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117 E 5"' Street, PO Box 58
Washburn, WI 54891
permits(a) bayfieldcountv.wi.eov
Bayfield County Planning and Zoning Department
LAND USE PERMIT APPLICATION
County Use Only:
Submission #: Lu-a2-H19
Permit #: a-6' O
Date: 3 a-od
SECTION A: General Information
Property Owner Na e:
Authorized Agent Name (if applicable):
Telephone N
Telephone Number:
7/5 sS 24'7o
ENTERED
E -Mail Address:
E -Mail Address: 24 ii/;e,
Y%jfiat.trftn 5 h
ail' g Address:
Mailing Address:
I LArsA
City, State, Zip:
City, State, Zip:
w , 6 3
Con ractor: Telephone Number: E -Mail Address:
n -e 5 jcS 3VZ0 n ro
SECTION B: Property:Information ;.
Project Address (if different j10m mailing a dress):
s R� r -n r ,
Legal Description (if additional space is needed attach a separate sheet):
Section, Township, Range: Town of:
Tax ID #: 57 Lot Size cr Square Feet): j,g-
SECTION_C:;Pro' ct Information(cheek all that,a Jy:.:a:. `
Project Use is: gResidential ❑ Commercial O Municipal If Commercial, estimated cost of construction: $
Project Type is: ❑ New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) lllocate (existing structure) ❑ RV Placement 21+ days
❑ Sign El Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required Total sq ft): required
SECTION -,D -.,Structure Information (Does not.:apply to RVs and Signs, go to Section E)'Lt
Structure Type is: ❑ Residence El Principal Structure (describe):
LYAc Rre (describe): O Shoreland Exempt Structure (describe): El Mobile Home (provide manufactured
date):
El Ship o er El Other (describe):
Foundation Type:
❑ Basement El Walkout Basement Slab ❑ Crawlspace El Ground O Skids El Other (explain):
Existing Structure: lb Width: �a Height: 73
Proposed Structure (Provide Sq Ft based on outsi a dimensions, including unfinished areas, attached garages/above grade
decks/porches): n60' sa
Basement Sq Ft:
1" Floor Sq Ft:
Loft Sq Ft:
2n° Floor Sq Ft:
3" Floor Sq Ft:
Garage Sq Ft:
j 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 # of Bedrooms on property:
Proposed # of Bedrooms in project:
SECTION E: RV and Si n;Information, check all thatapply)
Sign is:
RVis:
is:
❑ New ❑ Replacement
❑ New ❑ Replacement
El On -premise El Off -premise
RECEIVED
El 1 -sided ❑ 2 -sided
Year: Vin #:
❑ On -building ❑ Multi -Tenant
AUG 10 2026
Length: Width: Height:
Make: Model: eayfieb co.
Zoning Agency
Application Page 1
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 O Well (W) O Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) O Privy (P) O Lake O River ❑Stream/Creek ❑Pond ❑Floodplain ❑ Wetlands ❑Slopes over 20%
N
RECEIVED
AUG 10 2026
Bayfield Co.
Planning and Zoning Agency
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
;ao
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot ine I
(North ast outh West, circle one)
a1
ft.
ft.
Side Lot ine 2
(North East South est circle one)
1
ft.
ft.
Rear Lot Line S L.M..
ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ISO
ft.
ft.
Privy
ft.
ft.
Well
0
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.
Application Page 2
SE TION G: Additional Questions
Yes
❑ 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
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
❑ 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
❑ o
Is t, here an existing sanitary system on the property? If yes, what kind?
`-
LZ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ Yes
N
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
manage wastewater?
Drainfield ❑ Holding Tank 0 Municipal/Public ❑ Other (describe):
❑ Yes
o
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and
inspection requirements.
Is the p ' associated with any of the following:
0 Rez�jne ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use 0 Variance
Fee ayment will be made via:
Check (attached) Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken)
Ho/would you li to receive your permit card?
Mail to: O mail to:
Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address):
SectionH:,Acknowled ementan4 Signatut.
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. og v/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 reasonabl time for the purpose of inspection.
Owner(s) or Authorized Agent Printed Name: e -T p c r'
Owner(s) or Authorized Agent Signature: Date:_______
NOTES:
1. If you are signing on behalf of the o r(s) a I r of authorization must accompany
2. Specific conditions/instructions maybe 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 r' art of project.
AVV I ' LULU
Bayfield Co.
Application Page 3 Planning and Zoning Agency
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T RECEIVE[ /
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AUG 10 2026
Bayfield Co.
