The URL can be used to link to this page

Home My WebLink About26-0093Return to: County Use Only: x17 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU- 0e►3q WGshburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: ?6'0o93 permits@bayfieldcounty.wi.gov Date: 3/31 / d'6 SECTION A: General Information Property Owner Name: Authorized A ent Name (if applic' le):_, `J1� L`o+ttcA,ull_EA'L2EIr-t �p �. aca5 E-r�SD 21 �iv�1tFR Telephone N ber. rZS 751 -73L Telephone Number: Fr 7s7 E -Mail Address: E -Mail (ddress: 1z alboI,l'p Mailing Ad ess: Mailing Ad ess: City, State, Zip: S %.l-. oSSz7 City, State, ' n. t rr \'R\c L. loorSI Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if different from mailing aadr ss): s SiS iwt sfl s S'-fF MAR 132026 Legal Description (if additional space is needed attach a separate sheet): Bayfield Co. Section, Township, Range: ._O - So - & Town of: 2AL Tax ID #: Lot Size are quare Feet): J S I n SECTION CLFtoicct:.or .-atio_n check all that.a 1. Project Use is: Residential ❑ Commercial ❑ Municipal 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 sft): required SECTION D: Structure Information ( Does not, apply to RVs and Signs, go to Sectio Structure Type is: ❑ Residence ❑ 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: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: 1St Floor Sq Ft: Loft Sq Ft: 2n° Floor Sq Ft: 3`1 Floor Sq Ft: Garage Sy Ft:, Porch Sq Ft: • Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Yi ..02S Total Sq Fti a ► Overall Height (finished grade to peak): A # of Stories: I Existing # of Bedrooms on property: 3 Proposed # of Bedrooms in project: p SECTION E: RV and Sign Information (check all that apply Sign is: RVis: is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: 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 Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) Holding Tank (HT)V Privy (P) ❑ Lake ❑ River ❑Stream/Creek El Pond El Floodplain El Wetlands ❑Slopes over 20% N No jo SlsfriwiT S e�LE ChBtNI �iVEc,t WORD , N�V) m • RECEIVED �3 st i 6nti� MAR 13 2026 Bayfield Co. planning and Zoning Agency 02 S. s,5k, r Srcts tR G 1-1— sat_ Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to -(include on site plan): Verified setbacks Road Centerline ft. ft. Notes/Comments: / 3 L( ( Front Lot Line/Right-of-Way I i ft. ft. Side Lot Line 1 ft. ft (NorthDEastDSouthDWes,check one) 3) Side Lot Line 2 $,� ft. 7 U� ft. o ast South❑ West❑ check one) Rear Lot Line ft. i004— ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy Sb ft. 3p. ft. Well ft. ft. Existing Structure/Building p ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. job ft. Other (describe) ft. ft. RECEVEO MAR 132026 SECTION G: Additional Questions a e Yes ❑ No Has the location of the proposed project including caves and overhangs ancidie sanitary system and well been staked? If no, what date will this be completed: ❑ Yes ,I 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. JW Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? nn ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public Other (describe): V9.,ti ❑ Yes .1�1 No Will pressurized water be installed in the structure? If yes, what kind of sanitary system tll be installed br used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Munici al/Public ❑ Other (describe): ❑ 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 ❑ Class A Special Use O 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) How would you like to receive your permit card? Mail to: OR E 'Email to: P operty Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or 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, 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. oaave9 Os. h.L JAMES ¶f E ZsO Owner(s) or Authorized Agent Printed Name: ( r et 8 3/s/j6 Owner(s) or Authorized Agent Signature _ ____ Date: NOTES: 1. 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. Bayfield County RECEIVED Impervious Surface Calculations MAR 13 2026 These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Sectior'ga'S, 1a(g) and 13-1- 40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makespsppi ation:fwcenastruction, 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): t Sb u.A IQAL ?€EZ t ' Mailing Address: (D�S� Property Address SyQ21 SS .201(c S'. SItkrw7[ S t,Q, L'cMt�.e�" 411 Legal Description: Section. Township, Range �'' (� Sect„Township ELL So N. Range ____w Authorized Agent/Contractor Gov't Lot Lot # CSM# Vol & Page 4 *3 Lot(s) # Block(s) # Subdivision Town of: Parcel ID # (PIN #) Tax ID # za3O Date: 3/i3/6 a4-D1O-..