HomeMy WebLinkAbout26-0067Return to: County Use Only:
117 E 5t° Street, Po Box 58 Bayfeld County Planning and Zoning Department Submission #: LU-ON o6
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: b -d 7
Permits@bayfieldcountv.wi.gov Date: a-/
SECTION A: General Information
Property Owner Name:
Authorized Agent Name (if applicable),
John and LiisaEyedy
r
Telephone Number.
Telephone Number. TERE
715-209-7001 715-2031037
JAN 2 8 2026 tag i
E -Mail Address:
E -Mail Address:
jleyerty@gmailcom
Bayfield Co.
Mailing Address:
Mailing Address: "''1' and Zoning Agency
PO Box 327
City, State, Zip:
City, State, Zip:
Cornucopia WI 54827
Contractor:
Telephone Number:
E -Mail Address:
Hunter Holeman
715-209-2063
SECTION B: Propefly Information
Pro eetAddress (if different from mailing address):
�o%t s.sKh.frt Shr>trrs bR
Legal Description (if additional space is needed attach a separate sheet):
Lot 1 CSM #840 IN VS P329 (located in Govt Lot 1) IN V. 967 P. 910 260
Section, Township, Range: Sec 20 TN50 R06
Town of Bell
Tax ID #: 7442
Lot Size (Acres/Square Feet): I we
ON C: Project Information check all that apply)
Project Use is: E Residential ❑ Commercial O Municipal If Commercial, estimated cost of construction: $
Project Type is: O New Construction E Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ 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 if): required
SECTION D: Structure Information Does not apply to RVs and Signs, gO to Section E)
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
E Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
unattached garage date):
❑ Shipping Container O Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement E Slab O Crawlspace O Ground ❑ Skids E Other (explain):
Existing Structure: unaxsd�edgmaoe Length:" Width: b 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:
2°d Floor Sq Ft:
3'd Floor Sq Ft:
Garage Sq a:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft:-aa+
Overall Height (finished grade to peak): Ii'
# of Stories: 1 1 Existing # of Bedrooms on property:
Proposed # of Bedrooms in project: 6
SECTION E: RV and Sign Information (check all that apply)
Sign ic:
RV is:
❑ New ❑ Replacement
O New O Replacement
O On -premise O Off -premise
❑ 1 -sided O 2 -sided
Year: Vin #:
❑ On -building ❑ Multi -Tenant
Length: Width: Height:
Make: Model:
Application Page 1
RECEWEDI
JAN 282026
SECTION F: Site Plan— attach a site plan or draw site pith in box below (See pages 1 & 2 of Landt1aePermit Application
Information for information that isrequired to be pmvided on site lam)
Sh w location of:
C Driveways 0 Frontage Roads (include name) O Existing Structures 2 Well (W) l'Septic Tank (ST) ❑ Drain Field (DF)
Holding Tank ❑ Privy (P) Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplam ❑Wetlands DSlopes over 20%
N Ssi(i tilt 5hweT0riyc
{
$
iJ 1
rT6Qkes
.CatesEJ
9
r
l `� o�dlt�-
y�l,
` r
rj .L
to K C
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline
j 3< ft
ft
Not�s/Comments:
& ,' 1g'' nSide
1� �l
Front Lot Line/Right-of-Way
ft
ft.
ine 1
Lrtho
3 ft
i� I ft.
J
T
oSouth West, circle one)
Side Lo ine 2
orth East South es circle one
% S ft
/061. ft
l
RearLot Line
%c ft.
(7 ft.
Septic/Holding Tank
t ft
r ft.
Drainfield
ft
ft
Privy
ft
ft
Well
ft
ft
Existing Structure/Building
ft.
ft
Wetland
ft
R
Elevation of Floodplain
ft
ft
Ordinary High -Water Mark (OHWM)
-6 0 ft
ft
Other (describe)
ft.
ft
Application Page 2
SECTION G: Additional
Questions
❑ Yes
FNo
Has the location of the proposed project including eaves and ovgrhangs and the sanitary system and well been
staked? If no, what date will this be completed: 3 bit s }4,,
❑ Yes
I�rNo
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.
lfl 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.
Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ 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?
O Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ Yes
4o
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and
action requirements.
is the project associated with any of the following:
O Rezone O Class A Special Use O Class B Special Use O Conditional Use O Variance
Fee payment will bemade via:
❑ Check (attached) ❑ Cash (attached) debit/credit/echeck (department to call once payment is ready'tb'tte't&thiED
How would you like to receive your permit card?