Planning and Zoning Agency
ISO(- c..t�kk
8/13/26, 8:56 AM
Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfield County Property Listing
Property Status: Current
Today's Date: 8/13/2026
Created On: 3/15/2006 1:14:50 PM
Description
Updated: 10/23/2013
" Ownership
Updated: 10/23/2013
Tax ID:
3187
SAMUEL] YODER
HAYWARD WI
PIN:
04-004-2-45-09-35.4 05-001-11000
Legacy PIN:
004122205000
Billing Address:
Mailing Address:
Map ID:
SAMUEL] YODER
SAMUEL YODER
Municipality:
(004) TOWN OF BARNES
W1482 LARSON RD
W1482 LARSON RD
STR:
535 T45N R09W
HAYWARD WI 54843
HAYWARD WI 54843
Description:
LOT 5 CSM #68 V.2 P.72 (LOCATED IN
GOVT LOT 1) IN V.939 P.237 1373F
P Site Address * indicates
Private Road
Recorded Acres:
1.520
52215 HANS RD
BARNES 54873
Calculated Acres:
1.505
Lottery Claims:
0
® Property Assessment
Updated: 5/19/2025
First Dollar:
Yes
Zoning:
(R-1) Residential -1
2026 Assessment Detail
ESN:
104
Code
Acres Land Imp.
GI -RESIDENTIAL
1.520 67,200 83,600
1 Tax Districts
Updated: 3/15/2006
----
2 -Year Comparison
2025 2026 Change
1
STATE
Land:
67,200 67,200 0.0%
04
COUNTY
Improved:
83,600 83,600 0.0%
004
TOWN OF BARNES
Total:
150,800 150,800 0.0%
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
_a
-'I Property History
y Recorded Documents Updated: 3/15/2006
-
® CONVERSION
N/A
Date Recorded:
472504 562-87;822-730
® WARRANTY DEED
Date Recorded: 3/2/2006
2006R-505330 939-237
https://novus.bayrieldcounty.wi.gov/access/master.asp?paprpid=3187 1/1
Land Use Permit Application Review Checklist
Submission #: 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-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes J2 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 ❑ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes Ja-I10
Is the project located in the Floodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Yes o
Is project associated with a nonconforming use or structure?
❑ Yes 4io
Is project associated with a variance? Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yeslo
Is the project associated with a Special A Use Permit?
Does the project require sanitary?
❑ Existing ❑ New 0 Intercept 0 Reconnect ❑ Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms: _
❑ Yes ,ErNo
❑ Yes B'No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes j o
Does the project require an affidavit? Affidavit if:
❑ Yes @'No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes J21 o
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? esidential ❑ Commercial ❑ Municipal
Project type is? ❑ New Constructionddition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is: ❑ Residence 0 Principal 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: Number of Stories: ,2 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
tructures
$0.20 x 7s X / sq ft
— —
( inimum $75)
l/
❑ Commercial Principal Structures
$250 + $0.005 x
cost of construction
(minimum $250)
$
❑ Commercial Accessory Structures
$150 + $0.005 x
cost of construction
(minimum $150)
$
❑ Municipal Principal and Accessory Structures
n/a
$0 (exempt from fees)
❑ Return Inspection 0 Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain Zhoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine
After -the -Fact (ATF) X2
$
a
%J
r
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:
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
For personal storage only.
❑ Fgr 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).
❑ 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
❑ R)/ must be removed by
No sewer and pressurized water allowed in the structure.
❑ No plumbing or plumbing fixtures allowed.
❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s).
❑ Land use permits shall be required for any new residence, any building or structure erected,
relocated, rebuilt, or structurally altered
❑ Land use permits shall be obtained prior to the initiation of construction or a change in land use
❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are
required
❑ Sanitation requirements must be met (if applicable)
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance
Other Conditions:
K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk
I3 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:
YODER, SAMUEL J LU-02479
W1482 LARSON RD
HAYWARD, WI 54843 Transaction Number:
LU-02479-4BE2D
Description Amount
Shoreland - Impervious Surface $25.00
After -the -Fact - failure to obtain permit prior to start $75.00
of project
Non -Habitable Residential Principal and Accessory $75.00
Structures - $0.20/square foot (minimum $75)
Total: $175.00
Payment Amount: $175.00
Reference: 4082 & 4079
Paid by: S. Jim or Diane Yoder
Payment Type: Check
Transaction Date: 8/13/2026
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 / Impervious Surface — Yes
Floodplain — No / Wetlands — No
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. 26-0419 Tax ID: 3187
Issued To: YODER, SAMUEL J
Location: S35 - T45N - R09W
Town of Barnes
Legal Description: LOT 5 CSM #68 V.2 P.72 (LOCATED IN GOVT LOT 1) IN V.939 P.237 1373F
Residential Structure in R-1 zoning district
For: Addition/Alteration [2 - Story ], Accessory Structure on a Slab [528 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. August 13, 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): For personal storage only.
Not for human habitation or sleeping purposes.
To be constructed per plan.
No sewer and pressurized water allowed in the structure.