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Return to: County Use Only: 117 E 5`" Street, PO Box 58 Baylield County Planning and Zoning Department Submission #: LU-O&Sq Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit#: a&_0614 peermits(@bavfieldcounty wi gov Date: 9 a3 I tea' Proppertyty Owner Name: L LUETH HOLDING COMPANY INC Authorized Agent Name (if applicable): Telephone Number: Telephone Number: 651-398-1595 E -Mail Address: E -Mail Address: Illueth@yahoo.com (ENTERED Mailing Address: Po BOX 44 Mailing Address: SEP 1 6 2026 I: a.6 City, State, Zip: City, State, Zip: Bayfield Co. HERBSTER WI 54844 Planning and Zoning Agency Contractor: Telephone Number: E -Mail Address: Self 651-398-1595 Illueth@yahoo.com SECTION B: Property Information Project Address (if different from mailing address): 21470 BLUEBERRY LN Legal Description (if additional space is needed attach a separate sheet): 2 PAR IN GOVT LOTS 2 & 3 DESC IN DOC 2025R-606545 Section, Township, Range: 33, 51, 06 Town of: Bell Tax ID #: 37575 Lot Size (Acres/Square Feet): 2.927 -acres Project Use is: a Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: a New Construction O Addition/Alteration (existing structure) O Change Use (existing structure) ❑ Relocate (existing structure) O RV Placement 21+ days`' ❑ Sign ❑ Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E -rt, Structure Type is: ❑ Residence ❑ Principal Structure (describe): a Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured Garage date): O Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement E Slab O Crawlspace O Ground O Skids O Other (explain): Existing Structure: Length: so Width: 24 Height: +a Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches,): Basement Sq Ft: I" Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3r° Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 24x30=720 Total Sq Ft: 720 Overall Height(finished g grade to peak): 18 # of Stories: I Existing # of Bedrooms on property: q Proposed # of Bedrooms in project: 0 ,nt. uviv a: xv ana stn Information check all that apply) - Sign is: RV is: O New O Replacement ❑ New O Replacement ❑ On -premise ❑ Off -premise O 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: I-leight: Make: Model: 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 ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain []Wetlands ❑Slopes over 20% Ri CEIVED SEP 16 2026 Bayfield Co. Planning and Zoning Agency S 4 ST ri,c. 4v<< Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Rnad Centerline I Cn ft. < Front Lot Line/Right-of-Way Side Lot Line 2 (North East Southh circle Rear Lot Line IAA k, 1s ft. ft. aw3a IC) ft.30 ft. A 56I ft. � Dori ft NA ft. I ft Privy A ft. ft. Well 3� ft. f— ft. Existing Structure/Building Eg SA ft. bfi ft. Wetland yp ft. ft. Elevation of Floodplain (,02,t4 ft. ft. Ordinary High -Water Mark (OHWM) 5' (G I ft. ft. Other (describe) N wt ft. ft. Application Page 2 SECTION G: Additional Questions E Yes El 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. 3 Yes El 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 ❑ No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield El Holding Tank El Municipal/Public El Other (describe): ❑ Yes El No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? RECEIVED El Drainfield El Holding Tank ❑ Municipal/Public El Other (describe): ❑ Yes El No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC�t_tr Tl6o262Rd inspection requirements. Is the project associated with any of the following: hayfield Co. ❑ Rezone O Class A Special Use El Class B Special Use O Conditional Use ❑ Variance Planning and Zoning Agency Fee payment will be made via: ❑ Check (attached) El Cash (attached) El debit/creditlecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: OR%Email to: ,Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): 'Include env overhangs, sanitary system, and well in staking measurements 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/topichvctlands, 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. ��a� Owner(s) Lac. L.