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Home My WebLink About26-0443Return to: County Use Only: 117 E Sth Street, Po Box ss Bayfreld County Planning and Zoning Department Suhmissinn #: L 0-0 q9 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit U: b- owq3 nermits@bavfieldcountv.wi.gov Date: ¶(A( (a -ca -17 SECTION A:. General.Information Property- Owner Name: Authorized Aggnt Name (if a p cable): o.-i Ordtrt ux— $Q Aa $ Telephone Numbe 1 1 Telephone Number: 517 4b— 7o91 7 5 -Z2 E -Mail Address 1 t _ �f A �ti✓r�( r✓tl E -Mail Address: �`1 AL r a.-1181 O c-.kDO.COM Mailing Address: M liAddress: ')c5� w A-k.E r I �) to u 5 ik &3 ENTERED City, State, Zip: 24l ; S N ` �? V D Cj(y, State, Zip: WI. 54 32 Contractor: �. Lt� 2 Telephone Number: -g-c S i-i yI nob( E -Mail Address: r-Rhrw.al 14i 'L `^t`ou CD"'t SECTION B:.Property:Information Project Address (if different from mailing address): S LA k= nL_L3 Le al Description (if additional space is needed attach a separate sheet): ¼. S V2. Sf Se 1)&c. Z02 — Csotf 7 Section, Township, Range: -S i-iq O7 Town of: Tax #: 1 zi Z17 Lot Size (Acres/Square Feet): /0 AG2c SECTION C: Project Information. check all that apply) Project Use is; !$ Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: '9 New Construction 0 Addition/Alteration (existing structure) ❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ da_ ys ❑ Sign 0 Establishing a Business 0 Temporary i ❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A 0 Other (describe): required Totat sq if): required AUG 19 7026 SECTION D: Structure. Information (Does not apply to RVs andSigns, o to Section E) Structure Type is: 0 Residence rincipatructnic (describe): tgeney Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured C) A lZAC7E date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement 0 Walkout Basement $ Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Len Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft.- l n Floor Sq Ft: Loft Sq Ft: 2a° Floor Sq Ft: 3's Floor Sq Ft: Garage Sq Ft Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: /9j(j0 Overall Height (finished grade to peak): Z,( P- # of Stories: ( Existing # of Bedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement 0 New 0 Replacement f7 On -premise 0 Off -promise ❑ I -sided 0 2 -sided Year: Vin it: ❑ On -building ❑ 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 10 Frontage Roads (include name) El Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (OF) 0 Holding Tank (HT) ❑ Privy (P) 0 Lake 0 River ❑Stream/Creek ❑Pond DFloodplain ❑Wetlands ❑Slopes over 20% N G�A2fhc L. S d,d OI.J€t� LLe - TAY -l0 -($114217 to Q J RECEIVED V) AUG 19 2026 Eayiialu Co. Pl nnin , :, od ?: ring 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 a fy ft. 763 ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line I i XOO+ R ft. o ast South West circle one) Side Lot Line 2 ��+ ft. 7 l`" ft. (North East South West, circle one) Rear Lot Line ft. 7 p ft. Septic/Holding Tank f+A ft. ft. Drainfield � ft. ft. Privy f,A ft. ft. Well up ft. ft. Existing Structure/Building uA ft. ft. Wetland N(a ft. ft. Elevation of Floodplain Ly A ft. It. Ordinary High -Water Mark(OHWM) j ft. ft Other (describe) t P ft. ft. Application Page 2 SECTION G: Additional Questions 54 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 alter the staking date listed above. ❑ 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 0 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 ❑ Holdin Tank ❑ Munici al/Public ❑ Other (describe): ❑ Yes V No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? 0 Drainfreld ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes 91 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 ❑ Class B Special Use 0 Conditional Use O Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? 1 koW —'ti vv.c,1 ruse yGLo. (-pl.Vm ❑ Mail to: OR Email to: 5<-c...t O Property Owner Address 0 Agent Address 0 Contractor Address )Other (provide name and email or address): 9nclude caves, overhangs, sanitary system, and well in staking measurements '.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. AUG 19 2026 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 M11dIti2ns to one - and two-family dwellings may require review and approval by the UDC authority. All municipalitPe 1l ? {1 fe R er�Worryce 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.w i.eovhopic: 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. l (we) acknowledge that 1 (we) am (are) responsible for the detail and accuracy of all information that 1 (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 for the purpose of inspection, time \ w t ( 1fl,vr1 , \ (A Owner(s) or Authorized Agent Printed Name: \ W' L-/` Owner(s) or Authorized Agent Signature: 4jL4ttt Date: m i l. %'J NOTES: 1. If you arc signing on behalf of the owner(s) a letter of authorization must accompany this application. 