The URL can be used to link to this page

Home My WebLink About25000990663000_Variances_08-14-1997Variances 2 Barcode 128 ^ APPLICATION FOR VARIANCE V Otter Tail County 811133 y —y—^^-----------------------------------------— Office of County Recorder County of Otter Tail I hereby certify that the within instrument was filed for record in this office on the ) 9 day of y'/<^43S7Fergus Falls, Minnesota 56537 (218) 739-2271 Aua A.D.19 97 at and was duly Microfilmed as Doc # :qo 3 cni>Application Fee$ I S.0 County Recorder _____Deputy — Please Complete With Black Ink — J'.'ll Amne-ffg-Lrxri 9»~^W 2><fP ^CS &3d“rie_ LoL.t-^ Owner:Phone: FirstLast Nam Middle mnK+. 2 Street & No.City State Zip No. SlAtvr-ke. Lo~.tie-.SL -Z40 KhLake No.Lake Name Lake Class ^0133iZ,Sec. Twp.Range Twp. Name (\ArTeA- L^t- (o Nisi'/ Legal Description:Fire No. or Lake ID # Uc>\’ n 7^6'000-- -oooParcel Number TYPE OF VARIANCE REQUESTED (Please Check): Structure Setback Structure Size.Sewage System.Subdivision. Cluster.Misc.. SPECIFY VARIANCE REQUESTED: _L o-xo. ire.£^u«3-H tr\j OL^ 'fr^yyy^ -f'K-o— X L^auuU ^ lAJbuJcL V r~<i-yY\. . TKi 3 y^CxX4^ c-CY\s-bru^<^'^ £K I £pjro^ e- rc^o<jd. mi^ c:> f''-irk^sjTi 'Tz> id uJouL^id b=- ^eshti v\^ U^\\ic.k L^aLx^^dI ^ —lr\^ — m- i K 'f'Ke, <o-r<=u=v. In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans, information about surrounding property, etc. APPLICANT SHALL BE PRESENT AT THE SCHEDULED HEARING. I understand that I have applied for a variance from the requirements of the Shoreland Management Ordinance of Otter Tail County. / r SignatureOt Applicant 7- in ig ^7Application dated ^ M19S'- /YDate of hearing: ____ MOTION AS FOLLOWS: Motion was made by Randall Mann, seconded by Craig Anderson and unanimously carried, to approve a variance of 10’ from the required road right-of-way setback of 20’ for the construction of a 24’ by 24’ garage located 10’ from the road right-of-way. It was noted that this is not a very heavily travel road and that the placement of the garage in this location is perhaps the best location since the applicant’s front lot is very shallow an^the applicant’s back lot contains a wetland area. ^ Time: Chairman Otter Tail County Board of AdjustmentXPermit(s) from Land & Resouftpe Management required:.YES NO] mailed copy of Application to Applicant. (Date/Initial) BK 0696-001 2S3.383 • Victor Lundeen Co. Printers • Fergus Falls. Minnesota r ; C -■ I;■ \ !«1 ■ -TVXJLfdX&J tULCh /'/ o’&Sg .- CS^-ca/ i. ^05 ■ ■ <^ Cb^’ r>,1i Qj-^JOh O^)) (f/0 ;C'S- ooc> f ^ ~o/c ‘ i , -9 { -‘v. < -1.- . . V ■5 - e :V^ ■ / * ■»<><2iS V tC^&yt. 4'^i’* ...J i ^ •£?. ;& '»'3 r-Cj *■-. { .: ■; -A ■>I r. .• ‘ ; N..^'- . Is <fC-v'- ♦» •,j V ‘.V i.VI,’_'•s. • ;i:<•*.;-/;-1'i tt •i ’’'■■I . •^; t-■--.Ai .\ \- . ^.2 •^ ■-L I C?./; ;• -•' ^ i ;;/- "Ui ’- -i- -:y £- ,C/./! V3CvA~':vi ■\- ' ' ' -^4 ■ ^\ •■i rt:. \':• I c /s^. - /o'-a ! / v-/ivvp^t ui cmJ A'i't "Sc 5~ V4 JL/^0 ^ (cP^ 0 ' i 1\fv CjeKV"" \ 0 \A HI$i !AaI ..I !I <-17- ’ :T \I /o';i Y-- coe. \^s-vvV I-Qt- L 1^ T (i ‘ f J A^ ^ I \ i :Ii1. L>: i k I :■ (!!4I I Ni?,!J-i _L. I f y.,r;: -jvw/^,.U j II!P\i ; : ^■ f!II r- r ■' \ ^Office of County Recorder County of Otter Tail I hereby certify that the within instrun^nt was filed for record in this office on the /1 day of AuQ A.D. 19 97 at and was dLly Microfilmed as DocJi ^ APPLICATION FOI^ VARIANCE Otter Tail County Fergus Falls, Minnesota 56537 (218) 739-2271m3 Application Fee$__0 "I o' m -SA Oiil7..)^ Deputy — Please Complete With Black Ink — -mL-ongrcn LastNanw 'Rt'. 