-. V O or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: Date. '€ 2� NOTES: 1. If you arc 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 AFFIDAVIT OF AUTHORITY SEP 16 2026 (Corporation, LLC, etc.) Bayfield Cpp. PURPOSE. This Affidavit of Authority is used to certify the individual applying for a perrmthneiaythtorsaagg Agency when the property is owned by a corporate/business entity. STATE OF WISCONSIN ) ss. BAYFIELD COUNTY The undersigned affirms and states as follows: CAYNUC,bp IG� I,� I 1. Address of Subject Property: 21'410 6� ucbcvt3 Lam'` L.LLtt-tVtH't 2. The Subject Property is owned by: � t c , CA (Name of Company) 3. The name(s) of the current President or Managing Member: Lac -e. I Luc+k 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 apply for permits from 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. 1 am authorized by the above -named Company to apply for and bind the Company to the terms and conditions of any permit that may be issue 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 iliegali Ies of application for permit. Dated: 9/ (1 / 2Ll Print Na Subscrib an swo n to before me this 17 o`°acNu E MF �%- day of �zifh,1h 'r 20�(t , `U TO � �pTAgy'•:�c *: * U No ry Public, County, Wisconsin �d+j ,A[/BC��a� My commission: *j1.. W;:$ / 3/5/25, 11:40 AM Novas -Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 3/5/2025 Description Updated: 2/26/2025 Tax ID: 37575 PIN: 04.010-2-51-06-33-1 05-002-82000 Legacy PIN: Map ID: Municipality: (010) TOWN OF BELL STR: 533 T51N R06W Description: 2 PAR IN GOVT LOTS 2 & 3 DESC IN DOC 2025R-606545 Recorded Acres: 2.927 Calculated Acres: 2.927 Lottery Claims: 0 First Dollar: Yes ESN: 107 4 Tax Districts 1 04 010 044522 001700 ' Recorded Documents © QUIT CLAIM DEED Date Recorded: 2/12/2025 91 TRUSTEES DEED Date Recorded: 9/14/2022 O QUIT CLAIM DEED Date Recorded: 3/16/2017 ® QUIT CLAIM DEED Date Recorded: 3/16/2017 Updated: 7/14/2017 STATE COUNTY TOWN OF BELL SCHL-SOUTHSHORE TECHNICAL COLLEGE Updated: 7/14/2017 2025R-606545 2022R-596362 2017R-567601 2017R-567600 Property Status: Current Created On: 7/14/2017 3:33:20 PM a Ownership Updated: 10/28/2022 L LUETH HOLDING COMPANY INC NEW ULM MN Billing Address: Mailing Address: L LUETH HOLDING COMPANY L LUETH HOLDING COMPANY INC INC 912 SOUTH STATE ST 912 SOUTH STATE ST NEW ULM MN 56073 NEW ULM MN 56073 Site Address * indicates Private Road 21470 BLUEBERRY LN CORNUCOPIA 54827 ® Property Assessment Updated: 8/9/2018 2025 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 2.927 201,200 38,900 2 -Year Comparison 2024 2025 Change Land: 201,200 201,200 0.0% Improved: 38,900 38,900 0.0% Total: 240,100 240,100 0.0% 6s Property History Parent Properties Tax ID 04-010-2-51-06-33-1 05-002-80000 7888 RECEIVED SEP 16 2026 HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels © Tax ID: 7 8 Pi - 1- - - g. Pin: 010107208000 37575 This Parcel Parents Children e Planning aand Zon g Agency https://novus.bayfeldoounty.wi.gov/access/master.asp?paprpid=37575 1/1 9/21/26, 8:26 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 9/21/2026 Z Description _ Updated: 6/29/2026 Tax ID: 37575 PIN: 04-010-2-51-06-33-1 05-002-82000 Legacy PIN: Map ID: Municipality: (010) TOWN OF BELL STR: 533 T51N R06W Description: 2 PAR IN GOVT LOTS 2 & 3 DESC IN DOC 2025R-606545 Recorded Acres: 2.927 Calculated Acres: 2.927 Lottery Claims: 0 First Dollar: Yes ESN: 107 P Tax Districts Updated: 7/14/2017 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE Property Status: Current Created On: 7/14/2017 3:33:20 PM a Ownership Updated: 6/29/2026 L LUETH HOLDING COMPANY INC HERBSTER WI Billing Address: L LUETH HOLDING COMPANY INC 86985 LENAWEE RD PO BOX 44 HERBSTER WI 54844 Mailing Address: L LUETH HOLDING COMPANY INC 86985 LENAWEE RD PO BOX 44 HERBSTER WI 54844 Site Address * indicates Private Road 21470 BLUEBERRY LN CORNUCOPIA 54827 ® Property Assessment Updated: 8/9/2018 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 2.927 201,200 38,900 2 -Year Comparison 2025 2026 Change Land: 201,200 201,200 0.0% Improved: 38,900 38,900 0.0% Total: 240,100 240,100 0.0% Recorded Documents Updated: 7/14/2017 O QUIT CLAIM DEED Date Recorded: 2/12/2025 2025R-606545 LR Property History © TRUSTEES DEED Parent Properties Tax ID Date Recorded: 9/14/2022 2022R-596362 04-010-2-51-06-33-1 05-002-80000 7888 O QUIT CLAIM DEED Date Recorded: 3/16/2017 2017R-567601 a QUIT CLAIM DEED Date Recorded: 3/16/2017 2017R-567600 HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels O Tax ID: 7888 Pin: 04-010-2-51-06-33-1 05-002-80000 Leg. Pin: 010107208000 37575 This Parcel t Parents 4 Children https://novus.bayreldcounty.wi.gov/access/master.asp?paprpid=37575 1/1 Bayfield County, WI 9/21/2026, 8:26:17 AM 1:362 -!