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26-0535
Return to: County Use. 117 E 5d' Street, PO Box 58 Bayfield County Planning and Zoning Department Submissjfl LU- 0 d€(,3 Washburn, WI 54891 LAND USE PERMIT APPLICATION 0 $35 permits@bavfieldcounty.wi.gov Date: �6�$%3iJa6 , eral Information.-, Property Owner Name: DwayneTruhlsen, Sarah Gasper Authorized Agent Name (if applicable): Telephone Number: Telephone Number: 715-338-6480, 715-566-2758 RLCE VFn E-Mail Address: E -Mail Address: t'F�PED spyderk©gmail.com Mailing Address: Mailing Address: --- 1305 Prairie Ln City, State, Zip: Saint Croix Falls, WI 54024 City, State, Zip: Contractor: Telephone Number: E -Mail Address: n/a ECTION B: ro er " Project Address (if different from mailing address): 33970 Old Kennedy Road Legal Description (if additional space is needed attach a separate sheet): LOT 4 CSM 2417 V14 P46 IN DOC 2025R-608823 IM 2025R-608921 Section, Township, Range: S27 -TS0N - R04W+ Town of: Bayfield Tax ID #: 39672 Lot Size (Acres/Square Feet): 5.55 check all Project Use is: O Residential O Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: New Construction ❑ 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): required (Total sq ft): required to RVa1s.SecUqa Structure Type is: O Residence Principal Structure (describe): Accessory Structure (describe) ❑ Shoreland Exempt Structure (describe): ❑ obile Home (provide manufactured C/wd( l? -)ac, date): O Shipping Container O Other (describe): Foundation Type: �� ❑ Basement O Walkout Basement O Slab O Crawlspace (rl6round O Skids O Other (explain): Existing Structure: Wooden shed Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: 1" Floor Sq Ft: Loft Sq Ft: 2n° Floor Sq Ft: 3° Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: eN O Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: Sign is: RV is: ❑ New O Replacement O New O Replacement O On -premise ❑ Off -premise ❑ 1 -sided O 2 -sided Year: Vin #: ❑ On -building O 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 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) 0 Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N No ro er ine -0- l30t _ 44 RLCEIVww - J SEP 21 2026 W" CY Eayneid Co. Piannin, and'..�.i , �.--.... C, U n Y Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 3ZMt Notes/Comments: p (ue Front Lot Line/Right-of-Way Side Lot Line I orth East South est, circle one)Side -(50 Lot Line 2 .n\o as South West circle oneipRear Lot ine.Septic/HoldingTank `.Drainfreld .Privy .Well .Existing StructureBuilding.Wetland . Elevation Floodplain ft. ft. of Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 O 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, not staked but cleared No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use 7Yes Application Information for required setbacks. 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 No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield O Holding Tank 0 Municipal/Public O 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? r ^? O Drainfield ❑ Holding Tank ❑ Municipal/Public 0 Other (describe): iiL.CI i ED ❑ Yes 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 O Class B Special Use ❑ Conditional Use O Variance Bayfield Co. Fee payment will be made via: ❑ Check (attached) O Cash (attached) 11ebit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: OR Q"Email to: spyderk a®gmail.com ❑ Property Owner Address❑ Agent AddressD Contractor Address[ Other (provide name andemail oraddress): 'Include ear cs ovcdta ngc, sanitary svatent, and well in staking mc,murcma¢c Section A: Acknowled enx nature 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'l 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: Y1sI Owner(s) or Authorized Agent Signature: Date: -Z NOTES: 1. If you are signing on behalf of the o er(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 Bayfield County, WI 10/2/2026, 9:52:24 AM 1:665 Elill Approximate Parcel Boundary — Town Road Type 0 0.01 0.01 0.03 ml 1 4 4 I I 0 0.01 0.03 0.05 km State — Lake Superior Proposed Setback Line 2 Building eayfea county Loa Remrda Department eayRebl county zoning Fppll®Hon bppsylmapabayfieldmunrywl.g v)onIngWAai 10/2/26, 9:52 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfleld County Property Listing Today's Date: 10/2/2026 i' Description Updated: 11/6/2025 Tax ID: 39672 PIN: 04-006-2-50-04-27-3 05-003-24000 Legacy PIN: Map ID: Municipality: (006) TOWN OF BAYFIELD STR: S27 T50N R04W Description: LOT 4 CSM 2417 V14 P46 IN DOC 2025R- 608823 IM 2025R- 608921 Recorded Acres: 5.550 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: No Zoning: (R-RB) Residential -Recreational Business ESN: 105 Property Status: Current Created On: 10/3/2025 3:01:39 PM az Ownership Updated: 