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Return to: County Use Only: 117 E 5th Street, Po Box 58 Bayfield County Planning and Zoning Department Submission #- LU - Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: i6-. permits@bayfieldcountv.wi.Pov Date: 3 d'D?-(r ION A: General Information. ,. . s, ..�., .,..:1.. Property Owner Name: Lichen Properties LLC (Gregory Nicholas, Member) Authorized Agent Name (if applicable): �Cj+ Telephone Number: Telephone Number: SEP 09 2fl9O tutu 612-751-3377 E -Mail Address: E -Mail Address: PBayfield Co Wnnin gregn7777@gmail.com sana_cnin q e nry Mailing Address: Mailing Address: 4149 Lyndale Ave S City, State, Zip: City, State, Zip: l 9 Minneapolis, MN 55409 / Contractor: Telephone Number: E -Mail Address: Owner -occupant acting as own general contractor 612-751-3377 gregn7777@gmail.com SECTION B: Property Information Prniert Addrecc (if different from mailine address): Legal Description (if additional space is needed attach a separate sheet): Lot 1, Certified Survey Map No. 2351, Vol. 13 of CSM, Page 330; part of the SE 1/4 of the NW 1/4, Sec. 35, 151 N, R4W, Town of Russell, Bayfield County, WI Section, Township, Range: Sec. 35, T51 N, R4W (SE 1/4 of NW 1/4) Town of: Russell Tax ID #: 39337 Lot Size (Acres/Square Feet): 2.5 acres (108,900 sq ft) ,SECTION C: Project Information (check all that apply) Project Use is: O Residential El Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: El New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days El Sign O Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A ❑ Other (describe): required (Total sft): required SECTION D: Structure Information (Does not apply to RVs and Signs go. to. Section E) Structure Type is: El Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): O Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: El Basement ❑ Walkout Basement O Slab ❑ Crawlspace O Ground ❑ Skids O Other (explain): Existing Structure: None Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/ arches: Basement Sq Ft: 151 Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3rd Floor Sq Ft: 0 1,501 454 0 0 Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 0 274 0 Total Sq Ft: 2,229 Overall Height (finished grade to peak): 24 ft 4 in # of Stories: 2 Existing # olBedrooms on property:0 Proposed # of Bedrooms in project: 2 (SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ 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 Informationfor information that is required to be provided on site plan) Show location of: O Driveways lE Frontage Roads (include name) ❑ Holding Tank (HT) O Privy (P) O Lake ❑ O Existing Structures O Well (W) El Septic Tank (ST) ❑ Drain Field (DF) River ❑ Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ElSlopes over 20% N RECtiVtt SEP 092026 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 586 ft. ft. Notes/Comments: I) 4 f f `,�' Q� C J (ACT Front Lot Line/Right-of-Way 557 ft. S ft. Side Lot Line I (North East South West, circle one GJ 1 ft. ft. Side Lot Line 2 (North East South West, circle one) 64 ft. �t ft. Rear Lot Line 84 ft. ft. Septic/Holding Tank 41 ft. lA Drainfield ft. ft. Privy n/a ft. ft. Well 113 ft. ft. Existing Structure/Building n/a ft. ft. Wetland n/a ft. ft. Elevation of Floodplain n/a ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) Bluff edge 47 ft. ft. J d (C po&ect t/" Application Page 2 ' N� c(Q G SECTION G; -Additional. - ❑ 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. El Yes El 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. O Yes El