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Home My WebLink About26-0550Return to: 117 E 5'a Street, PO Box 58 Washburn, WI 54891 permits@bayfleIdcounty.wi.gov Bayfreld County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission It: LU-oa39' Permit It: -OS o Date: SECTION A: General Information Property Owner Name: Authorized Agent Name (if applicable): Kurt Kiehne and Marieke van Donkersgoed Kiehne Telephone Number: Telephone Number: 715.292-4229 E -Mail Address: E -Mail Address: RECEIVED wamco2022c gmall.com Mailing Address: Mailing Address: SEP PO Box 1055 City, State, Zip: City, State, Zip: Bayfield Co. Washburn WI 54891 Planning and Zoning Agency Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if different from mailing address): 54625 County Rd D (newly appointed address for new Tax ID 40012) Legal Description (if additional space is needed attach a separate sheet): LOT 2 CSM 2472 IN DOC 2026R-613189 IN DEED DOC 2026R-613401 Section, Township, Range: 22-45-6 Town of: Grandview Tax ID #: 40012 Lot Size (Acres/Square Feet): O9 Ave. SECTION C: Project Information (check all that apply) Project Use is: El Residential O Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: El New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) O Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign O Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A O Other (describe): required (Total sq 11): required SECTION D: Structure Information.(Does not apply to RVs and Signs, go to Section Mi*t s 5�. Structure Type is: ❑ Residence O Principal Structure (describe): El Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured garage date): ❑ Shipping Container ❑ Other (describe): Foundation Type: O Basement O Walkout Basement El Slab ❑ Crawlspace O Ground O Skids O Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: t" Floor Sq Ft: Loft Sq Ft: 2"d Floor Sq Ft: 311 Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 1872 Total Sq Ft: 1872 Overall Height (finished grade to peak): 21 # of Stories: 1 Existing # of Bedrooms on property: Proposed # of Bedrooms in project: 0 SECTION E: RV and Sign Information (check all that apply Sign is: RV is: ❑ New ❑ Replacement ❑ New O Replacement ❑ On -premise ❑ Ofpremise ❑ I -sided O 2 -sided Year: Vin N: ❑ 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 O Frontage Roads (include name) 0 Existing Structures O Well (W) O Septic Tank (ST) O Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) O Lake ❑ River ❑Stream/Creek ❑Pond ❑Flood lain ❑ Wetlands ❑Sloes over 20% N RECEIVED SEP 307026 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 Co Hw110' ft. ft. Notes/Comments: Front Lot Line/Right-of-Way E = B0ft. ft. Side Lot Line I (North East South Wes circle one) W = 16' ft. I� ft. Side Lot Line 2 (North East South West, circle one) N = 24' ft' 2$ ft' Rear Lot Line S = 112' ft. II ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy f. ft. Well 44' ft. ti ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 ■■■■■■■■■■■■■NOON■■NOON■■■■■■■■■■■ ■NNE■■■■E■■■■■■■■■E■■■■■■■■■■E■■N■■ ■ • • ■■■■■■■■0000■■■■■■■■■■■■ • a ■■ ■■■■■■■■ ■■■■■■■■■■■■■ NOON■ : • NOON ■■■■■■■__ ■■ NONE ■■■■■■N ■■jU■■■■■■■■■ _■■■■■■■■ 'G♦ `s O�■■■■■■■�_ -■■■■■■■■ MEN ► w, ♦ :`home i' ,_s ■■N■ MEN W� ■■E■ ■■■■■■■ ■■'i ■■■■�I�il■■■■E■■E, 0000■■■■ ■■■•■■■E■■®NOON■■■■I ■■■■ ■m■■■■ --'° EE■■■®NOON■■N■ ■■■■ ■Onus■■■N■■■■■■En■■■■■■■■"■ ■■■■ ■� mE■■■E■EEO■■■■■■ ■EE■■■ I ■■■■ ■mmE■■■■E■NOON■■■■■■■■■■■ ■■■■■■■■■■■■■■.:■■ ■■■■■■0■ �., `® C:■:':::■■■:: NOON■■ ■■■■EN■■ nE•■■NEE■■ ■■■■■■NOON■■■NOON■■ ■■NOON■■■■■■■■ ■■■■■■E■■0000■■■■■■•■■■■■■■E■■■■■ ■■■E ■■■■■■m■■■u■■■■■■■■ NONE•nuurnunaunmE■E■ENE■■■■■■■■■ ■■NOON■■m■■■■■■■■EE■■■■n■■■■■N■ ■■■■■Nlmuan ■■■m■■■■■■■■■■■■ ■NOON■Em■■■0■■D■■■■N■■nE■■■■■'■ RECEIVED SEP 302026 aaveea Co. Planning and Zoning Agency SECTION G: Additional Questions Fi Yes :J No I-las 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 .l 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 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. 0 Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank X Municipal/Public ❑ Other (describe): ❑ Yes 5f No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes if 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: I Rezone ❑ Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) CA debit/credidecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? l Mail to: OR O Email to: Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): `Include eaves, overhangs. sanitary system, and well in staking measurements -:S_a9P $^ Acknowled e�uea: n . Rg ur"'. 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.sov/topic/wetlands, or contact a Department of Natural ResourceRENE center (715)685-2900. GII'' Nt of I (we) declare that this application, including any accompanying information, has been examined by me (us) and to the m?02 (our) knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the c9Etl3. accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in determiniiWlit&J!&9flbfl9Al 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. ✓n Owner(s) or Authorized Agent Printed Name:+ kr E' A eve Q+ Owner(s) or Authorized Agent Signature: L4— Date: uNe D-24 NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must ace mpany 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 Aerial Close 6/24/2026, 1:26:12 PM 1:500 0 0.01 0.01 0.02 mi ??.. 0 0.01 0.01 0.03 AU CO O CD Beyflald o 0— s� W U z W 2g IayfieImeps. Courtly RecovsDepeNnent E .Id...Lend o/ hops>(maps.bayOeldcounlywi.gpvlBnyfaltlWA& e a JUN 302026 Bayfield Co. Planning and Zoning Agency OLSON'S ADDITION TO VILLAGE OF PRATT PART OF BLOCK 1 IN 2022R-595363 1199B (STORE) TaxID:17874 S22N T459 R06W PIN: 04-021-2-45-06-22-2 00-237-03000 N 2 0 9' Cudworth Ave Co Hwy D J J O M existing driveway _2 o 53'to center -J rd 1Js tree r 36 x 32' ;_ 87'tocenterhwy 40x36 I' 0 N existingwell existing garage existing driveway ?09' AFFIDAVIT OF AUTHORITY (Corporation, LLC, etc.) