The URL can be used to link to this page

Home My WebLink About41000040041001_Variances_07-18-1986Variances 2 Barcode 128 652349 APPLICATION FOR VARIANCE FROM OTTER TAIL COUNTY, MINNESOTA ^5 Receipt No. Application Fee $ X)0uCj^3J^-hJSE!V Phone:Owner:Fir$t MiddleLast Name "gVU Lcx<^m 'SS'S I ^ Zip No.Street & No.City State RIi5U~ l*A\srr'wA'grv Lake ClassLake No.Lake Name 33.A/XP/^/eo^I3Z-Twp. NameTwp.Sec. Range Legal Description;Block No.Lot No. Sub-Division Name; SUBuol A OF (zyL -S ^Ui-OO!Parcel Number Explain your problem here: i)U^ /a^ C -7^ <3eJ ^ Ck~f^/J fj ie 7e Y>n.&s 7? ! In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans, information about surrounding property, etc. APPLICIANT SHALL BE PRESENT AT THE SCHEDULED HEARING. I understand that t have applied for a variance from the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional variances and/or permits are required by the township for my proposed project. 7- 1^-Application dated.19.. X S^^nature of Applicant — DO NOT USE SPACE BELOW— Date of hearing 19.Time /M. Court House, Fergus Falls, MN. 56537 / DEVIATION APPROVED this_____ (OR ATTACHED) REOUiREMENTS: day of^19._WITH THE FOLLOWING Office of County Recorder County of Otter Tail • I hereby cersily that the within instru* menl was lilcd in the oflice^r record on the } I day cf ijM^\ —- * 0 19 g(r . -. 3\112£.A'c’iDck r M , and Ooc » /:2 Cou'. 7 riccoidaf Signature; Chairman Otter Tail Board of AdjustmentMKL 0483 -001 231,616 — Vidor Lundeen Co., Printers, Fergus Falls, Minnesota WHITE - Office CDLDENFtOD - Inspector APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR. FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PINK -Assessor PLEASE PRINT OR TYPE ALL INFORMATION Permit No. ZLAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS."1 Ad SECTION^.TWPNO.RANGE TWP NAME ✓ yluuif- -I PARCEL NUMBER (S)/PROPERTY (E-911) ADDRESS i/ m\obi 44; Ld’A-f)( * LEGAL DESCRIPTION JI/ IpOli i Last Name First Initial Mailing Address Daytime Phone No. 'if Qyioj^ iV-/Property Owner ■\ fh-uuZ,^\Contractor Name Lie.# 4 ''Uvo UJ^ -&0S‘O PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling |4|MH/YR____ T^Add'tija^^^^dlling; ’'’ (8) Storage Structure 110) Non-Conf. Replacement (identify)___________ (11) Other (identify)_________________________ •Existing Dwelling to be removed prior to__________ ONSITE WATER SUPPLY ( 3)-Replacement Dwelling....J (\j , p,„ic ( ) None { 6) Attached /‘ Detached Garage ' ' • vg . W0 A s--------------------'"NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM(2 ) Add'n to Dwelling (5) RCU/Year_____r(V) Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rome Mann at 218-864-5533 -r ! ir J CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension \ ■L '' 'Bt. X Ft." .' 76? ^ * \ Ft. X Ft. XzSq. Ft. Setback to Lot(ine Sq. Ft. Setback to Lotline Setback to Right of Way .2<lZ£XzFt." Setback to Ordinary High Water Level /'VrO Ft. V-\Sq. Ft. Setback to Lotline .Ij,__ Setback to Right of Way-i Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank _£ Setback to Drainfieli^‘ Setback to Bluff Maximum ProjWsed Height ( ) Boathouse ( ) Gazebo **ProjectA.otlines/Right-of-ways Must be Staked Onsite Prior to Appiication / inspection Ft.&Ft."Ft."Setback to Right' of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield Ft.✓ V,/Ft.Ft.