No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): El Yes O No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? REC E IV F D El Drainfield O Holding Tank O Municipal/Public O Other (describe): El Yes ❑ No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for" o`J `J t U LU U26 inspection requirements. U Is the project associated with any of the following: Bayfield Ce ❑ Rezone ❑ Class A Special Use O Class B Special Use O Conditional Use ❑ Variance Planning and Zoning en Fee payment will be made via: El Check (attached) O Cash (attached) O debit/creditlecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: OR El Email to: El Property Owner Address ❑ Agent Address ❑ Contractor Address O Other (provide name and email or address): Include eaves, overhangs, sanitary system, and well in staking measurements Section H: Acknowledge t aPdkS _atr , . 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.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:t rw Nicholas lichen Pmpertes LLC Owner(s) or Authorized Agent Signature: G__________.___ Date: 09/09/2026 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 PROPOSED SITE PLAN Scale, I"=100'-0" AD -100 CLAPES & NICHOLAS DATE: 07/31/26 NOT FOR CONSTRUCTION BOULDER POINT RD - NEW HOME • za Rr(,F. vEo SEP 092026 Bayfield Co. Planning and Zoning Agency RECEIVED NEW WORK • LEVEL 01 Scale, 3116"=I'-0" AD -101 SEP 092026 CLAPES & NICHOLAS DATE: 07/31/26 Bayfield Co. NOT FOR CONSTRUCTION Planning and Zoning Agency BOULDER POINT RD - NEW HOME RECEIVED AD -102 DATE: 07/31/26 NOT FOR CONSTRUCTION SEP 092026 Bayfield Co. Planning and Zoning Agency CLAPES & NICHOLAS BOULDER POINT RD - NEW HOME 4:12 i 12:1 I O 12:12 I 12:12 12:12 I I 1 4:12 I I PROPOSED ROOF PLAN Sole: 3/161-0" AD -103 RECEIVED CLAPES & NICHOLAS DATE: 07/31/26 NOT FOR CONSTRUCTION SEP 092026 BOULDER POINT RD - NEW HOME Bayleld Co. Planning and Zoning Agency NORTH ELEVATION 6tde: 3116" AD -200 DATE: 07/31/26 NOT FOR CONSTRUCTION RECEIVED SEP 092026 Bayfield Co. Planning and Zoning Agency CLAPES & NICHOLAS BOULDER POINT RD - NEW HOME F POAK LV24-4" ELEV:2' 4" LEVEL 07. (16 ELEV: IO'-lfl"10" LEVEL 0 n HEY: 60'-IG" LEVFL ELG ELEV:9' 6" EVR 01 n 0E-01 7 ACE ELEV:w a' SOUTH ELEVATION Stale: 3116" =1'.O" ROOFFVG� FLIV:14' 4" — IEVFL'ILO FLEV:If�- m" LFVFL 0111 FL[V:10'10" LLVFL QO REV:9' 6" LEORAO ELEYO O" AD -201 RECEIVED CLAPES & NICHOLAS DATE: 07/31/26 SEP 09 2076 NOT FOR CONSTRUCTION BOULDER POINT RD - NEW HOME Bayfield Co. Planning and Zoning Agency WEST ELEVATION Style: 3116" = 1.0" AD -202 DATE: 07/31/26 NOT FOR CONSTRUCTION LI _ RECEIVED SEP 092026 Bayfield Co. Planning and Zoning Agency YOOF9 EAR : ELEVNE/" ELEV: EAST ELEVATION Sol.: 3/IC=I-O" CLAPES & NICHOLAS BOULDER POINT RD - NEW HOME RU 0? PEA R_/� FLEV: N I" ' , — LFVEL LL0 ELEV: 9' 6" AXON VIEW 1 So le: AD -300 R€CEWED CLAPES & NICHOLAS DATE: 07/31/26 NOT FOR CONSTRUCTION SEP 09 2079 BOULDER POINT RD - NEW HOME Bayfield Co. planning and Zoning Agency RECEIVED AD -301 SEP 092026 CLAPES & NICHOLAS DATE: 07/31/26 NOT FOR CONSTRUCTION Bayfield Co. BOULDER POINT RD - NEW HOME Planning and Zoning Agency Applicant Checklist N Yes ❑ No Will new electrical installation occur with project/structure? If yes, contact State for inspection requirements. ® Yes ❑ No Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements. El Yes l No Is the project/structure to be used for commercial purposes? If yes, contact the State of Wisconsin Commercial Buildings & Structures to determine if they require review and approval. ❑ Yes ZI No Is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the FEMA