JAN 2 8 2026
Mail to: OR O Email to:
i�Property Owner Address O Agent Address O Contractor Address ❑ Other (provide name and pd address):
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.gov/topic/wetlands, v/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: 3s Lt. Gt'
d
Owner(s) or Authorized Agent Signature: Date:
NOTES: w
I. if you are signing on behalf of the 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
F scla m
6 Alu
28SPF
Sub -fan
CenW.V.nf
aluminum .oei
—wx
..baq
I/2 066 sh. IIng
re®
C
On Wood SWIM m A
—.lq (WIMVee) M.nO .tlng EW.Xw
m.mlmlaung
1Na• P2 C.. BPF
BUIWbC Wrap Fn®14.O.C.
O
S OSB +
lM •
21 4PTPIaa U
B'eamam tlM \ #4 bar
OCa.wry
I)?' 1PAMw
G.Im 1'Bo'P... eMpely
and. Beam
RECEIVED
-\,N 282026
6=yf,el-J Co.
peVwwel
New Concrete Slab Existing Concrete Slab
A Cross Section
Scale: 1/2° = 1'-0°
m/ opting,. ruing. Day¢
nm
Extreme
DESIGNED: SUbmltted
John and Liisa
Eyerly Garage Addition
$
eEWBEo.
Foundatior
G Mshown
Da�WN.
WRE
_9
20815 S. Siskiwit Lake Rd.
Floor Plan
MPROVED:
WRE
w,re:
08-11-2025
pm:�w,°a^v'ti
Mobile
„s...s.. ,�,. D:,
Cornucopia, WI
g
New Addition
Existing Foundation
jr
mr.a
m �omw°a.ar
aurere+eona
/ar°rrua.m
oo mo.n am.
o�� awaaca
I�
V 5 Nronrlele Slab'
OF.
C
Wws.rpew
,yam°
Existing Garage
o u
Q
2
xer>.u.s,m*.SI.
aaea�mm.e.
_______
1TEiIIT
$
wrn aru.ms
tQ'
wn�eemm+a
t.
New Addition
xmue..rw..m
t-ounaatlon
Garage
RECE1VL
JAN 282028
Baylleld Co.
planning and Zoning Agency
A
sago 0
5 Q
i
UCJ
' ouay..a
:.e v.ro+.noeoav .
Floor Plan
lEExrttrcermnce
DESIGNED: Submitted
John and Uisa
Eyerly Garage Addition
Foundation
WRE
„4.=,,-a
20815 S. Siskiwit Lake Rd.
Floor Plan
pppgpyEp;
"RE
��
08-11-2025
omtt bovlle
Cornucopia, WI
www.Exammeme°wmanana.rom
Bayfield County
Impervious Surface Calculations JAN 2 6 ZULU
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Sectio 40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes a lica orb'or construction
( ) Yf 9 pP
reconstruction, expansion, replacement or relocation of any impervious surface within 300 feet of the ordinary
high water mark and agrees that all activities shall be in accordance with the requirements of the Bayfield
County Code of Ordinances and all other applicable ordinances and the laws of the State of Wisconsin.
Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and
Zoning Department employees assigned to inspect properties shall have access to said properties to make
inspections.
Property Owner(s):
cjhrl LI`isa y€ W
Mailing Address: S��a7
Fa i6o)C 3a7 C-ofnuc.or c 1 i
Property Address ' �(�
a -p%1≤' S sk
�� a� C'ocnuco�o- 1r✓�
s Sg1d'-7
Legal Description:
114, 114,
Section, Township, Range
Sec Township o N, Range & W
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
vs' P31
Lot(s) #
Block(s) #
Subdivision
Town of:
3eA1
________________________
Parcel ID # (PIN #)
04-Q1O-? _ Sd-:A6- a -o - o- oo - o14 000
Tax ID #
7L( -
Date:
1
Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it.
"Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets
unless specifically designed, constructed and maintained to be pervious.
Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the
surface area of existing and proposed impervious surfaces on the portion of a lot or parcel that is within 300
feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100.
Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% impervious
surface on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark. A permit can be
issued for development that exceeds 15% impervious surface but not more than 30% impervious surfaces with
a mitigation plan that meets the requirements of the Bayfield County Ordinance(s).
Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed
but that do not comply with the standards in Section(s) 13-1-32(g) and Section 13-1-40(h), the property owner
may do any of the following:
a. Maintenance and repair of all impervious surfaces:
b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint;
c. Relocation or modification of existing impervious surfaces with similar or different impervious surfaces,
provided that the relocation or modification does not result in an increase in the percentage that existed
on the effective date of the county shoreland ordinance, and meets the applicable setback
requirements in Section 13-1-32.
Impervious Surface Item Dimension Area (Square Footage)
Existing House
b It
Existing Accessory
X '1'$ 3 (P
/
$≤ `l
Building/Garage
Existing Sidewalk(s), Patio(s) &
Deck(s)
3,x 75- 0 W4,
)0 4ifr Xb bGseMekd
n 3
Existing Covered Porch(es),
Driveway & Other Structures _
10 ' as .
25 d
Proposed Addition/House
•)y x W
) ) Z
Proposed Accessory
Building/Garage
) as c4'
3 I2_
Proposed Sidewalk(s) & Patio(s)
y X 12 gc' 1
y g
Proposed Covered Porch(es) &
Deck(s)
Proposed Driveway
d.IVED
Proposed Other Structures
JAN 2ezpzc
Sayfie!d Co.
Plannign
Total:
a. Total square footage of lot:
b. Total impervious surface area: 2
c. Percentage of impervious surface area: 100 x (b)/a = £..7 to
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% @ 30%
Issuance Information (County Use Only)
Date of Inspection:
Inspection Record:
Zoning District ( )
Lakes Classification ( )
Condition(s):
Stormwater
Management Plan Required:
❑ Yes ❑ No
Signature of Inspector:
Date of Approval:
u/forms/impervioussurface
Created: May 2012 (®Apr 2016; Sept 2020) Proofed by:
2/25/26, 7:56 AM
Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfield County Property Listing
Today's Date: 2/25/2026
9 Description Updated: 3/3/2020
Tax ID:
7442
PIN:
04010-2-50-06-20-1 05.001-04000
Legacy PIN:
010103006000
Map ID:
Municipality:
(010) TOWN OF BELL
SIR:
S20 T50N R06W
Description:
LOT 1 CSM #840 IN V.5 P.329 (LOCATED
Recorded Acres:
Calculated Acres
Lottery Claims:
First Dollar:
Zoning:
ESN:
IN GOVT LOT 1) IN V.967 P.910 260
1.250
1.105
1
Yes
(R-1) Residential -1
107
I Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
010
TOWN OF BELL
044522
SCHL-SOUTHSHORE
001700
TECHNICAL COLLEGE
Recorded Documents Updated: 3/15/2006
0 TRANSFER ON DEATH
Date Recorded: 4/11/2016 2016R-562894 1158-490
O QUIT CLAIM DEED
Date Recorded: 4/12/2007 2007R-513251 967-910
O QUIT CLAIM DEED
Date Recorded: 12/21/2006 2006R-511268 961-19
O CONVERSION
Date Recorded: 459326 537-15+;640-
320;784-719
Property Status: Current
Created On: 3/15/2006 1:15:01 PM
Ownership Updated: 3/3/2020
JOHN E & LIISA A EYERLY CORNUCOPIA WI
Billing Address: Mailing Address:
JOHN E & LIISA A EYERLY JOHN E & LIISA A EYERLY
PO BOX 327 PO BOX 327
CORNUCOPIA WI 54827 CORNUCOPIA WI 54827
10 Site Address * indicates Private Road
20815 SISKIWIT SHORES DR CORNUCOPIA 54827
® Property Assessment
Updated: 9/10/2015
2026 Assessment Detail
Code
Acres
Land
Imp.
G1 -RESIDENTIAL
1.250
58,900
85,300
2 -Year Comparison
2025
2026
Change
Land:
58,900
58,900
0.0%
Improved:
85,300
85,300
0.0%
Total:
144,200
144,200
0.0%
= Property History
N/A
https://novus.bayFieldcounty.wi.gov/access/master.asp?paprpid=7442 1/1
i .wr
k
l f ( wri rcc..w4t 1rG f� • 1.
• - .ill^ .,,S .' kfi '�.. r . ';\ ..:.• a
mrfvca.�n, Lr...cyvn Lfl f 15 • - ••..S }��.