-1Elevation Above Ordinary High Water Level Setback to Septic Tank /P/y i’jQ L-ft ft- Ft..1Ft/ \r.4Ft, Setback to Bluff Total Bedrooms Maximum Proposal^ Height_________^ Roof Change (/ ) Yes ( ) No ’v Basement ( ' ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) Ft.1Setback to Drainfield Setback to Bluff__l. Maximum Proposed Height Roof Change ( )Yes (')^No Bathroom Proposed ( ) Yes (No ^ /Ft.-1' /1Ft. Ft.7 ( ) Screen Porch ( ) Storage Structure)No rr--^Topographical Alteration / Earthmoving □ None □ 20 Cubic Yards or Less * ’ I • Must include on scale drawing, additional Permit may be required. ■'I ^21 Cubic Yards - 299 Cubic Yards* □ 300 Cubic Yards or More* 5Z)3 ■ 4CHARACTERISTICS OF LOT:- .i ^NoLot Area. Sq. Ft.Water Frontage .Ft.Bluff ( )Yes I79.,U)-U lot Area (FT;) ■ 7 . ;Impervious Surface Ratfb:.4--X100 =.% Total Impervious Surface Onsite (FT;)Total Impervious Surface Ratio TH/S /S A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid tor a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. 1 - az-->o Date: Signature of Property Owner / Agent for Owner Date: Land & Resource Management OfWcd A 1^4 7PROJECT(S) TOTAL SQ. FT.PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations 56 /^6 3^^ Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft. ^ooFt.&Structure Set Back from Lot Lines Ft.Ft. &Ft.i Structure Height Ft.Ft./3 - /S~ - Structure Set Back from Septic Tank Ft.Ft./7;Lt Structure Set Back from Drainfield Ft./ 00'‘~Ft. Eievation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% / ^ OInspector's Comments / Sketch: 4 ^()vASt J /■zce>^ \//3L r \1 A X' A Inspector's Signature ^//7/roA /f(7 Date of Inspection Time of Inspection fhy/fb 11>7fjProject Approved Date / Initial WHITE - Office APPLICATION FOR SITE PERMIT QOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us PLEASE PRINT OR TYPE ALL INFORMATION Permit No. 7LAKE / RIVER NO.^^CTION/ TWPNO.^ RANGETWP NAME^LAKE/RIVER NAME LAKE/RIVER CLASS Ni^ltc-yo^SIPARCEL NUMBER (S)PROPERTY (E-911) ADDRESS 745Z4I '&Kr) VciT- Or- 4.<k Ut- A-/>f hb ~^+ Phii?L^Hj.ltD Arr/'r>/ / Last Name First Initial Mailing Address Daytime Phone No. ; fk(Al/kP 7^Qt^iolc tV-____________ fhuu2j9~ Property J Owner y '%)b LU .Contractor Name Lie.* PROPOSED PROJECT (please circle the appropriate number) (1) New Dwelling ONSITE WATEflXlndlvIduaf/,R SUPPLY ONSITE SEWAGE TREATMENT SYSTEM(2 ) Add'n to Dwelling (5 ) RCU/Year______ (8) Storage Structure ( 3J *Replacement Dwelling \/ [^5^ttached t(^tached Garage ^ T?)W.0.A.S. ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. mir4AMHA'R_^_____ XlO ) Non-Conf. Replacement (identify) _ (11) Other (identify)______________ •Existing Dwelling to be removed prior to. Permit No. ( ) OTWMD ‘Must have Sewage System Approval from OTWMD prior to issumg Site Permit. Contact Rome Mann at 218-864-5533 CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) /fFt.*/ CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension___ Sq.Ft. N Setback to Lxmjne____ Setback to RighN^Way Setback to Ordinary Hioh Water Let/___ Elevation Above Ordinar^Wgh Water Level Setback to Septic Tank___ Setback to Drainfield___J Setback to Bluff / Total Bedrooms / Maximum Propo^ Height Roof Change ^) Yes ( ) No \ Basement / ) Yes ( ) No Walkout ^^ement ( ) Yes (side profile required) loe -5G Fl."Ik Outside Dimension Dimension 7t. XFt. X Ft.**Ft. X iq. Ft.Sq.Ft.________\ Setback to Lotline \ Setback to Right of Way^ Setback to Ordinary High Wck/Level __ Elevation Above Ordinary ^h^ter Level Setback to Septic Tank Setback to Drainfield/ Setback to Bluff / HDFt.&Ft.