Map (https://msc.fema.sov/portal/home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance (https://www.bayfieldcounty.wi.gov/71 llTitle-13---Zonin -Code . ❑ Yes 1 No Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage (whichever is greater)? If yes, shoreland regulations will apply. ❑ Yes ® No Is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface Form (https://www.bayfieldcountv.wi.eov/DocumentCenter/View/3 I59/Imervious-Surface-PDF . ❑ Yes I No Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map (https://dnrmaps.wi.gov/H5/?Viewer=SWDV). ® Yes ❑ No If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of driveway? ❑ Yes ll No Was the property purchased recently? If yes, include a recorded deed. A copy of recorded deed can be acquired from the Bayfield County Register of Deed's office. ZI Yes ❑ No Is a site plan included with all information requested on Page 1 of the Land Use Permit Application Information? If no, a site plan with all applicable information on Page I is required for all submissions. lI Yes El No Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these structures. ❑ Yes O No If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use Permit Application Information been included? El Yes ll No Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the - fact fee will apply. If not permittable, the structure will need to be removed. ❑ Yes ❑ No If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application Information? If no, be aware that it is the property owner's responsibility to show the structure was legally placed and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40 (https://www.baylieldcounty.wi.gov/7 fieldcoun .wi. ov/711/Title-I3---Zoning-Code). ® Yes ❑ No Is the use of the project/structure allowed per Bayfield County Section 13-1-62 (https://www.bavfieldcounty.wi.pov/711/Title-13---Zonin). If no, be aware it is the property owner's responsibility to show the use was legally established and there may be limitation to expansion of the use, see Bayfield County Section 13-1-40 (https://www.bayfieldcounty.wi.gov/71 I/Title-I3---Zonin+-Code . l Yes O No Have all fees been included with the completed application? See Fee Schedule on website (https://wvc.bayfleldcountv.wi.gov/l389/Fee-Schedule). If no, all applicable fees need to be paid before permit can be issued. ❑ Yes ® No Is property owned by multiple owners or is someone aside from the property owner applying? If yes, a Letter of Authorization Form needs to be included. Form available on website (https://www.bavfieldcounty.wi.gov/1340/Applications-Forms). fieldcoun .wi. ov/1340/A lications-Forms . ® Yes O No Is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority needs to be included. Forms available on website (htps://www.bayfieldcounty.wi.gov/1340/Applications- Forms). ❑ Yes ❑ No Is Land Use Application completed and signed? RECEIVED SEP 092076 Bayfield Co. Planning and Zoning Agency Land Use Permit Application Information Page 6 Land Use Permit — Fee Calculation Bayfield County Planning and Zoning Department Applicant/ Owner Lichen Properties LLC (Gregory Nicholas, Member) Project New single-family dwelling, owner -occupied Legal description Lot 1, Certified Survey Map No. 2351, Vol. 13 of CSM, Page 330; part of the SE 1/4 of the NW 1/4, Sec. 35, T51N, R4W Town Russell, Bayfield County, Wisconsin Tax ID 39337 Fee schedule applied Reference Document- Appendix A, Bayfield County Planning and Zoning Fee SchRCsCElVED revised 2/25/2026 Fee category Habitable Residential Principal Structure (new construction) SEP 0 9 2026 Fee