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 property prior to start of project. Application Page 3 Letter of Authorization Bayfield County Planning & Zoning Department PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. I, A C\ ✓L, a A ` 5 h&operty owner), authorize___________________ (authorized agent) to submit a LAun u6e rn it (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) 1-f t EQ4c,` S?f? t7LTU2E application on my behalf for the following described property: Legal description of subject property: p Vi_5 W. St= SE iii oz- 2024 2 - 1Q09?! 6 S33 -rL q,J Rol W 3'/SC Address of subject property: S L A .C ot..a EtJ b(&. DR�rt�or�D , wi. 5H832 4J (- Sj4ature c5 . Li RECEIVED Dated AUG 19 2026 Bayfield Co. Planning and Zoning Agency AUG 19 2026 GaycY Isp cmi https:lmaps.bayfieldcounty.wi.gov/BayfieldWAB/ ill LEFT SIDE 1611' 3 S 2' 118 2 8'5 10 110 � h1 lJl Dn 10' D1 I —z O U- LL 10' 01 211" D2, ' „ V11 Wl D1 10' x 12' Rollup Door D3 10' x 8' Rollup Door i v:y Closed Wall 121 2 14 30 C.) 2' 158" 2 123' 60 AUG 19 2026 RIGHT SIDE Wield cc. Planning 2nd Zoning Agency D2 Walk-in Door (36' x 80') W 1 24W x 36H Window Perspective View Left Side Back Front Right Side AUG 19 2026 Bayfield Co. Planning and Zoning Agency H' RECEIVED AUG 19 2026 AFFIDAVIT OF AUTHORITY Sayfield Co. (Corporation, LLC, etc.) planning and zoning Agency 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: 2. The Subject Property is owned by: t In r -,1S C_C.. C (Name of Company) 3. The name(s) of the current President or Managing Member: (U I ft c Lc rn r 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: l 1 O (9 wl*c,AJ I ..nwh) 1 O q, Print Name ,o``•�Y �• MC "•., Subscribed and sworn to before me this day of, 202 j <� A Notary Public, County, Wisconsin .9x• •.....• a5 .• My commission: 2- OF WtSGO•••.•° Land Use Permit Application Review Checklist •Submission #: ( -- Q 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 -1 ❑ F-2 ❑ W ❑ M -M ❑ Yes o Is lot substandard (does not meet current zoning dimensi nal requirements)? Deed of record: ❑ Yes M -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)? ❑ Yeso Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes4o Is the project located in the Floodplain? Zone: ❑ Yes o Are there wetlands on the property? ❑ v� o Is project associated with a nonconforming use or structure? ❑ Yes No Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes Is the project associated with a Special A Use Permit? ❑ Yes o Does the project require sanitary? ❑ Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: ❑ Yes o Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes o Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is'Residential ❑ Commercial 0 Municipal Project type is?,New Construction 0 Addition/Alteration ❑ Change Use ❑ Relocate O RV Placement O Sign ❑ Establishinga Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: O Residence .2rincipal Structure Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters O Mobile Home ❑ Shipping Container ❑ Other, describe Total sq. Ft. of Project: JD O Number of Stories: Overall Height: Fee Type Calcukftion 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 I �DO sq ft x (minimum $75) $ -'o'-' ❑ 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 ❑ Special Use Permit - Class A O Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by:' 4S ` Date of Inspection: Re -Inspected by: Date of Re-Inspectio . Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: �q Condition(s): ust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. PFor personal storage only. ❑ For personal residence only. for human habitation or sleeping purposes. /cNot ❑ 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. ❑ 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 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). nd use permits shall be required for any new residence, any building or structure erected, 'Llocated, rebuilt, or structurally altered and use permits shall be obtained prior to the initiation of construction or a change in land use quirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are equired ❑ 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: 4LOONS ON OWEN LLC LU-02495 2535 WAKE DR RALEIGH, NC 27608 Transaction Number: LU-02495-4C6D5 Description Amount Non -Habitable Residential Principal and Accessory $360.00 Structures - $0.20/square foot (minimum $75) Total: $360.00 Payment Amount: $368.57 Reference: 7215220755 Paid by: William Harris Payment Type: Credit Card Transaction Date: 8/21/2026 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 / Wetlands - No Mitigation - No / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0443 Tax ID: 14217 Issued To: 4LOONS ON OWEN LLC Location: S33 - T44N - R07W Town of Drummond Legal Description: N 1/2 S 1/2 SE SE IN DOC 2024R-604715 348C BAYFIELD COUNTY JI:i1T1i`1 WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Principal Structure on a Slab [1800 Total sq. ft. ] Height of 21' (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 work or land use has not begun. 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. This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Scott Roush Authorized Issuing Official August 24, 2026 Date 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. Use best management practices to limit and prevent erosion during construction. 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.