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a corporatelbusiness entity. STATE OF WISCONSIN ) sa. /1 SLtc#etB COUNTY The undersigned affirms and states as follows: 1. Address of Subject Property; ,f /any%' 41 ii i7&79 221 146 Him. b3 2. The Subject Property Is owned by: kn 4 1( $ G'and ViLtV J \ V —C. (Nam of Company) 3. The name(s) of the current President or Managing Member:. DVCr ICQy u'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 submit an application to the Bayfleid 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 Bayfleld 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 Bayfleld County or such person or legal entity suffering a damage resulting from any Illegalities of the application. Dated: RECEIVEb Print tame Subscribed and sworn to before me this % Sf JUL 0 2 2026 day or 1.L1 .207. ,,�pq�lugynkpH� asyneld Co. l� jy PlannAening and Zoning 9 cy County, Wisconsin My Letter of Authorization Bayfield County Planning & Zoning Department PURPOSE. This Letter of Authorization is used to authorize a single property owner to uct 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. 1, Huqktc, / (property owner), authorize k'twE K ickn4 g fariekr_ VOth Oo4w (authorized ag�nt) to submit a �z�;p1 tax a li rrj;ou_ (Example: land use, special KiC►a use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other strictre, short-term rental or other use change, etc.) W i ( f a.l uA.t application on my behalf for the following described property: Legal description of subject property; Pdn E 4 A I I i7Ili y _ Address of subjectpropet•ty: k6.d.. i-'s IOCCLied Sbui'h 4 22tgc US Si na re Dated RECEIVED JUL 022026 Bayfield Co. PWnning and Zoning Agency Land Use Permit Application Review Checklist Submission #: L o i What zoning district is the project located in? ❑R-1 ❑R-2 ❑R-3 DR -4 DR-RB C ❑l ❑M DA -1 ❑A-2 ❑F-1 ❑F-2 OW DM -M ❑ Yes M No C Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes Cdo 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 No 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 o Are there wetlands on the property? ❑ Yes o Is project associated with a nonconforming use or structure? ❑ Yes o Is project associated with a variance? Case #: es ❑ No Is project associated with a Special B or Conditional Use Permit? Permit #: - aS 11 Yes 7tJo Is the project associated with a Special A Use Permit? Wes .Jo Does the project require sanitary? O Existing O New O Intercept O Reconnect O Non -Plumbing Public Sanitary Permit #: # of Bedrooms: ❑ Yes ) No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: s ❑ No 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 se is? Residential ❑ Commercial O Municipal Project type i� AIew Construction O Addition/Alteration ❑ Change Use O Relocate ❑ RV Placement O Sign ❑ Establishing iBusiness O Temporary O Shoreland Grading O Other, describe: Structure Type is: O Residence O Principal Structureccessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ 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 Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ WNon-Habitable Residential Principal and Accessory Structures $0.20 x 1%U� a' sq ft $ -7Llmtl5 ) $ ❑ 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 O Special Use Permit - Class A ❑ Floodplain O Shoreland - Impervious Su ace ❑ Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine After-the-Fact(ATF) K a'I $ 37H,Hn 4-jNY-to Inspected by: $CO Date of Inspection- n 4Sc Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: / Date of Approval: so c Q Condition(s): lust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. or personal storage only. ❑ For personal residence only. 'cj'Jot for human habitation or sleeping purposes. //❑ 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). se 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 ❑ No sewer and pressurized water allowed in the structure. ❑ No plumbing or plumbing fixtures allowed. o additional sleeping areas allowed without obtaining necessary sanitary permit(s). and use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered and 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 anitation 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 B 4-YFIELD Bayfield County Planning & Zoning Department 117E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: KIEHNE, KURT M & VAN LU-02398 DONKERSGOED-KIEHNE, MARIEKE 77460 Old C Rd Transaction Number: Washburn, WI 54891 LU-02398-57892 Description Amount After -the -Fact - failure to obtain permit prior to start $374.40 of project Non -Habitable Residential Principal and Accessory $374.40 Structures - $0.20/ square foot (minimum $75) Total: $748.80 Payment Amount: $748.80 Reference: 114 Paid by: Marieke Van Donkersgoed Kiehne / Kurt Kiehne Payment Type: Check Transaction Date: 10/9/2026 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 I Affidavit #: LAND USE -X SANITARY — Public SPECIAL A - SPECIAL B/CONDITIONAL - 26-0537 BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0550 Tax ID: 40012 Issued To: KIEHNE, KURT M & VAN DONKERSGOED-KIEHNE, MARIEKE Location: S22 - T45N - R06W Town of Grand View Legal Description: LOT 2 CSM 2472 IN DOC 2026R-613189 IN DEED DOC 2026R-613401 Residential Structure in C zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [1872 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 October 09, 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. To be constructed per plan. 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. Sanitation requirements must be met (if applicable).