2 Birt- '4CS Bad-rie- La-te. Jill Anne-H-e-Owner:Phone: MiddleFirst ^iN 6-&.SIS- CityStreet & No.State Zip No. 8 Lo-Le-KbSL -Lake ClassLake No.Lake Name Ho13312.Sec.Twp.Range Twp. Name U^ (s> Legal Description:Fire No. or Lake ID #10' <>f LdF n Parcel Number TYPE OF VARIANCE REQUESTED (Please Check): Structure Setback Structure Size,Sewage System.Subdivision Cluster Misc.. SPECIFY VARIANCE REQUESTED: c-^?y\6'hru-<i.+' ^a.r'tkev' IoculX- X ] n-h> ^ ^ i/(3kWd3i-n^i.c-^ icL U lO* V ir«-^ryicvv3~ . X d-Ot^LA-S€.4-lookjC_-lfl I e- /jlaj /q^ 60d3(JuM ^ejhti Y\^ uJc?Li^/Ql lhi3 t h. 0-jrc£K. In order to properly evaluate the situation; please provide as much supplementary information as possibie, such as: maps, pians, information about surrounding property, etc. APPLICANT SHALL BE PRESENT AT THE SCHEDULED HEARING. I understand that I have applied for a variance from the requirements of the Shoreland Management Ordinance of Otter Tail County. /J SignaturffOf Applicant 7- in 19Application dated ^ M19t- yyDate of hearing: _____ MOTION AS FOLLOWS: Motion was made by Randall Mann, seconded by Craig Anderson and unanimously carried, to approve a variance of 10’ from the required road right-of-way setback of 20’ for the construction of a 24’ by 24’ garage located 10’ from the road right-of-way. It was noted that this is not a very heavily travel road and that the placement of the garage in this location is perhaps the best location since the applicant’s front lot is very shallow an^the applicant’s back lot contains a wetland area. ^ Time: I- .Chairman Otter Tail County Board of AdjustmentXPermit(s) from Land & Resource Management required:.YES NO mailed copy of Application to Applicant. (Date/Initial) BK 0696-001 283,383 • Victor Lundoen Co.. Printers • Fergus Falls. Minnesota • *»» J ■> : t(- cj- 6ia cA / '/ j’ OS^-QO/<^^oi) (/') OE' oocj GT-Oip t r&0 ^;?-o/r A -o/C .'I i; . A-. i ^00'\ i C^6.9 - 'r ^ \;.♦. r i ‘a. - : :-«J. « ^ \ { j ,.i I •W : / /^pt'OS-P. IcA- ^V^^wia^s A^"f?w5~^V l<4% 2Vc :: ..4 V, \i \: I I t ; !;i !% s i, «;.;i.0 \i^i i $ sS !ii I»Ma ■i i <I !*-I ;!I T >t V<I :-,i' ■UHVV; I T,1II \;;i /O'!I _6>65t1n'c#i ' i' i..'. J iI ,(X)(L v.'^ AV I-Or ISQ l\ I'^T#2,' k)c^~ f I/O ^ {::: N i i;,<i.1 ' :(s■ I«> ii..iiVO; .1 i1 !I ■ ,;I i!1II4»ll^ :i )!; .'tI f ■■* •: ■>i ■; V Wi fNIIi <iII! ^i ’ . I I II{1 !j :]I !:T * •\ WHITE^tMlce - GOLDENROB -.Inspector YELLOW - Owner PINK ■ Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 Permit No. /^hLEGAL DESCRIPTION V- BLUFF ZONE■ ^ 7AND■/Q' -2>□ YES [S NO LOCATION LAKE NUMBER LAKE/RIVER NAME ^ A LAKE/RIYER CLASS SECTION TWP NO.RANGE TWP NAME A.c^/ PARCEL NUMBER (S) _ - Or. ^O - A9- rCoAoJ-rTr o GRADING / FILLING □ YES # OF CUBIC YARDS NO FIRE NUMBER IDENTIFICATION: Please Print All Information TELEPHONE NO. FirstLast Name Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime)I—- ,! 7ejj 7 tl/j! i7S ^ /7U ) Property Owner J ■/ r {Y> K- v / stfe cA) Z/l/jNameContractor (^Of ^ S3 ^ .state Lie. # PROPOSED PROJECT ( ) New Structure(s) Addition(s) ( )MH/RV______________ PROPOSED USE ONSITE WATER SUPPLY ' Individual ( ) Public ( ) None N*OTE: 'MN Rules Chpt.,4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEMDwelling ( ) Noi)-Dwe)ling ( ) Individual Permit # ( ) Collector Permilj (X.OTLSD* 4 *( ) Water Oriented Accessory Structure •(WQAS)YEAR I r1 CHARACTERISTICS OF NON-DWELLING ( ) Detached Garage CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING (^Basement '''{^fwalkout ( ) Attached Garage ( ) Utility Structure ( ) Boathouse ( ) Screen Porch( ) Dwelling ( ) Replacement Dwelling ^ Addition to Dwelling ( ) Existing Dwelling shall be removed on or before. Outside Dimension Ldtline Setbacks " ■ Ft. & ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension .Ft. X .Ft.