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Return to: 117 E 5th Street, PO Box 58 Washburn, WI 54891 permits@bayfieldcounty.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #: LU- oa1I7S Permit #: (7- O Date: Q a6 Property Owner Name: Authorized Agent Name (if applicable): KENNETH SWANSON William Erickson Telephone Number: - Telephone Number: 608-963-0748 715-209-3977 E -Mail Address: E -Mail Address: kennyaswanson©gmall.com Bill@ExtremeMeasuresPlans.Com Mailing Address: Mailing Address: Planning anZorinp dAgg, 2986 WEST SHADDY LN 71470 State Hwy 13 _ NEENAH WI 54956 Ashland, WI 54806 'ntit(W Contractor: Telephone Number: E -Mail Address: Scott Bodin Const. 715-292-4691 bodinconstruction@gmail.com SECTION B: PiePierty Information Project Address (if different from mailing address): 28195 LUCIA RD WASHBURN 54891 Legal Description (if additional space is needed attach a separate sheet): PAR IN NW NW IN V.924 P.640 IM 2005R-501077 IM 2004R-493667 Section, Township, Range: 803 T48N R05W Town of: WASHBURN Tax ID #: 30593 Lot Size (Acres/Square Feet): 20 Acre Project Use is: El Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: El New Construction ❑ Addition/Alteration (existing structure) El Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days 0 Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A ❑ Other (describe): SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: El Residence O Principal Structure (describe): O Accessory Structure (describe): El Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): El Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement O Slab ❑ Crawlspace ❑ Ground ❑ Skids 0 Other (explain): on areas, Basement Sq Ft: 1st Floor Sq Ft: Loft Sq Ft: 2° Floor Sq Ft: 3m Floor Sq Ft: 1040 Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 144 (covered/ not enclosed) Total Sq Ft: 1184 Overall Height (finished grade to peak): 16'-0" # of Stories: 1 Existing # of Bedrooms on property: 0 Proposed # of Bedrooms in project: 3 SECTION E: RV and Sign Information (check all that aooly) Sign is: RV is: O New ❑ Replacement El New El Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 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 (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑StreandCreek ❑Pond ❑Floodplain ❑ Wetlands ❑Slopes over 20% N RECEIvErj AUG 052026 Yfieid Co. Planning aand 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 220 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way 187 ft. ft. Side Lot Line 1 west 315 ft. ft. (North East South West, circle one) Side Lot Line 2 east 297 ft. ft. (North East South West, circle one) Rear Lot Line 174 ft. ft. Septic/Holding Tank 25 ft. ft. Drainfield ft. ft. Privy ft. ft. Well 25 ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) field drainage 63 ft. ft. Application Page 2 Center of Lucia Rd 06 1 r 660' 1 0 25 50 75 100 Owners: KENNETH SWANSON Owner Address: 2986 WEST SHADDY LN NEENAH WI 54956 Prop. "WII �B J o O —Prop. san. tank Site Address 28195 LUCIA RD WASHBURN, WI 54891 N Tax ID: 30593 o PIN: 04-050-2-48-O5.03-202-000-10000 Municipality: TOWN OF WASHBURN STR: S03 T48N R05W Description: PAR IN NW NW IN V.924 P.640 IM F- 2005R-501077 IM 2004R-493667 rr Recorded Acres: 20 O Calculated Acres: 19.755 z Zoning: (AG -1) Agricultural -1 0 .y v 660' RECEIVED AUG 052026 Bayfeld Co. Planning and Zoning Agency QD O M SECTION G: Additional Questions B 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 B 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 B 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 B No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): B 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? O Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): B Yes O 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 O Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: B Check (attached) ❑ Cash (attached) O debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? B Mail to: OR O Email to: O Property Owner Address ❑ Agent Address ❑ Contractor Address O Other (provide name and email or address): 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.eov/tonic/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: k.j, - \ 1C?, Owner(s) or Authorized Agent Signature: � _.. -� Date: P _S "=J L: NOTES: i. 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. Ow,rflrtractors must all be aware of permit details & conditions and permit card must be posted on property phbt [ sI5f' ro ect. AUG 057028 Application Page 3 Bayfield Co. planning and Zoning Agency RECEIVED AUG 052026 Bayfield Co. Letter of Authorization Planning and Zoning Agency 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, Kenneth Swanson (authorized agent) to submit a Land Use permit Application (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.) Construction of residence application on my behalf for the following described property: owner), authorize William Erickson Legal description of subject propertya MMR IN NW NW IN V826 R840 IM 2005R-6o1BT] IM 2OO4R-4386503 T4BN ROAV TOWN OF WASHBURN Address of subject property: 28195 LUCIA RD WASHBURN 5489 Signature 8/4/26 Dated Plan NORTH ELEVATION a � a m N N R DTI Plan WEST ELEVATION 5'-0• x 4'-0' 5'-0• x 4'-0• S-0• 04.0* Storage cV = Bedroom 1 Bedroom 2 Bedroom 3 1 ' _ 8'-0" Ceiling 8'-0* Ceiling e'-0' Coiling it2,6. za• 3'-0• O r M ° Living Rm o Bath 8'0"Ceiling •A• ® O Kitchen Laund. Z ;/Mech,. 