' (231.157 O N O $I a,AT 111 llt/,YA SHED OI GG Rt EWED EEN = 3 JUN 14 2026 Planning=n ZoningAgency SHOREUNE MEASUREMENT AS DEFINED BY BAYFIELD COUNTY h c SUBDIVISION CONTROL `2 ORDINANCE 14-1.5 (N) = 825± ra SURVEYORS NOTE -' 4'• e 0- THE ORDINARY HIGH WATER MARK IS APPROXIMATE AND � FOR REFERENCE ONLY irfi (y ANY BELOW THE ORDINARY HIGH WATER MARK OF I LAXE O P C OR NAVIGABLE STREAM TEAT THE PUBLIC TRUST W NAVIGABLE WATERS THAT IS IS M N ESTABLISHED ARTICLE UL SECTION 1 OF THE N`i C' STATE CONSTITUTION STATECON TIO 1,01p1De' SOUTH?' CORNER SEC. 11, T50N, R8W FD. I %'IRON PIPE S875425'W S87'54'00'W (N8T53"46'E) LEGEND LOT I 1,739,000 Sq.Ft. t 39.92 Acres ± a s�e�i DRIVEWAY TO S.T.H. '13' THROUGH TAX ID: 28188 PER EASEMENT IN VOL 575 PG. 334 If Oe SOUTHEAST CORNER No 0 SEC. 11, TS0N, REW N FD, BAY. CTY. MON. 2,637.66' raX ID2a1ee Pine Ridge Land Surveying, LLC. Professional Land Surveying Srnsss IN VOL. 5 OF CSM'S ON PG'S 96 & 97 AS DOC. #393667 ALL LOCATED WITHIN GOVT LOT 1, SECTION 11. TOWNSHIP 50 NORTH. RANGE 8 WEST, TOWN OF PORT WING, BAYFIELD COUNTY, WI. .N 1Y 2 BEARINGS ARE GP BASED WCCS-BAYREWC0UNTY(rs) 1Mm THE SOUTH U'S OTr SOUThEASTZ MEASURED TO BEAR SODSIW W SHORELINE MEASUREMENT AS DEFINED BY BAYFIELD COUNTY SUBDIVISION CONTROL ORDINANCE 14-1-5 (N) = 825± SURVEYORS NOTE THE ORDINARY HIGH WATER MARK IS APPROXIMATE AND FOR REFERENCE ONLY ANY LAND BELOW THE ORDINARY HIGH WATER MARK OF A LAKE OR NAVIGABLE STREAM IS SUBJECT TO THE PUBLIC TRUST IN NAVIGABLE WATERS THAT IS ESTABLISHED UNDER ARTICLE IX SECTION I OF THE STATE CONSTITUTION. SOUTHY44 CORNER SEC. 11, T50N, RBW FD. 1 %' IRON PIPE S87°54'25"W--- S87°54'00W COL MEANDER CORNER 'I)SEC 11. TSON, R8W N N FD. 3 CAPPED REBAR N (1143'16'12'E) N43°23'27"E 232.25' (231.157 8j L01 y 1. SHED VO^p1o� 1 a 142026 Plannin yfield CD. 9 .no Zoning Agency ww kw Qo LOT1 o r 1;739,000 sq.Ft. ± °p i 39.92 Acres± ml OI xI 6!. . G M DRIVEWAY TO S.T. H. `13' THROUGH TAX ID: m28188 PER EASEMENT N IN VOL. 575 PG. 334 15 O W W p C 7oJ N� u13 io a o,^ SOUTHEAST CORNER goo N SEC. 11, TS0N ROW N FD. BAY. CTY. MON. (Nar53'46'E) LEGEND Q —SET 1 1/4"O.D. x 18" IRON PIPE WEIGHING 1.68 LBS PER LIN. FOOT FIELDWORK COMPLETED: • —FD. 3/4" O.D. CAPPED REBAR 1/1224 —PREVIOUSLY RECORDED AS 300' 0' 300 600' 900' SCALE FEET 2,637.66' _ (2,637.68) TAKID2s1ee Pine Ridge Land Surveying, LLC. Professional Land Surveying Suvices Value .4 Oua/ar in a TimNY Manner... PATRICK.. MCKUEN, PLS 1424 12 Lake Shore Dr. W Ashland, Wisconsin Phone (715) 682-2969 VVW W. PINE RI DGE SU RVEYI NG. COM PROJECT NO. RAY24-11-50-8 SHEET 1 OF 2 SHEETS In Scott Roush From: Cecilia Ray <raymcmpls@gmail.com> Sent: Tuesday, June 16, 2026 3:19 PM To: Scott Roush Cc: Troy Klein; Bob Ray Subject: Re: Ray Land Use Permit Application - Port Wing Township Scott: our contractor will install a silt fence all around the site, starting from the end of the current driveway. In addition, we continuously monitor the status of erosion along our lakefront and have planted hundreds of seedling trees (primarily arborvitae and white pine) and plants on the slopes, over many years. We'll continue to do this. On Jun 16, 2026, at 1:59 PM, Scott Roush<scott.roush@bayfieldcounty.wi.gov>wrote: Hi, I'm reviewing your application. I would recommend that you include a note regarding how you will handle erosion control. I've had town boards ask for more information on what measures will be taken to protect nearby water bodies from runoff. You can make some comments in a reply to this email, and I can attach that to your application before forwarding on to the town. Thanks, Scott Roush (he/him) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117 E 5tr Street, PO Box 58 Washburn, WI 54891 Phone 715.373.3517 <image001.png> Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emaits. Bayfield County will NOT ask applicants to wire any funds. Please contact our office at zoning@bayfieldcounty.wi.gov or 715373-61 38 with any questions or concerns. 