- Wetlands '—' Lake Superior Proposed Setback Line Approximate Parcel Boundary Building Footprint 2015 Road Type • Building Town 0 0 0.01 0.02 ml 0 0.01 0.01 0.02 km Bayfield County Land Records Department eaygetl county zanies Aypiaabon mope nmaps bayde/dmunbyw, gwiZomngWAR' Land Use Permit Application Review Checklist Submission #: Wh oning 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 it1jo 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 o Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Ys u4o Is the project located in the Floodplain? Zone: es ❑ No Are there wetlands on the property? ❑ Yes LIFdo Is project associated with a nonconforming use or structure? ❑ Yes L4lo Is project associated with a variance? Case #: ❑ Yes Gfco Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes o Is the project associated with a Special A Use Permit? ❑ Yes Q4o Does the project require sanitary? ❑ Existing 0 New ❑ Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public Sanitary Permit It: # of Bedrooms: ❑ Yes LP4i Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes Ll3.4o Does the project require an affidavit? Affidavit #: Y s ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? es 0 No Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? esi ntial ❑ Commercial ❑ Municipal Project type is? ew Construction ❑ Addition/Alteration ❑ Change Use 0 Relocate 0 RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Gradin ❑ Other, describe: Structure Type is: ❑ Residence ❑ Principal Structure ccessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: Number of Stories: Overall Height: Fee Type Calculation ree Amount ❑ Habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas — all enclosed areas within $0.50 x sq ft $ dwelling except attached non -habitable garages ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 x sq ft (minimum $125) Attached Non -Habitable Garages $ ❑ Non -Habitable Residential Principal and Accessory $0.20 C� ft (mini um $75) Structures x s q $ ❑ 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 ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ 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: l / ii Date of Approval: Condi ' n(s): G1SAust meet and maintain setbacks f urthest extension of structure including eaves and overh ngs. Cd Ror personal storage only. ❑ Foypersonal residence only. 70t for human habitation or sleeping purposes. own/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 must meet the requirements of Article E of the Bayfield County Zoning Ordinance. E'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 ❑ Ryrrfust be removed by No sewerand pissurizI 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 I34-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: L LUETH HOLDING COMPANY INC LU-02554 PO BOX 445 HERBSTER, WI 54844 Transaction Number: LU-02554-55D04 Description Amount Non -Habitable Residential Principal and Accessory $144.00 Structures - $0.20/square foot (minimum $75) Total: $144.00 Payment Amount: $144.00 Reference: 2541 Paid by: Hot Mess Holdings LLC 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 / Nonconforming - No Shoreland — Yes / Impervious Surface — No Floodplain — No I Wetlands — Yes Mitigation — No / Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0514 Tax ID: 37575 Issued To: L LUETH HOLDING COMPANY INC Location: S33 - T51 N - R06W Town of Bell BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: 2 PAR IN GOVT LOTS 2 & 3 DESC IN DOC 2025R-606545 Residential Structure in R-1 zoning district For: New Construction (1 - Story ], Accessory Structure on a Slab [720 Total sq. ft. ] Height of 18' (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. Emily Macgillivray Authorized Issuing Official September 23, 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. Town/State/DNR/Federal may require permitting. To be constructed per plan. No sewer and pressurized water allowed in the structure.