Short-term Rental Initial or Annual Renewal License
Town of Clover
Short-term Rental, Town of Clover, Initial or Annual Renewal License Application AND License Form Once Signed by Appropriate Town Official
Please print this form and return to Town Clerk:
Tracy Gillespey, Clerk Town of Clover, P.O. Box 94, Herbster, WI 54844
___________________________________________ ______________________
Applicant’s Name Date of Application
__________________________________ __________________ ____________
Street Address City State Zip Code
________________________ _________________________________________
e-mail Address Phone(s) Number(s)
If applicable:
________________________________________________ _________________
Property Manager’s Name Date of Application
____________________________________ __________________ ___________
Street Address of Property Manager City State Zip Code
___________________ ______________________________________________
e-mail address Phone(s) Number(s)
Enclosed find copies of: (Check leading line to verify enclosure)
____ Special Use or Conditional Use Permit from the Bayfield County Zoning Office
____ Lodging License from the Bayfield County Health Department
____ Seller’s Permit from the Wisconsin Department of Revenue, OR
_____ All sales tax is collected by a third-party
____ Current Town of Clover License Fee $100.00 annually
Please print this form and return to Town Clerk:
Tracy Gillespey, Clerk Town of Clover, P.O. Box 94, Herbster, WI 54844
Approved by Town Official: _______________________________ ______________
Signature, Title Date
NOTE: A renewal application submitted after May 31 will have a late fee of an additional 50% of the current application fee for each day a violation exists or continues to exist.
TC 20201111-1 Short-term Rental Initial or Renewal Application License Form
Created: 11/13/20; Revised: 11/11/20