HomeMy WebLinkAbout56000030012001_Conditional Use Permits_06-05-1974Conditional Use Permits
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SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 — Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Office
OwnerWhite •Yellow
Pink — Assessor^
Goldenrod — Inspector
at y Permit No„ILEGAL
Date.DESCRIPTION
AND
LOCATION
■ laa.n TWPLake Classif.Lake No.Lake Name Sec.Range TWP Name
IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No.
Owner
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) New Building
(L+^lteration
( uFOne Family Dwelling
( ) Multiple Dwelling
( ) Other
Specify:
/Tr(°Units
Mi A 0-Y\_7A /U( ) Other Size
ESTIMATED COST OF IMPROVEMENT $(omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( ) Masonry
(t-+1?Vood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
( tMndividual Septic Tank, etc.
WATER SUPPLY:
( ) Public
(t.F^lndividual Well
MECHANICAL EQUIPMENT ;
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
Basement: ( ) Yes ( ) No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms Baths
HEATING:
( ) Electric ( ) Gas
( ) Coal
Other:
Type of Roof:( ) No ( ) Oil
( ) No ( ) None
( ) Unit
CHARACTERISTICS:
z.y....z?Am..Lot Area is Water frontage is.
feet. (Building Line)
................................feet
........................feet — from road or street is................................feet.
feet.
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
square feet.feet.
Building set back from high water mark is
Land height above high water mark at building line is
Building set back from State highway is................TtTT7
Side yard is
Building will be located
Building will be located.....
.. and feet. Rear yard is
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 Tall 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 (oTTs)) months.
Dated.
Owneriigi
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit:
express condition 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. _
Dated
Shoreland Management Official
Permit Fee $ rr^A )FiState Surcharge $.
Comments:
Form No. MKL-0771-002
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158899
Lp -5-APPLICATION FOR SPECIAL USE PERMIT
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
White — Office
Yellow — Applicant
/I AJe>
/3 7^* o /Oo iApplication Fee S ■
Twp.Z25T Range V/ Twp. Name
Permit No..19.Date.
Legal description of land: Lake No. -^^~3,y5^ec.
G-.L. ^S- i
liiijl____bG.Sketch and supporting data submitted.
PROPOSED USE OF LAND:
r
Co;// r'c.
COt^Cc/
E^A> S / f
/e /
- i'OtO <2.->( I 6 T/u00)d//j ee
AddressApplicant.
Applicant Signature^
Home Phone Bus. Phone.L-
Time.,19Date of Hearing
CONDITIONAL REQUIREMENTS:
Op_|>A-Cr^-^
This application is hereby recommended for approval by the Otter Tail County Planning Advisory Commission.
^■ Itfj)
^ —»
Chairman
19^ 9^day of.Approved by the Board of County Commissioners of Otter Tail County this.
Chairman
Special Use Permit issued in accordance with compliance with existing Conditional Requirements and Special Regulations and
13^;^^claul 19/y.day ofMinnesota Commissioner of Natural Resources notified this
fOaSSPECIAL USE PERMIT NO.'"'7
K. Lee, Shoreland Administrator
Otter Tail Countv. Minnesota
MKL-0871-010
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