( ) Other. Outside Dimension .5^ Ft..Ft. X Lotline Setbacks .Ft. &.Ft..Ft. X .Ft. /O Ft. ldZAtOOli:^y)t S'(s^ Ft. Igfit73r^2 stor^^ OHWL Setback .Ft. Lotline Setbacks .Ft.&.Ft. OHWL Setback Bathroom: ( ) Yes ( ) No (If Yes / a complying Sewage System Required)OHWL Setback .Ft.Total Bedrooms Maximum He Maximum Height Ft..Maximum Height / 10 ft. (1 story).story Q in .Sq. Ft. Impervious Surface _Ft. Elevation of lowest floor above OHWL .Sq. Ft. Impervious Surface RatioLot Area .% .Ft. (3’ minimum)Water Frontage Structure setback to right-of-way .Ft. Slope of lot JJlStructure setback to septic tank_____________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System __Ft. (10'minimum) (Sewage System Permit required before installation). __Ft. (20'minimum) (Sewage System Permit required before installation). __Ft. (10’minimum) (Sewage System Permit required before installation). M---------- 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 vaiid 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 condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.I understand that it is my responsibiiity to inform the Land & Resource Mana^ment office once the building footings have been constructed. * This permit is oniy valid after verification from the O.T.L.SD. that a conforming sewage system will be installed to service this lot Contact Rollie Mann at 864-5533. tJre of ^ner \ ^ Dated: Signs wZr-'-/S'Dated: Land & .Resource Management Office50^-PERMIT FEE $RECEIPT NO. )£lL /]/■ 7/ Tn.r -F' AOrZ A -/ /Jh,-Comments: /L ■ ■/'t -’7/-/ u-'i > ‘ i ’j41.<'7-/'vV ^ r 7' ^ ; f'y. /■) I 'it/ tZ'J ^. if 7 /'7 V Form No. BK — 0S97-002 290.821 • Victor Lundeert Co. Printers * Fergus Falls. MN • 1-600-346-4B70 Ti » c INSPECTION RESULTS Make all measurements and computations Svi4icLf^/CJDStructure Set Back from Ordinary High Water Level Ft.Ft. MStructure set Back from Top of Bluff FI Ft. ,5^Structure Set Back from Road Right of Way Ft.Ft. 75 10 SiStructure set Back from Lot Lines ,Ft.&.Ft.Ft.&Ft. m11Structure Height Ft.Ft. ~h111Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Absorption System Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level___________________AFt.Ft. \Land Slope at Building Line %% ^aeL CpcA'-fi'- Inspector’s Comments / Sketch:, fl)v\ r !/■ /J I \ Ii Jl%^__Date of Inspection Time oflnspection .-.o' .. WHITE-lomce GOLDENROD - Inspector YELLOW • Owner PINK - Assessor APPLIMTIOi^ W&m SITE PERStilT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 Permit No.LEGAL DESCRIPTION 'yjhxAXtJU BLUFF ZONEAND7□ YES NO LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAME /53 4^ PARCEL NUMBER (S)GRADING / FILLING □ YES # OF CUBIC YARDS ^ NO FIRE NUMBER S6-OPO- 99- IDENTIFICATION: Please Print All Information TELEPHONE NO. Last Name Hrst Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime) Property Owner -OjU NameContractor State Lie. # PROPOSED PROJECT ( ) New Structure(s) ^ Addition(s) ( )MH/RV______________ PROPOSED USE Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Ruies Chpt. 4725 (MN Weil Code) requires a 3' (minimum) structure setback to a weii. ONSITE SEWAGE TREATMENT SYSTEM ( ) Individuai Permit # ( ) Coiiector Permit it (Xotlsd*YEAR CHARACTERISTICS OF NON-DWELLING ( ) Utility Structure CHARACTERISTICS OF WOAS ( ) Boathouse ( ) Screen Porch CHARACTERISTICS OF DWELLING (' ) Dwelling ( ) Replacement Dwelling ^ Addition to Dwelling ( ) Existing Dwelling shall be removed on or before. Outside Dimension. (^Basement ''^4^alkout ( ) Attached Garage ( ) Detached Garage ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension ( ) Other. Outside Dimension .Ft. X .Ft. Jo 3o.Ft. X .Ft.Lotline Setbacks .Ft. &.Ft.Ft..Ft. X /O Ft. & /Or.Lotline Setbacks OHWL Setback .Ft. Ft. jafit/M Ft. (2 story^ Lotline Setbacks .Ft.