calculation Bayfield co. ng Agency Enclosed areas $0.50 1,955 sq ft $977.50 All enclosed areas within the dwelling. First floor 1,501 sq ft + loft 454 sq per sq ft ft. No basement, no garage. Unenclosed areas $0.20 274 sq ft $54.80 Screen porch, 274 sq ft. Open -sided / screened construction (EZ Porch per sq ft Panel or equivalent per sheet AD -101). Total land use permit fee $1,032.30 The fee schedule prints a $125 minimum against each area category. It does not increase this permit: the fee owed exceeds $125. Source of the areas used Both figures come from the Wisconsin Uniform Building Permit Application (SBD-5823) for this dwelling, which reports living area 1,955 sq ft and deck/porch 274 sq ft. Sheet AD -100 of the North Drawn Design plan set dated 07/31/26 corroborates them: its 1,775 sq ft house footprint equals the 1,501 sq ft first floor plus the 274 sq ft screen porch. No garage is proposed and the dwelling is slab -on -grade, so neither of those area categories applies. Fees handled separately 3 County Sanitary / POWlS. County sanitary pe 't 26-71 S h already been issued for this parcel, so the private sewage system, certified soil test, and county sanitairp fees were addressed at that time and are not included above. Uniform Dwelling Code inspection. UDC plan review, inspection, and Wisconsin permit seal fees for the SBD-5823 building permit are set and collected by REM Inspecting, the UDC inspection contractor, and are not part of the Bayfield County Planning and Zoning fee schedule. Fee schedule items that carry no charge here Floodplain ($100) - the project is not in the floodplain. Shoreland impervious surface and non -conforming ($25 / $100) - the parcel is not in the shorelands and is not a waterfront lot. Return inspection ($75) - the site and lot lines are staked by the applicant. Portable restroom ($50) - confirmed not applicable to this project. Special use Class A or B, conditional use, variance, rezone ($250 -$1,000)- none is associated with this project. Sign ($100) - no sign is proposed. After -the -fact (triple fee) - construction has not commenced. Certified Survey Map review - collected by Land Records, with no review fee collected by Zoning. Prepared September 9, 2026 for submission with the Bayfield County Land Use Permit Application. Amount tendered by check: $1,032.30. 9/17/26, 2:16 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 9/17/2026 1 + Description Updated: 12/19/2024 Tax ID: 39337 PIN: 04-046-2-51-04-35-1 04-000-39100 Legacy PIN: Map ID: Municipality: (046) TOWN OF RUSSELL STR: 535 T51N R04W Description: LOT 1 OF CSM 2351 V13 P330 IN DOC 2024R-603894 IN DOC 2024R-605683 Recorded Acres: 2.530 Calculated Acres: 2.536 Lottery Claims: 0 First Dollar: No ESN: 128 I Tax Districts Updated: 7/29/2024 1 STATE 04 COUNTY 046 TOWN OF RUSSELL 040315 SCHL-BAYFIELD 001700 TECHNICAL COLLEGE Recorded Documents Updated: 7/30/2020 © QUITCLAIM DEED Date Recorded: 11/26/2024 2024R-605683 © QUIT CLAIM DEED Date Recorded: 7/25/2024 2024R-604103 © QUIT CLAIM DEED Date Recorded: 7/25/2024 2024R-604102 0 QUIT CLAIM DEED Date Recorded: 7/25/2024 2024R-604100 91 CERTIFIED SURVEY MAP Date Recorded: 7/9/2024 2024R-603894 13-330 © QUIT CLAIM DEED Date Recorded: 4/23/2024 2024R-603021 ® CERTIFIED SURVEY MAP Date Recorded: 7/1/2020 2020R-582937 12-282 ® CERTIFIED SURVEY MAP Date Recorded: 7/1/2020 20208-582936 12-279 ® CERTIFIED SURVEY MAP Date Recorded: 7/1/2020 2020R-582935 12-276 ® WARRANTY DEED Date Recorded: 3/19/2020 2020R-581535 Property Status: Current Created On: 7/29/2024 2:18:24 PM :d2 Ownership Updated: 