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Home My WebLink About26-0578Returnao: 117 E 5th Street, PO Box 58 Washburn, WI 54891 perniits@bayfieldcounty.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #: LU- O2 '1 Permit #: b CIS I00 Date: \ a a3 SECTION A: General Information Pro rty Owner Name: Authorized Agent Name (if applicable): Telephone J berr: qgty ^ a d Telephone Number: E -Mail Address:' / E -Mail Address: OCT 0 9 2026 i7el !nK Netf Msa Address Mailing Address: Bayfield Co. Planning and Zoning Agenc City State Zip: / City, State, Zip: l Q / ENTERED trac or• �.u,t lc�et2s er: —�0 E -Mail Address: t O'I }/eb Telephone Numb8` ECTION B. Prui err Information .' Project Address (if different from maili a ddress): WZ aS' s ee e A Legal Description (if additional space is needed attach a separate sheet): y ml Ni NF V1 o'� eiu wee Pd. in Do4 95R-lao99Qy elm+ Section, Township, Range: 59s 7• On( 07 (,C) Town of 0 Tax ID': /j 9C/Z Lot Size (Acres/Square Feet): DacreS SECTION C: Project Information (check all that apply) . Project Use is: Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: ❑ New Construction Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required (Total sfl): required O ECTION_A:.StructureInformation (Doetnotappj3itoRVsand..j s o,to,Sec - Structure Type is: Residence 7 ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement' Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: was "OW — TYIiec Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: In Floor Sq Ft: Loft Sq Ft: 2"d Floor Sq Ft: 3`d Floor Sq Ft: Garage Sq Ft: Porch )Sq Ft: j Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): D /7 Total Sq Ft: Overall Height (finished grade to peak): S # of Stories: j Existing o edrooms on property: /f Proposed # of Bedrooms in project: cAtF SECTION E: RV and Si nInformation (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page I RECEIVED OCT 092026 Baynald Ca. SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit pp ication 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) 0 Drain Field (DF) 0 Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N _ � l � r s°'3 tb hit Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 140 ' ft. ft. Notes/Comments: L(�/ ', f i- S Jf ' C V UPVAC,_ Front Lot Line/Right-of-Way / ft. ft. Side Lot Line I (North EastjSou West, circle one) ft. a S ft. Side Lot Line 2 r ft. ft. ort East South West, circle one) _I ear of Line ,6 ft. _ __ ft. Septic/Holding Tank /O - , ft. ft. Drainfield ft. ft. Privy ft. ft. Well O ft. 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 t ECE VEL; OCT 0 9 2026 hayfield Co. t21V�G;. d_diaynaL: uestions_: 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. El 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. 4.7 El Yes ❑ No Did property owner or applicant mark lot line(s) if project is wjthin 30 feet of required setback? See page 2 of Land Use Application Information for required setbacks. R ❑ Yes El No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield Holding Tank ❑ Municipal/Public ❑ Other (describe): O 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? ❑ Drainfreld ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes o 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 ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) ( I 1 S I I p�'( t u How would you like to receive your permit card? 0.6• n p tK t z. _ Oat — l 1 T t� Q t ❑ Mail to: OR ❑ Email to: ❑ Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): 'Include eaves. overhangs, sanitary system, and well in oak i ng n easu rd 110015 Section H: Acknowledgement and Signature All Land Use Permits expire 'Iwo (2) Year's 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: , 1�/ufle /! Owner(s) or Authorized Agent Signature: i,(.CK/?L. 4"47LdJ2, 9c-i.z-.-' Date: 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. 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 RECEIVED AFFIDAVIT OF AUTHORITY (Trust) OCT 092075 PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is Ba authorized when the property is owned by a Trust.Bayfield Co.Planning and Zoning Aya„cy STATE OF WISCONSIN ss. BAYFIELD COUNTY The undersigned affirms and states as follows: p C / I/ I I I,, WI L/ p 1. Address of Subject Property: 9, J /�eN Ja 1d%�t= f"f� /"['EiZ.KJ S�'ey WT T a 2. The Subject Property is owned by: I eitif lrY1 !C/ /rusi4 1ib. (Name of Trust) 3. The name(s) of the current Trustee(s): e jI,(/ r`e r ' ei 4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to 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. I am authorized by the above -named Trust to apply for and bind the Trust to the terms and conditions of any decision or permit that may be issued 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 illegalities of the application. Dated: 1 6 1 ^LC e ' /!(je i 'ymYtJ - - - - c Q Print Name Ct rib and wbefore orn to a this -day of Notary Public, County, Wisconsin My commission: PROCESSING INFORMATION INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for completeness. If the information is not complete, the department may reject your affidavit and the application. REQUEST FOR MORE INFORMATION. The department may request that you provide more information or evidence to support your affidavit. DECISION. The department will review all documents submitted as part of the application for registration and title, this form included, and may approve, deny or request more information. 