&Ft. OHWL Setback Bathroom: ( ) Yes ( ) No (If Yes / a complying Sewage System Required)Ft.OHWL Setback.Total Bedrooms Maximum He Maximum Height / 10 ft. (1 story)Maximum Height Ft.story 37.9/n Sq. Ft. Impervious Surface Ratio .%.Sq. Ft. Impervious SurfaceLot Area 3 .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage Structure setback to right-of-way____________ Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System .%__________Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20'minimum) (Sewage System Permit required before installation). U1 .Ft. (10'minimum) (Sewage System Permit required before installation). 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. PermK: 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 agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. * This permit is oniy vaiid after verification from the O.T.L.SD. that a conforming sewage system wiii be instaiied to sen/ice this iot .^Contact Roiiie Mann at 864-5533. i Dated:Signal ner 4-P.2- 9?Dated: Land S Resource Management Office ^ I p. 7 763 7^3/6o‘’°PERMIT FEE $RECEIPT NO. Comments: 290.621 • Victor Lundflen Co., Prirtters • Fergus fells, MN • 1-B00-348-4870Form No. BK — 0S97-002 1 •• /•. t-APPLICATION FOR SITE PERMIT LAND & RESOURCE.MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE-Office GOLDENROD - Inspector YELLOW ■ Owner ^ PINK - Assessor L LEGAL DESCRIPTION . ^BLUFF ZONEAND □ YESLOCATION LAKE NUMBER LAKE/RIVER CLAS SECTION TWP NO.RANGE TWP NAME6»>ef bLAKE/RIVER NAME to 'l33 VO PARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS ^ >gr NO __________ FIRE NUMBER -Z.'Z-2.s<joO' 79- - oijo TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)First Mailing Address — No. Street, City, State, and Zip CodeLast Name Initial P 2- m m, ~S'-La n •) •-! Property. Owner \ f^ladcnJ tNameContractor state Lie. # PROraSED PROJECT Structure(s) ( ) Addition(s) ( )MH/RV PROPOSED USE ( ) Dwelling ><Cfion-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSITE WATER SUPPLY ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit # ( ) Collector P^itJ 7<^lsd ( ) Public ( ) None YEAR CHARACTERISTICS OF NON-DWELL|NG N^arage ( ) Utility Structure CHARACTERISTICS OF WOAS ( )&w CHARACTERISTICS OF DWELLING ( ) Screen Porchthouse( )'Qwelling ( ) Ad^lti^ to Dwelling ( )Basemwiv ( ) Walkout Bls^ent Outside N> Dimension ' ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension 21 Ft. X fl .' /£)_m—tH_n .Ft.( )Other___ Outside Dimension _Ft. X .Ft.Lotline Setbacks Ft. Lotline Setbacks OHWL Setback . _Ft.&OHWL Setback Ft. Lotline Setbacks Ft.&Ft. (IIYes / a i^plyin^ewage System Required) Maximum Height j ^ Ft.Bathroom: ■- (\OHWL Setback _Ft. Total Bedrooms W'lf Maximum Height /10 ft. (1 story)Maximum Height / 35 Ft. (2 story)Ft. 15 (k) y re I<r/i Sq. Ft^s^ l(p'pervious Surface Ft. vElevation of lowre^ floor above OHWL$_K2 Lot Area Sq. Ft. Impervious Surface Ratio _ TrWater Frontage Structure setback to right-of-way Ft. (3’ minimum) ___________Ft. Slope of lot _Ft. (10’minimum) (Sewage System Permit required before installation). _Ft. (20’miriimum) (Sewage System Permit required before installation). _Ft. (10’minimum) (Sewage System Permit required before installation). .% 10Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System __ Non dwelling setback to Soil Absorption System JR 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 permjt is granted upon express •. condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance oil Otter Tail County Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office orice the buiiding footings have been constructed. SigoSture of Ownerjff' re re' Dated; 7-3-?7Dated; Lend S Resource Management Officee«.