12/19/2024 LICHEN PROPERTIES LLC MINNEAPOLIS MN Billing Address: Mailing Address: LICHEN PROPERTIES LLC LICHEN PROPERTIES LLC 4149 LYNDALE AVE S 4149 LYNDALE AVE S MINNEAPOLIS MN 55409 MINNEAPOLIS MN 55409 P Site Address * indicates Private Road N/A ® Property Assessment Updated: 7/20/2026 2026 Assessment Detail Code Acres Land Imp. Cl-RESIDENTIAL 2.530 50,000 0 2 -Year Comparison 2025 2026 Change Land: 26,000 50,000 92.3% Improved: 0 0 0.0% Total: 26,000 50,000 92.3% M Property History Parent Properties Tax ID 04-046-2-51-04-35-1 04-000-39000 39303 HISTORY ® Expand All History White=Current Parcels Pink=Retired Parcels © Tax ID: 29495 Pin: 04-046-2-51-04-35-1 04-000-10000 Leg. Pin: 046105405000 ® Tax ID: 29492 Pin: 04-046-2-51-04-35-1 01-000-10000 Leg. Pin: 046105402000 fl a © Tax ID: 29494 Pin: 04-046-2-51-04-35-1 03-000-10000 Leg. Pin: 046105404000 © Tax ID: 38229 Pin: 04-046-2-51-04-35-1 04-000-30000 https://novus.bayfeldoounty.wi.gov/access/master.asp?paprpid=39337 1/2 9/17/26, 2:16 PM Novus-Wisconsin Access rev. 12.0206 a a a a Tax ID: 29492 Pin: 04-046-2-51-04-35-1 01-000-10000 Leg. Pin: 046105402000 a Tax ID: 37142 Pin: 04-046-2-51-04-35-1 01-000-30000 a Tax ID: 29493. Pin: 04-046-2-51-04-35-1 02-000-10000 Leg. Pin: 046105403000 [7 u u Tax ID: 29495 Pin: 04-046-2-51-04-35-1 04-000-10000 Leg. Pin: 046105405000 u Tax ID: 29492 Pin: 04-046-2-51-04-35-1 01-000-10000 Leg. Pin: 046105402000 a Tax ID: 37143 Pin: 04-046-2-51-04-35-1 04-000-20000 u Tax ID: 29495 Pin: 04-046-2-51-04-35-1 04-000-10000 Leg. Pin: 046105405000 u Tax ID: 29492 Pin: 04-046-2-51-04-35-1 01-000-10000 Leg. Pin: 046105402000 a Tax ID: 37142 Pin: 04-046-2-51-04-35-1 01-000-30000 1 a a a a a a a al -ax ID: 37080 Pin: 04-046-2.51-04-35-1 02-000-20000 39337 This Parcel T Parents i Children https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=39337 2/2 Bayfield County, WI ..• w � � � � .�, mot, :y `,¢ >.y'1 �r,.a ` � \ �. ! —� � , ���P�u/'i^r•`cuxaa2��'. f,,�r�\. \ 1.,C� �A x�,.,�,� r i> �. w�^•, t\j v�i�,,� � ��,s \ 5k� `rte, eaLoeabowrLLc p, 'v Av��♦ '� ?n v y\s." V `v v �s`Y,L �t ,� ':A �.' I e 1 ���� rs♦ ��v..����\ 4 L � 1y \iA �� \ ��. � VA Oyu 7` 1" a � t .. l j#,� q�„+ r, • t \ ;rR+/i m r iozi3 -`- �y, y 1 f- v Io I '2 ifr II1r`\UC N�l' �YTI.� ���',''� '�} �,(��L C EN.kOc d IES L_C�. `� � \\ \ \\ 'l � -•; trip - � 4 �.\', � \ ��w�`- I fi\ .. i'i14t '�i�� � �.!\• X.W ���''1��\lxY'v �.h\.:: Z�i �e`Y1B. Y��:`�r�l�ax$3a3s.�.'t- :�}�. . "`. �%.1 '�.. - e \ ate, i S.'- 9/17/2026, 2:16:31 PM --- Approximate Parcel Boundary Road Type •••"• Private Building ' 1:694 0 0.01 0.01 0.03m1 1-1-4 r1 0 0.01 0.03 0.05 km Baygee County Land Records Deperlmenl BeydeW County Zoning Appilwion hlpsalmapa.Caygeldcounlywl gpv/ZaningWAB! Bayfield County, WI ' k. •. v� k �g •�wr• r sir ry•em 'j R 1` D1 S vd ?5ra iD t 4 rt 't� •t'A' 1btt yR. Sri � "t y ryy5;;- o f `tlk ryy-a,.' . A nR 2 rAG F am(". •4: - #+As. 4Al se ' S I- x�, Fw�, :.#4 „ . '�• . M�. t i,,M ai.', '},: sf..6, xw o-. yam. ., 're rtt - py -R` ,"3s "s, t : P 1 \ x,�ti'OP" ! @ `e°t µ s� �,pyy} 4 t Zr a t s s i yy, pE'> re +P' ' *& 4 at,�, q} � � �n it `' ., d' 6 h� . S.m Yet y., v , `ft 9121/2026, 3:38:40 PM Meander Lines All Roads """ Private Approximate Parcel Boundary Section Lines Survey Maps Municipal Boundary Recorded Map 1:1,566 0 0.02 0.04 0.07 mi Driveways s 't 0 0.03 0.06 0.12 km Buildings Bayne Bayyfd Cae,ty Land Records Department htlpsrmmpa.bayfleldcounty.wi.gov/eaflatdWAal Land Use Permit Application Review Checklist Submission #: Q What zoning district is the project 19efted in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 