1 FIELD PLANNING & ZONING DEPARTMENT 117 E 5v' Street PO Box 58 Washburn, WI 54891 (715)373-6138 perm itsCo�bavfi eldcou ntv.wi.gov www bvfieidcounty.wi.gov/zOni ng County Use Only — Date Received TOWN BOARD RECOMMENDATION (TBA) FORM Note: Receiving Town Board approval does not allow the start of construction or business. You must first obtain your permit(s) from the Zoning Department. The Zoning Department must send the TBA form to the town clerk. Property Owner. Telephone Number: E -Mail Address: RAY, ROBERT J & M CECILIA 617205324 raymcmpls®gmail.com (,I2- 7 — Contractor (if applicable): Telephone Number: E -Mail Address: undefined undefined undefined Subjeef'Property Information Property Address: NA Legal Description (use Tax Statement or Deed): LOT I OF CSM 2329 LOC IN GOVT LOT 1 IN DOC 2024R-602559 Section, Township, Range: Town of: Tax ID #: SI1-T50N-R08W Port Wing 39256 Zoning District: Project located in:undefined_ Lot Size (Acres/Square Feet): Project has: undefined 39.92 ACRES Request Information Requesting: O Special Use A O Special Use B ❑ Conditional Use ❑ Rezone O Subdivision Plat/Land Division O Other Briefly state what is being requested and why (if needed attach additional sheet): Contractor to level and place sand in 2090 square foot area to prepare site for construction in 2027. &nbsp;A separate land use permit will be requested for 2027 activities. &nbsp;Location of site work also marked by "x" on attached CSM 2329. Town Use Only: ' Signatures: We, the Town Board, TOWN OF l'� t t r do hereby recommend to: ❑ Table O Approval O Disapproval . Chairman: �_ What is your reasoning for tabling, approval, or disapproval (if needed attach additional Supervisor: .sue sheet)? Supervise 6/ Supervisor: erk: Date: -7 at, Return completed form to the Zoning. Department. Have you reviewed this for Compatibility with the Comprehensive and/or Land Use Plan?: Q Yes O No Land Use Permit Application Review Checklist Submission #: What zoning district is th project located in? -1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB DCCI ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes Flo / 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)? ❑ Yes 1d5io Is impervious surface required? (Requi ed if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) 5,ac ar�R> et ❑ Yes o Is the project located in the Floodplain? Zone: Yes ❑ No 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 #: O Yes'bNo Is project associated with a Special B or Conditional Use Permit? Permit #: Yes I` to Is the project associated with a Special A Use Permit? ❑ Yes glo / Does the project require sanitary? ❑ Existing ❑ New O Intercept O Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes $lo 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? O Yes o Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? esidential O Commercial O Municipal Project type is? ❑ New Construction O Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ TemporaryShoreland Grading O Other, describe: Structure Type is: ❑ Residence O Principal Structure O Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container Other, describe o - c( Fo Total Sq. Ft. of Project. 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 Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x s ft q (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 O Land Use Revisions O Special Use Permit - Class A O Floodplain O Shoreland - 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: 7 Re -Inspected by: Date of Re-Inspecti n: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: 8 S� f- Condition(s): ust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑ Not for human habitation or sleeping purposes. ❑ 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). se 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. O Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. 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: V�pS ' Co v4/0I gStt' iT I:_ 1 1iztp 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: RAY, ROBERT J & M CECILIA LU-02353 4616 UPTON AVE S MINNEAPOLIS, MN 55410 Transaction Number: LU-02353-47D1F Description Amount Special Use - Class A $250.00 Total: $250.00 Payment Amount: $255.95 Reference: 5736394155 Paid by: Cecilia Ray Payment Type: Credit Card Transaction Date: 7/29/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required Substandard — No I Nonconforming — No Shoreland - Yes I Impervious Surface — No Floodplain — No I Wetlands — Yes Mitigation — No I Affidavit #: LAND USE -X SANITARY - SPECIAL A - (Town of Port Wing - July 16, 2026) SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0376 Tax ID: 39256 Issued To: RAY, ROBERT J & M CECILIA Location: S11 - T50N - R08W Town of Port Wing Legal Description: LOT 1 OF CSM 2329 LOC IN GOVT LOT 1 IN DOC 2024R-602559 Residential Structure in R-1 zoning district For: Shoreland Grading, Land Prep for Building (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 Scott Roush 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 29, 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. Use best management practices to limit and prevent erosion during construction. To be constructed per plan.