-S'V OI7-Do--'X0ci s1-03oao 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 'Th Existing Accessory Building/Garage ox / / 40 S , Existing Sidewalk(s), Patio(s) & Deck(s) Existing Covered Porch(es), Driveway & Other Structures U� Proposed Addition/House Proposed Accessory 30 ',t 3>J --Building/Garage 1 p I) Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(es) & Deck(s) . Proposed Driveway Proposed Other Structures —?Stogy Total: a. Total square footage of lot: (OS 3y b. Total impervious surface area: [��V� c. Percentage of impervious surface area: 100 x (b)/a = '� ! 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 Inspo ' n Inspection Record: Zoning District ( ) Lakes Classification ( l Condition(s): Stormwater Management Plan Required: ❑ Yes Signature of Inspector: / Date of Approval: J u/forms/impervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: Real Estate Bayfield County Property Listing Today's Date: 3/13/2026 { Description Updated: 4/25/2011 Tax ID: 8230 PIN: 04-010-2-50-06-20-2 00-282-03000 Legacy PIN: 010111801003 Map ID: Municipality: (010) TOWN OF BELL STR: 520 T50N RO6W Description: SISKIWIT SHORES (LOCATED IN GOVT LOT 4) LOT 3 IN V.888 P.945 (1/3 INT PETERSON TRUST #101) Recorded Acres: 1.510 Calculated Acres: 1.717 Lottery Claims: 0 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 107 'S Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE a. ' Recorded Documents ® DEED IN TRUST Date Recorded: 4/13/2011 ® CONVERSION Date Recorded: 3/15/2006 ® WARRANTY DEED Date Recorded: 4/21/2004 Updated: 10/31/2011 2011 R-538045 1060-814 490731 776-417;888-945 2004R-490731 888-945 Property Status: Current Created On: 3/15/2006 1:15:03 PM 10 Ownership Updated: 4/25/2011 JOHN A DIEHL SHABBONA IL JODY A PETERSON DIEHL SHABBONA IL JAMES R & LINDA K PETERSON TRUSTEES MAPLE PARK IL WILLIAM R & CARRIE J HERRMANN SHABBONA IL Billing Address: Mailing Address: DIEHL, JOHN A & DIEHL DIEHL, JOHN A & DIEHL PETERSON, JODI A ET AL PETERSON, JODI A ET AL 5543 PRESERVE RD 5543 PRESERVE RD SHABBONA IL 60550 SHABBONA IL 60550 11 Site Address * indicates Private Road 20710 S SISKIWIT SHORES RD CORNUCOPIA 54827 ® Property Assessment Updated: 8/13/2019 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.510 105,800 35,700 2 -Year Comparison 2025 2026 Change Land: 105,800 105,800 0.0% Improved: 35,700 35,700 0.0% Total: 141,500 141,500 0.0% Property History N/A Letter of Authorization ;7A1Uc i li ?ULti Bayficld County Planning & Zoning Department PURPOSE. This Letter of Authorization is used to authorize a single property owner to act 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. I_ Carrie r fl (nrnnnrt , nvmerl aiithnri7e .i4hcFc t\1 RS Ci (authorized agent) to submit a LMb ).Si: (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) application on my behalf for the following described property: Legal description of subject property:Sis j, LoT4' Ltcj3 Sri �.b"BgP S+s EC��v lavJ. Address of subject propertyo 1 ► o S S ,sK i Si aS s QJs \.1 . Safi Signature Dated Hayfield County Planning & Zoning Department PURPOSE. This Letter of Authorization is used to authorize a single property owner to act 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. An1[_,S CE \�7 rl 1, tTOr(i L 1it Sc1 ( r' /t( (property owner), authorize (authorized agent) to submit a )-'ANA LxSF. (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the Ibllowing described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) ti \ t, `tt� I application on my behalf for the following described property: Legal description of subject roT SACrV:d (o t, Address ofsubjeetpropert}: aD )Ip S. S;SkkL,ri 5�02CS iignattire 3/30/26, 11:14 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 3/30/2026 L4>fDescription Updated: 4/25/2011 Tax ID: 8230 PIN: 04-010-2-50-06-20-2 00-282-03000 Legacy PIN: 010111801003 Map ID: Municipality: (010) TOWN OF BELL STR: S20 T50N R06W Description: SISKIWIT SHORES (LOCATED IN GOVT LOT 4) LOT 3 IN V.888 P.945 (1/3 INT PETERSON TRUST #101) Recorded Acres: 1.510 Calculated Acres: 1.717 Lottery Claims: 0 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 107 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE Property Status: Current Created On: 3/15/2006 1:15:03 PM a Ownership Updated: 4/25/2011 JOHN A DIEHL SHABBONA IL JODY A PETERSON DIEHL SHABBONA IL JAMES R & LINDA K PETERSON TRUSTEES MAPLE PARK IL WILLIAM R & CARRIE J HERRMANN SHABBONA IL Billing Address: Mailing Address: DIEHL, JOHN A & DIEHL DIEHL, JOHN A & DIEHL PETERSON, JODI A ET AL PETERSON, JODI A ET AL 5543 PRESERVE RD 5543 PRESERVE RD SHABBONA IL 60550 