EM-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes iQ4io Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes C,7 116 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 EU4o Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes o Is the project located in the Floodplain? Zone: ❑ Yes N Are there wetlands on the property? ❑ Yes 34jg Is project associated with a nonconforming use or structure? ❑ Yes OSJo Is project associated with a variance? Case #: ❑ Yes EaA0 Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ yet ruo Is the project associated with a Special A Use Permit? Yes O No Does the projec quire sanitary? O Existing New ❑ Intercept O Reconnect O Non-Plu bing O Public -- Sanitary Permit #: # of Bedrooms: to ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: ❑ Ye7 ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? es ❑ No 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? U.Nw Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Busine ❑ Temporary ❑ Shoreland Grading O Other, describe: Structure Type is: esidence O Principal Structure O Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container O Other, describe Total Sq. Ft. of Project: a 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 __1___Qsq ft �� $ y dwelling except attached non -habitable garages ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or olci(minimum $125) Attached Non -Habitable Garages $0.20 x sq ft $ ❑ Non -Habitable Residential Principal and Accessory $0.20 x s ft q (minimum $75) Structures $ ❑ 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 O Land Use Revisions ❑ 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 Inspecti n: c'h((c4 by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: /) Date of Ap roval: L//CJC Condit' n(s): EUA4ust meet and m'ttitain setbacks from furthest extension of structure including eaves and overhangs. ❑ Fo ersonal storage only. or personal residence only. NN for human habitation or sleeping purposes. �❑ E 'fo State DNR Federal may require permitting / / q p g 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. ❑ S' n 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 ❑ 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 Ti •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: LICHEN PROPERTIES LLC LU-02538 4149 LYNDALE AVE S MINNEAPOLIS , MN 55409 Transaction Number. LU-02538-555A3 Description Amount Habitable Residential Principal & Accessory $977.50 Structures - enclosed areas $0.50/ square foot (minimum $125) Habitable Residential Principal Structure - $54.80 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $1,032.30 Payment Amount: $1,032.30 Reference: 188 Paid by: Mary Lisa Clapes / Gregory Scott Nicholas Payment Type: Check Transaction Date: 9/23/2026 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 — No I Impervious Surface - No Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE - X SANITARY — New 26-71 S SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0513 Tax ID: 39337 Issued To: LICHEN PROPERTIES LLC Location: S35 - T51 N - R04W Town of Russell Legal Description: LOT 1 OF CSM 2351 V13 P330 IN DOC 2024R-603894 IN DOC 2024R-605683 Residential Structure in R-RB zoning district For: New Construction [2 - Story ], Residence on a Slab [2229 Total sq. ft. ] Height of 24' 4" (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 Emily Macgillivray 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. September 23, 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 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.