10/21/26, 9:07 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 10/21/2026 Description Updated: 9/26/2025 Tax ID: 11992 PIN: 04-014-2-50-07-33-1 02-000-20000 Legacy PIN: 014108405000 Map ID: Municipality: (014) TOWN OF CLOVER STR: 533 T50N R07W Description: NW NE W OF LENAWEE RD IN DOC 2025R-608964 644 (HEIM FAMILY TRUST DTD 10/30/2020) Recorded Acres: 20.000 Calculated Acres: 18.519 Lottery Claims: 0 First Dollar: Yes Zoning: (F-1) Forestry -1 ESN: 109 V Tax Districts Updated: 3/15/2006 I STATE 04 COUNTY 014 TOWN OF CLOVER 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE ,V Recorded Documents Updated: 9/19/2011 ® WARRANTY DEED Date Recorded: 8/29/2025 2025R-608964 0 SHERIFFS DEED Date Recorded: 5/12/2025 2o25R-607453 ® QUIT CLAIM DEED Date Recorded: 3/28/2022 2022r-593973 0 WARRANTY DEED Date Recorded: 9/28/2020 20208-584502 0 QUIT CLAIM DEED Date Recorded: 9/9/2011 20118-540145 1067-932 ® CONVERSION Date Recorded: 3/15/2006 487995 473-49;799-302;879- 609+ ® WARRANTY DEED Date Recorded: 12/12/2003 20038-487995 879-612 ® QUIT CLAIM DEED Date Recorded: 2007R-512724 966-49 Property Status: Current Created On: 3/15/2006 1:15:13 PM a Ownership Updated: 9/26/2025 HEIM FAMILY TRUST DTD 10/30/2020 WASHBURN WI Billing Address: Mailing Address: HEIM FAMILY TRUST DTD HEIM FAMILY TRUST DTD 10/30/2020 10/30/2020 102E 5TH ST 102E 5TH ST WASHBURN WI 54891 WASHBURN WI 54891 P Site Address * indicates Private Road 82855 LENAWEE RD HERBSTER 54844 ® Property Assessment Updated: 6/11/2026 2026 Assessment Detail Code Acres Land Imp. Gi-RESIDENTIAL 1.000 10,000 77,000 G6 -PRODUCTIVE FOREST 19.000 22,800 0 2 -Year Comparison 2025 2026 Change Land: 32,800 32,800 0.0% Improved: 107,000 77,000 -28.0% Total: 139,800 109,800 -21.5% L'1 Property History N/A https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=11992 1/1 Bayfield County, WI 10/21/2026, 9:07:59 AM 1:1,266 Approximate Parcel Boundary Road Type — Town Building Footprint 2015 Building 0 0.01 0.03 0.06m1 0 0.03 0.05 0.1 km BayeeN county Lend Reeds oepanmam eeyt W county zoning Arpbo bn Mlps)lmdps.eayfieldmuntyw, gwrzoningWAW Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? ❑ R-1 ❑ R-2 0 R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I O M ❑ A-1 ❑ A-2 L7'F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes iA0 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 �fo Is the project located in the Floodplain? Zone: ❑ Yes o Are there wetlands on the property? ❑ Yes la.Alo Is project associated with a nonconforming use or structure? ❑ Yes CO•No Is project associated with a variance? Case #: ❑ Yes 1 -No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes E5 -t9 Is the project associated with a Special A Use Permit? ❑ Yes o Does the project require sanitary? O Existing ❑ New ❑ Intercept ❑ Reconnect O Non -Plumbing O Public Sanitary Permit #: # of Bedrooms: ❑ Yes L31 No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes E .410 Does the project require an affidavit? Affidavit #: ❑ Yes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes ❑ No Di applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? IResidential ❑ Commercial,ZJ Municipal Project type is? ❑ New Construction ❑ dition/Alteration ❑ Change Use ❑ Relocate O RV Placement ❑ Sign ❑ Establishing a Busin s ❑ Temporary ❑ Shoreland Grading O Other, describe: Structure Type is: esidence ❑ Principal Structure ❑ Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to n vigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: umber of Stories: f Overall Height: Fee Type Calcul tlon Fee 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 x sq ft (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 ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: hn c vr�c Re -Inspected by: Date of e -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: I Date of Approval: ii Conditi (s): dust meet an intain setbacks from rthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑ Nk for human habitation or sleeping purposes. n/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtai ed prior to the start of construction. 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. o 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 El 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 I 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: HEIM FAMILY TRUST,DTD 10/30/2020 102 E 5TH ST WASHBURN, WI 54891 Description Habitable Residential Principal & Accessory Structures - enclosed areas $0.50/square foot (minimum $125) Submission Number: LU-02591 Transaction Number: LU-02591-57927 Amount $125.00 Total: $125.00 Payment Amount: $127.98 Reference: 2576353765 Paid by: Alberta Heim Payment Type: Credit Card 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 I Nonconforming - No Shoreland - No / Impervious Surface — No Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0578 Tax ID: 11992 Issued To: HEIM FAMILY TRUST DTD 10/30/2020 Location: S33 - T50N - R07W Town of Clover Legal Description: NW NE W OF LENAWEE RD IN DOC 2025R-608964 644 (HEIM FAMILY TRUST DTD 10/30/2020) Residential Structure in F-1 zoning district For: Addition/Alteration [1 - Story ], Residence [3 Season Porch] on a Slab [170 Total sq. ft. ] Height of 8' (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. October 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. 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 (if applicable). To be constructed per plan.