**Setback to Lotline ^Setback to Right of WavA^<^/*) Pj Hsetback to Ordinary High Water Level Ft. Ft.&Ft.**Ft.&Ft.**'** Ft.** Ft. levation Above Ordinary High Water Level etback to Septic Tank jl)0 etback to Drainfield /I) 0 Ft.Ft. 1ft.•t.Ft. Ft.i m-Setback to Bluff Maximum Proposed Height [Roof Change ( )Yes ('^No Isathroom Proposed ( ) Yes No Ft.FN Maximum Prised Height ( ) Boathduse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft. ( ) Screen Porch ( ) Storage Structure)N( on / Earthitii * Must include on scale drawing, additional Permit may be required.□ None □ 20 Cubic Yards or Less 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* 4o—*-\DbCHARACTERISTICS OF LOT; otArea Impervious Surface RdTio: j^NoSq. Ft.Water Frontage .Ft.Bluff ( )Yes m,031-Iy -__n-017 Total Lot Area (FT^)X100 =.%Total Impervious Surface Onsite (FTr)Impenrious Surface Ratia THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit; Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Land S ResourTMthnSgemenl Office 7-/7 -io i- * Date: Ml mskz.PROJECT(S) TOTAL SQ. FT.,PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers > Fergus Falls. Minnesota SCALE DRAWING FORM DDHH ()0m fib! Tax Parcel Number(s) The scale drawing must be a signed drawing which inciudes and identiJL tanks, drainfields, lotiines, road right-of-ways, easements, OHWLs, wefip, calcuiations. g5agr\ic^Me/feet), all existing and/or proposed structures, septic ^aphic features (i.e. biuffs), and onsite impervious surface 4m- -\t> k "3'parcel £ ^OA c V- 338,596 • VtciOf Lundeen Co, Printers • Fergus Fails, MN • 1-800-346-4870 J-' IMPERVIOUS SURFACE CALCULATION WORKSHEET: List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing): Ft2Structure(s): Ft2Deck(s): 4MO Ft2Driveway(s): / Ft2Patio(s); / Ft2Sidewalk(s): lU Ft2Stairway(s): Ik Ft2Retaining Wall(s): Ft2Landscaping: (Plastic Barrier) Other: / Ft2 s Ft2 4 ;7f/ 0 5I L. = Ft2TOTAL IMPERVIOUS SURFACE: LOT AREA: ^2%55^.%X 100 = IMPERVIOUS SURFACE RATIOLOT AREATOTAL IMPERVIOUS SURFACE APPLICATION FOR GRADE & FILL PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER #LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME ^1-l‘il Shuiyj-Hz. J1fPARCEL NUMBER(S)PROPERTY (E-911) ADDRESS John fo)('^iiww4it)t)i LEGAL DESCRIPTION Sub Ul' A-of Lil ^ Ph LtL^I 111 Last Name________ ________________First Initial Mailing Address DAYTIME Phone No. ///✓Property Owner Contractor Name —hm- // \jo{A NOTES: 1. The lotlines and project area(s) must be staked. ^ - Pf'l / 2. If project disturbs more than 1 acre of land you are required to obtain a General P)^qyiy) /s> // Storm Water Permit from the MPCA. Lie.# f-- mh - DATEL&R Official Received PROJECT REQUEST (You may use the grid on back for required scale drawing): DESCRIBE YOUR PROJECT(S): fropoinu^ k> ^ j2 lljj A 31/''A thkd-^J Piul4l^ ■ tJifj -h frJI fMj SOoik ,<.irL tf^j ^ f^ /xcitif of' All h Usii\ ha Diy^ct Pt/ Cl - T// [fOTUYfle -fiTnY) •//t/i/ ki lOill Ji^!~ ^ Jd .t "fliJb-l iaJiII jiko Ijl fo M (hf'M u;)aK{ Hw/jf hi /u> hli W Ar' ______________ ti/, UUi'-/ DETAILED INFORMATION; AREA TO BE CUT/EXCAVATED:Yds^Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth Yds^WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Ave. Depth Ft. - 27 = Yds^ Ave. Depth 20 XTOTAL EARTHMOVING REQUESTED = Width AREA TO BE FILLED/LEVELED:Ft. X t. X - Length -K , lo? Width Yds^ dFt.BACKFILL AT FOUNDATION;Ft. Max. Depth Distance From Foundation CULVERT:ist indicate size and location on drawing. Yes lo 17^/„IMPERVIOUS SURFAIIE: t id> SIGNATURE OF PROPI !TY OWNER/AGENT FOR OWNER RECEIPT NUMBERDATE BK02/09 \5aJ I SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM ; White — Office Yellow — Inspector Pink — Owner 1 s 5 } Permit No.,. U-LEGAL 1 DESCRIPTION AND ;LOCATION Lake No.Lake Name Lake Claulf.Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and StateLast Name First Initial Zip No,Tel. No. OWNER ■ i-- SEWAGE SYSTEM INSTALLER Name. 7- IM ik y^ooThis System will be ready for inspection on.. 19 This space for office use only ^C. />3o7-m 19 .M Date Rac'd Time Rac'd Phone Call Rac'd By Owner or Agent Signajture NUMBER OF BEDROOMS;ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Sq. Ft.Capacity Sq. Ft. Ft.Ft.Ft.Distance from nearest well <Ft.Ft.Distance from lake or stream Ft.J Ft.Distance from occupied building Ft.Ft. Distance from property line Ft.Ft.Ft... y Ft.Ft.Distance from bottom to Water Table Ft. AH distances are shortest distance between nearest pointsI RECORD OF TESTS: Inspection was made on ., 19.....-. , Time ,M By 1.'-1PERCOLATION TEST DATA:Date of First Test - ."5., 19 , Rate ■ \Date of Second Test 19 Rate let Test Taken By / First Test + 2nd Test .iU.'2‘Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement; strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Dated Signature Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Permit: X'~g \ Shoreland Management Office Issued Date:2 VofFeeRec # V/u J /I J Comments:y / • JKI 7•// Form No. MKL-03208S 22S239 — Victor Lotonn Co.. Priniirs. Ftrgui F*. kW I !.•' f?, * :'i INSPECTION RESULTS</ )•Vi, < Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Actual Should Be l_ P-rr ^ y?/ DonCapacity GIs.GIs:S F S F SF S F 7 63'Distance from Nearest Well F F F F F F /Distance from Lake or Stream F F F F F F I 0Distance from Occupied Building F F F F F F Distance from Property Line F F F FfOFF *■ 3 3Distance from Bottom to Water Table F F F FFF .A *.-» Inspector’s Comments: ^ ^ A ^______'^tsl oyv' ipO ^ y\______So - r So ^y V eovs>:^0l/\f flvw6 Jo^ Ck T o>s-V-«, c Oy Y\' \y.;V 0 coyEH X ^ Vn V IL CK.y\ t^oL^\a vn CJ>O/ \3^Va \ V" ^ syn PQ y^arSL T' -f n-19Date of Inspection Q'<ooTime of Inspection M I I /y^ Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet ---------Job Tiffe MKL • 032085 • Backer Agency rt\ ‘ 1.--07>;-i5. i , {: 09|]oVA.V^ V, ■ ■I I \“' V : 0-,L, y •y, Y';5 I (i ,=i lAtTBS-rt/AAT C'vNX--V '6b.■'.V>1 y^ROPOs Q P ■ ^ -(^ f A'i^SA , b /r;J.; •/ ■t ■y -x^4 /yi?6I \ •* IiIP >1I <» «. i i Vo«jL loi^ 3^ 4 ~^OUym^4^ / 3^ R ay ^ 3 ^ t SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM ■*' White^ Office Yellow — Inspector Pink — Owner V", A- c)^ C-'L-Permit No..LEGAL DESCRIPTION AND LOCATION TWP NameLake Classif.Sec.TWP RangeLake NameLake No. IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Tel. No.Zip No.InitialFirstLast Name 0 UjJ OWNER J ^ ^ Op uuj Vcc5^ rtC>ci_______KSEWAGE SYSTEM INSTALLER Name. r/7/s System will be ready for inspection on.19. This space for office use only .19 M Owner or Agent Signa;tureDate Rec'd Time Rec'd Phone Call Rec'd By 5NUMBER OF BEDROOMS;ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD ^7 /Qoko GIs.Sq. Ft.. Ft.Capacity Ft.Ft.Ft.Distance from nearest well 75 Ft.Ft.Ft.Distance from lake or stream to Ft.Ft.Ft.Distance from occupied building LO10Distance from property line Ft.Ft.Ft. 5Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on ,, 19 , Time ,JVI By L PE^OLATION TEST DATA: TaKen By Date of First Test , 19 , Rate a.Date of