4 4 5'-0• x 4'6• 4'-0'x3-0' 2'6• x 3.0' 3W x 3'-0" temp. gl. 6'-011 Note: Unless noted, all dimensions are to rough framing. Bayfield County, WI 8/11/26, 8:19 AM Novus-Wisconsin Access rev. 12.0206 /v 7 RRal Estate Bayfield County Property Listing Property Status: Current Today's Date: 8/11/2026 Created On: 3/15/2006 1:16:05 PM Description Updated: 12/23/2020 Tax ID: 30593 PIN: 04-050-2-48-05-03-2 02-000-10000 Legacy PIN: 050100405000 Map ID: Municipality: (050) TOWN OF WASHBURN STR: S03 T48N R05W Description: PAR IN NW NW IN V.924 R640 IM 20058- 501077 IM 2004R-493667 Recorded Acres: 20.000 Calculated Acres: 19.755 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 130 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 050 TOWN OF WASHBURN 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE 4 Recorded Documents Updated: 3/15/2006 ® CONVERSION Date Recorded: 501077 894-490;899- 129;924-640 a Ownership Updated: 12/23/2020 KENNETH SWANSON NEENAH WI Billing Address: Mailing Address: KENNETH SWANSON KENNETH SWANSON 2986 WEST SHADDY LW 2986 WEST SHADDY LW NEENAH WI 54956 NEENAH WI 54956 Site Address * indicates Private Road 28195 LUCIA RD WASHBURN 54891 ® Property Assessment Updated: 2/12/2026 2026 Assessment Detail Code Acres Land Imp. 5m -AGRICULTURAL FOREST 10.000 10,100 0 Gl-RESIDENTIAL 1.000 5,400 4,100 G4 -AGRICULTURAL 9.000 2,400 0 2 -Year Comparison 2025 2026 Change Land: 17,600 17,900 1.7% Improved: 4,100 4,100 0.0% Total: 21,700 22,000 1.4% Property History N/A/ Ti https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=30593 1/1 Land Use Permit Application Review Checklist Submission #: ,'( j What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M 2<1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes .O'No Is lot substand rd (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes 2'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 flSo Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes Z(No Is the project located in the Floodplain? Zone: Yes ❑ No Are there wetlands on the property? ❑ Yes EQ No Is project associated with a nonconforming use or structure? ❑ Yes O'No Is project associated with a variance? Case #: ❑ Yes ,a No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes .2'No Is the project associated with a Special A Use Permit? Does the project require sanitary? ❑ Existing ja'Wew ❑ Intercept O Reconnect ❑ Non -Plumbing ❑ Public SanitaryPermit#: a6 lets #of Bedrooms: a 'Yes ❑ No ❑ Yes,2'No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes J 'Jo Does the project require an affidavit? Affidavit It: ❑ Yes ZiNo 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? Re idential O Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is:alesidence ❑ Principal Structure ❑ Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home O Shipping Container O Other, describe Total Sq. Ft. of Project: �4/ 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 O VO sq ft (minimum $125) $ In -Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ Ss g�c ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x 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 0 Special Use Permit - Class A O Floodplain 0 Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 O 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: Date of Approval: Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. or personal residence only. ❑ Not for human habitation or sleeping purposes. a5wn/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. ❑ Si n must meet the requirements of Article E of the Bayfield County Zoning Ordinance. ,zlTo 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) 0 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 BFIELD 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: SWANSON, KENNETH LU-02475 2986 WEST SHADDY LN NEENAH, WI 54956 Transaction Number. LU-02475-4D0C6 Description Amount Habitable Residential Principal & Accessory $520.00 Structures - enclosed areas $0.50/ square foot (minimum $125) Habitable Residential Principal Structure - $28.80 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $548.80 Payment Amount: $548.80 Reference: 3836 Paid by: Extreme Measures Payment Type: Check Transaction Date: 9/1/2026 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— New 26-121S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0468 Tax ID: 30593 Issued To: SWANSON, KENNETH BAYFIELD COUNTY T± :IJ` I hi WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S03 - T48N - R05W Town of Washburn Legal Description: PAR IN NW NW IN V.924 P.640 IM 2005R-501077 IM 2004R-493667 Residential Structure in A-1 zoning district For: New Construction [1 - Story ], Residence on a Slab [1184 Total sq. ft. ] Height of 16' (I )i�:clainier)a xI ic::lnnu ihle 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. Tracy Pooler Authorized Issuing Official September 01, 2026 Date Condition(s): For personal residence only. 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. To be constructed per plan.