E0M�6 ;rte,.. ^ r wy
L' rf L'1
1^'t t•� ._•>�`eY ��; � «•
• YFki 541;;",/dfS@19 •'••- GLiA.Th7L1
x n•.'t
rp er � �� �' _..- ' �� Lr e, •` :Sri ` � � � � i �� -'
Land Use Permit Application Review Checklist
Submission #:
W t zoning district is the project located in?
R-1 ❑ -2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
Yes O 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)?
es ❑ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes EYo
Is the project located in the Floodplain? Zone:
❑ Yes IN No
Are there wetlands on the property?
❑ Yes C'No
Is project associated with a nonconforming use or structure?
❑ Yes EINo
Is project associated with a variance? Case #:
❑ Yes LIjo
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes Jo
Is the project associated with a Special A Use Permit?
❑ Yes No
Does the project require sanitary?
O Existing O New ❑ Intercept O Reconnect O Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
El Yes No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
Yes No
Does the project require an affidavit? Affidavit #:
Yes O No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes ❑ No
Ijid applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? Residential ❑ Commer ial O Municipal
Project type is? ❑ New Construction Addition/Alteration O Change Use ❑ Relocate O RV Placement O Sign
❑ Establishing a Business O Temporary O Shoreland Gr94ing O Other, describe:
Structure Type is: O Residence O Principal Structure Accessory 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: 3i Number of Stories: Overall Height:
Fee Type ` Calculation Fee Amount
El Dwelling Enclosed Areas — all enclosed areas within
$0.75 x sq ft
(minimum $125)
dwelling except attached non -habitable garages
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
$0.20 x sq ft
(minimum $125)
Attached Non -Habitable Garages
$
❑ Habitable Residential Accessory Structures
$0.50 x sq ft
(minimum $75)
❑ Non -Habitable Residential Principal and Accessory
$0.20 ft
(minimum $75)
Structures
x �sq
$
❑ Commercial/Municipal Principal Structures
$250 + $0.005 x
(minimum $250)
cost of construction
$
❑ Commercial/Municipal Accessory Structures
$150 + $0.005 x
(minimum $150)
cost of construction
$
❑ Return Inspection O Land Use Revisions O Special Use Permit - Class A ❑ Floodplain O Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 O Metallic
Mine
O After -the -Fact (ATF)
$
Inspected by:
Date of Inspec ion:
i1lj2't! f
l u
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
/rVIa
Date of Approval•
"
Thg(q
Co�nd' 'on(s):
®'Must meet and maintain setbacks from furthest extension of structure including eaves and
over ngs.
For personal storage only.
❑ For personal residence only.
GNot for human habitation or sleeping purposes.
f�7Xown/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).
Q4Use best management practices to limit and prevent erosion during construction.
O This permit cannot be transferred if property is sold.
0 A Bayfield County Health Dept permit is required.
0 Check with Town regarding room tax.
O Short -Term Rental is for a maximum occupancy of persons.
O Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
O To be constructed per plan.
O Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
0 RV may not be used for permanent residence or storage.
O RV allowed for
O V must be removed by
No sewer and pressurized water allowed in the structure.
❑ No plumbing or plumbing fixtures allowed.
O No additional sleeping areas allowed without obtaining necessary sanitary permit(s).
O 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
O Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are
required
❑ Sanitation requirements must be met (if applicable)
O Additional conditions may be placed and need to be adhered to at the time of permit issuance
Other Conditions:
A FIELD 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:
EYERLY, JOHN E & LIISA A LU-02106
PO BOX 327
CORNUCOPIA, WI 54827 Transaction Number.
LU-02106-3C831
Description Amount
Non -Habitable Residential Principal and Accessory $75.00
Structures - $0.20/square foot (minimum $75)
Total: $75.00
Payment Amount: $76.95
Reference: 7643276945
Paid by: John Eyerly
Payment Type: Credit Card
Transaction Date: 2/26/2026
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 — Yes
Floodplain — No! Wetlands — No
Mitigation — No / Affidavit #:
LAND USE —X
X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0067 Tax ID: 7442
Issued To: EYERLY, JOHN E & LIISA A
Location: S20 - T50N - RO6W
Town of Bell
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: LOT 1 CSM #840 IN V.5 P.329 (LOCATED IN GOVT LOT 1) IN V.967 P.910 260
Residential Structure in R-1 zoning district
For: Addition/Alteration [1 - Story ], Accessory Structure on a Slab [336 Total sq. ft. ] 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
February 26, 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.
Use best management practices to limit and prevent erosion during construction.
No sewer and pressurized water allowed in the structure.