11/6/2025 DWAYNE K TRUHLSEN ST CROIX FALLS WI SARAH L GASPER ST CROIX FALLS WI Billing Address: Mailing Address: DWAYNE K TRUHLSEN DWAYNE K TRUHLSEN 1305 PRAIRIE LN 1305 PRAIRIE LN ST CROIX FALLS WI 54024 ST CROIX FALLS WI 54024 P Site Address * indicates Private Road 33970 OLD KENNEDY RD BAYFIELD 54814 Property Assessment Updated: 7/27/2026 2026 Assessment Detail Tax Districts Updated: 10/3/2025 Code Acres Land Imp. 1 STATE G1 -RESIDENTIAL 1.000 55,300 0 04 COUNTY G6 -PRODUCTIVE FOREST 4.550 9,100 0 006 TOWN OF BAYFIELD 040315 SCHL-BAYFIELD 2 -Year Comparison 2025 2026 Change 001700 TECHNICAL COLLEGE Land: 0 64,400 100.0% 047060 PIKES BAY SANITARY Improved: 0 0 0.0% Total: 0 64,400 100.0% Recorded Documents Updated: 3/15/2006 0 WARRANTY DEED Date Recorded: 8/26/2025 2025R-608921 ® CERTIFIED SURVEY MAP Date Recorded: 8/18/2025 2025R-608823 © WARRANTY DEED Date Recorded: 2/9/2007 2007R-512192 964-164 ® CONVERSION Date Recorded: - 494186 396-27;900-873 Property History Parent Properties Tax ID 04-006-2-50-04-27-3 05-003-20000 4962 HISTORY ® Expand All History White=Current Parcels Pink=Retired Parcels O Tax ID: 4962 Pin: 04-006-2-50-04-27-3 05-003-20000 Leg. Pin: 006105609000 39672 This Parcel t Parents 1 Children https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=39672 1/1 Land Use Permit Application Review Checklist Submission #: o -S 62 What zoning district is the project Iced in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes Q No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes LV<o 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) ❑ Yes w4o Is the project located in the Floodplain? Zone: ❑ Yes liNo Are there wetlands on the property? ❑ Yes I4No Is project associated with a nonconforming use or structure? ❑ Yes 4o 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 W4Jo Does the project require sanitary? O Existing O New O Intercept O Reconnect ❑ Non -Plumbing O Public Sanitary Permit #: # of Bedrooms: ❑ Yes rj6 Does the project require mitigation? Implementation Deadline: Date of Compliance: Does the project require an affidavit? Affidavit #: Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes VN,a ❑ Yes N ❑ Yes o Di pplicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Resi ntial ❑ Commercial O Municipal Project type is? ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Tempo ry ❑ Shoreland G�adJg, O Other, describe: Structure Type is: O Residence Principal Structure ccessory Structure O 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: 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 sq ft (minimum $125) $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Att hed Non -Habitable Garages $0.20 x s ft sqft (minimum $125) on-Habitable Residential Principal and Accessory Structures $0.20 x sq ft (minim $75) $ 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 ❑ Special Use Permit - Class A ❑ Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by• I Illa.1!(w Date of Inspectio / 906 Re -Inspected by: \J Date of Re- nspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved b,h ( ✓ DateA of p,�ov l% Condition(s): e1Must meet and maintain setbacks froryt hest extension of structure including eaves and overhangs. L7'For personal storage only. ❑ For personal residence only. KNot for human habitation or sleeping purposes. i(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. El 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 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 • c O U NTY Property Owner. TRUHLSEN, DWAYNE K 1305 PRAIRIE LN ST CROIX FALLS, WI 54024 GASPER, SARAH L 1305 PRAIRIE LN ST CROIX FALLS, WI 54024 Bayfield County Planning & Zoning Department 117 E 5a! Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Description Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number: LU-02563 Transaction Number: LU-02563-56B8F Amount $75.00 Total: $75.00 Payment Amount: $76.95 Reference: 8735674805 Paid by: Sarah Gasper Payment Type: Credit Card Transaction Date: 10/5/2026 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 I Impervious Surface - No Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE — X SANITARY — SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0535 Tax ID: 39672 Issued To: TRUHLSEN, DWAYNE K & GASPER, SARAH L Location: S27 - T50N - R04W Town of Bayfield BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: LOT 4 CSM 2417 V14 P46 IN DOC 2025R-608823 IM 2025R-608921 Residential Structure in R-RB zoning district For: New Construction [1 - Story ], Principal Structure [Shed] on the Ground [240 Total sq. if] Height of 11' (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 October 05, 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. No sewer and pressurized water allowed in the structure.