Second Test , 19 , Rate 1st Test ...............2 /- First Test + 2nd Test 2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Dated. Signature'' Permit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express '—Shoreland Management Office Issued Date: 5^Fee $Rec # ^ ^ C ' f^/oaJcU<4 yy[ J Comments: IWmB Form No. MKL-032085 225239 — Victor Lundeen Co., Printers. Fergus Falls, MN 215502(^ VICTOR UINDEEH CO.. PRINTERS. FERGUS UINN.PERCOLATION TEST DATAMKL -0871 -028 LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. Mailinq Address:Owner: Zip No.[hMiddle StateCityLast Name Legal Description:IXUXXJ- LAKEORRIVER NO.TWP NAMERANGETWP.SEC.NAME ^ TEST HOLE NO. 2/^/TEST HOLE NO. 1 (XLlA lADepth to Bottom of Hole inches; Diameter of Hole JnchesDepth To Bottom of Hole,Diameter of Holeinches; inches 19^^Depth, Inches Soil Texture Depth. Inches Soil TextureI "Date Date f.Ih.LLPercolation Test By___ Percolation Test By .rVlAlQ LUFirmName.F irm Name.ir D aLJJ QC LUAddress.DC Address < U-cnOtter Tail County License No.,Otter Tail County License No^HcoLUMeasure ment, inches Drop in water level, inches Percolation rate minutes per inch h-Measure- ment inches Percolation rate minutes per inch Time Intervals m I n u tes Time Interval, minutes Drop in water level, inches Remarks:Remarks:Time Timeo H7""y,' Of 7 7 Ay 7! 7! y ^ 7, TJ 1,9/fp I 71 2-Xy > A 7" s L ,AT LLXLXletIL Z-ZZ X—UA Zxy-_ X< ...Si^-. LltA )X 1ZA Al7 y/v IXLa // 9iP7X7- UA 7X£7 7 f: o L- L£S-zA&- 3£TM-I7IXn/k LfZLA - /■ tj See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN, Percolation rate minutes per inchminutes per inch Percolation rate = R f —''—ffaoo^^Rt d-L lO?'’ ABATEMENT NOTICE 343 Shoreland Management COUNTY OF OTTER TAIL Court House Fergus Falls, Minn. 56537 22nd May S6Dated this..day of.19 . He.lzn SzKamyatidTo. SI 9 E 4th StreetAddress_____ City and State.5S301Ve.vfZ-i> Lake.. NV Zip Code the. 6Q.u)aQZYou are hereby notified that. Which you maintain at (Legal Description and Location) - Plus Fire No. Subtot A 0^ G.L. 3 39 ML.dah.o6132RV4Stuaht56-191 RangeClass.Sec.Twp.Lake Name Twp. NameLake No.con6th.uctzd and/oh. locatedis not. in accordance with minimum standards of the Otter Tail County, Minnesota Shoreland Management Ordinance. You are hereby ordered to abate the above described condition within 3 0 days from this date. If you fail to correct the above defect you may be subject to a fine, imprisonment or injunction proceedings. Shoreland Management Official PROOF OF SERVICE State of Minnesota County of Otter Tail Fergus Falls, Minnesota 56537 The above notice and order was served by me on._______________ 19___ by handing a copy thereof fthe (owner-occupant-agent) of the above described !to 1 premises. *By posting a copy thereof upon the above described premises. Otter Tail County Sheriff Department *Strike out words that do not apply. I CC; Otter Tail County Attorney MKL-0372-035-01 i 220522 ®Minn. Lundtan Of Co.. /X Ar & 4Sv' Cc^/<^ juS-Ji!^ Hri- Of^t^ ju^ A<ft-a ‘\J A^Ie^\^^tjliiT — jy-o^ @ /T'<r~ @ '''' /«■■ p;/e ■/ crs; -7 FIELD NOTES STUJU3L SU’-Ht MSUKB NAME DATE 7UlOC NO FIRE NO. H-/3X~3fLEGAL DECRIPTION OF LOT; - S’ 5-1 rOWNERS NAME OWNERS ADDRESS TYPE OF SEWAGE SYSTEM (Inspector's Comments) d°y\'C ;5 / SEPARATION DISTANCES - FEET - Category Septic Tank Soli Disposal Araa Well - Lake - Lot Line - Occupied Building -■ i'l kElevation of Area REASON SYSTEM WAS ABATED; yyCler Jl\f( {n LodU'd>*^ -;\)CO^-/ ( V i.SKETCH OF LOT ON BACK ■/ ;■ ..