SHABBONA IL 60550 11 Site Address * indicates Private Road 20710 S SISKIWIT SHORES RD CORNUCOPIA 54827 ® Property Assessment Updated: 8/13/2019 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.510 105,800 35,700 2 -Year Comparison 2025 2026 Change Land: 105,800 105,800 0.0% Improved: 35,700 35,700 0.0% Total: 141,500 141,500 0.0% 'a Recorded Documents Updated: 10/31/2011 ® DEED IN TRUST Date Recorded: 4/13/2011 2011R-538045 1060-814 Property ® CONVERSION N/A Date Recorded: 3/15/2006 490731 776-417;888-945 ® WARRANTY DEED Date Recorded: 4/21/2004 2004R-490731 888-945 https://novus.bayriieldcounty.wi.gov/access/master.asp?paprpid=8230 1/1 Bayfield County, WI 3/30/2026, 11:15:35 AM 1:844 Wetlands --- Approximate Parcel Boundary Rivers Road Type Lakes Town Building Footprint 2015 Building 0 0.01 0.02 0.04 m1 f T'Tr 0 0.01 0.03 0.06 km e.yg.0 Caunn laM R.dmMeeaNnenl erygee cwnn Zonhp Applimgdn M1na:Ikmeadeyneldmenry.M. gOVRoning W ADI Land Use Permit Application Review Checklist Submission #: o L Wha zoning district is the project located in? -1 ❑ R- ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Dl ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes D4o Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: es ❑ 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 No Is the project located in the Floodplain? Zone: ❑ Yes Q4p Are there wetlands on the property? ❑ Yes D4o Is project associated with a nonconforming use or structure? ❑ Yes Is project associated with a variance? Case #: ❑ Yes N Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes ' Is the project associated with a Special A Use Permit? ❑ Yes 04o Does the project require sanitary? 0 Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: ❑ Yes Eto Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes 1frh 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? es ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? 2T Residential ❑ Commercial ❑ Municipal Project type is? I 'New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland- rading O Other, describe: Structure Type is: 0 Residence O Principal Structure Accessory Structure 0 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: IALQ 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 sq ft (minimum $125) $ Non -Habitable Residential Principal and Accessory Structures $0.20 x ja Q s ft q (minimum $75) $ p 3. o ❑ 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 O Land Use Revisions O Special Use Permit - Class A O Floodplain Biioreland - Impervious Surface O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: fldq 1f11i<6,I(v115 U C, Re -Inspected by: J Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: Condition(s): ust meet and maintain setbacks from furthest extension of structure including eaves and over ngs. or personal storage only. ❑ For personal residence only. gf�oyfor human habitation or sleeping purposes. own/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. ❑ Si must meet the requirements of Article E of the Bayfield County Zoning Ordinance. ['fo 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 st be removed by o 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 R' -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: HERRMANN, WILLIAM R & CARRIE J LU-02139 5543 PRESERVE RD SHABBONA, IL 60550 Transaction Number: DIEHL, JOHN A LU-02139-41FC3 5543 PRESERVE RD SHABBONA, IL 60550 DIEHL, JODI A PETERSON 5543 PRESERVE RD SHABBONA, IL 60550 PETERSON TRUSTEES, JAMES R & LINDA K 49 W 865 PETERSON RD MAPLE PARK, IL 60151 Description Amount Shoreland - Impervious Surface $25.00 Non -Habitable Residential Principal and Accessory $243.20 Structures - $0.20/square foot (minimum $75) Total: $268.20 Payment Amount: $268.20 Reference: 487 Paid by: Laveme's Legacy Games R Peterson) Payment Type: Check Transaction Date: 3/31/2026 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 I Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0093 Tax ID: 8230 Issued To: HERRMANN, WILLIAM R & CARRIE J / DIEHL, JOHN A! PETERSON DIEHL, JODI A! PETERSON TRUSTEES, JAMES R & LINDA K BAYFIELD COUNTY WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S20 - T50N - RO6W Town of Bell Legal Description: SISKIWIT SHORES (LOCATED IN GOVT LOT 4) LOT 3 IN V.888 P.945 (1/3 INT PETERSON TRUST #101) Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [1216 Total sq. ft. ] Height of 16' 2" (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 March 31, 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. To be constructed per plan. No sewer and pressurized water allowed in the structure.