(Z-VVV7PERMIT FEE $RECEIPT NO. z-if- ’SOV- T533. I Comments: T .' -5f f i3 A 0 Form No. BK — 0597-002 286.110 • ViCio: L-njeen Co. Printers • Feig.>s Fa.’S MN • '-800-3-6-;87( INSPECTION RESULTS Make all measurement's and computations -hStructure 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. I6rh Ft.&^iW-Ft.,Ft.&Ft.Structure set Back from Lot Lines 1^Ft.Ft.Structure Height Structure Set Back from Septic Tank Ft. Ft. Structure Set Back from Absorption System Ft. Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________’'I±Ft.Ft. Land Slope at Building Line % % \ments / Sketch:Inspet I \C \ \ V).S,\ /o^% Inspector's Signati Date of Inspection \ K K Time of Inspection •0 fl 'fl APPLICATION FOR SITE PERBRIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW-Owner PINK - Assessor I 5z?7Permit No.LEGAL DESCRIPTION -4>BLUFF ZONEAND □ YESLOCATION TWP NO.RANGE TWP NAMELAKE/RIVER CLAS SECTIONLAKE NUMBER LAKEZRIVER NAME WcAju W /Z' (53 VO FIRE NUMBERTOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS '>j^NO PARCEL NUMBER (S) -Z.T-0 Q 5 - ooo IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street. City, State, and Zip Code pz- ~pqfe-trte Lo~Ke , HfJ (Daytime)Last Name First InitialLcc (Jed 5~7^5 Property Owner NameContractor State Lie. # PRO^SED PROJECT Xgew ONSITE SEWAGE TREATMENT SYSTEM PROPOSED USE ( ) Dwelling 5(^f3on-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSIT|,WATER SUPPLY J^5^ndividualStructure(s) ( ) individual Permit #( ) Public ( ) None ( ) Addition(s) ( )MH/RV_( ) Collector PenniLtf 7<^lsdYEAR CHARACTERISTICS OF DWELLING CtMRACTERISTICS OF WOAS ( ) Bs^house ( ) Screen Porch CHARACTERISTICS OF NON-DWELL|NG N^arage ( ) Utility Structure( dwelling ( .) Adalli(^ to Dwelling ( ) Basememv ( ) Walkout Bls^ent Outside Dimension__________ ( ) Gazebo ( ) Utility Structure( )Other Outside Dimension ( ) Other. Outside Dimension .FI. .FI.&__/_Q_FI.laFt. X FI.Lotline Setbacks .Ft.100Lotline Setbacks &.FI.OHWL Setback Ft. Lotline Setbacks Ft.&Ft.( )Yes ^^No (If Yes / a complying Sewage System Required) OHWL Setback .Ft.Bathroom: OHWL Setback .Ft. Total Bedrooms it Maximum Height /10 ft. (1 story)Maximum Height / 35 Ft. (2 story)Maximum Height Ft.4TfTSrySq. Ft. Impervious Surface ,Sq. Ft. Impervious Surface RatioLot Area ir Ft. Elevation of lowest floor above OHWL Ft. (3’ minimum)Water Frontage Structure setback to right-of-way in Ft. Slope of lot % £0 Ft. (10'minimum) (Sewage System Permit required before installation). Ft. (20’minimum) (Sewage System Permit required before installation). Structure setback to septic tank 25Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System Ft. (10’minimum) (Sewage System Permit required before installation). 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 condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is ihy responsibiiity to inform the Land & Resource Management office on^the building footings have been constructed. Dated: Dated: Land £ Resource Management Office tT-LeW (0TVtttc4- j(rtllt€. ,/(0LrVi^ rfp sy-Kc zif- soy- .Ti'33, I RECEIPT NO.PERMIT FEES C^) PlU5Comments: y ZP - Form No. BK — 0597-002 286.HO • Vicio' L-noeen Co . Printers • Fergus Fa-.s. MN • •300-3.:6-:87i /O/X / S ;-/' g- N ; r. \>v ^ / H \ y>yt-- I 5> .ftb n >r^ sfe-tAfie (A 6^VJ Ki Op VCO / if^'*' ,.p-^\t yI' I '■'X Nc=rT /'-T7f ///------------I/u*\I N,' ■ \A\ -I?oi /Oi IId<i1.8 u»7 tU 'P3K>4-/L3 ;nOrs/3 z’'5 75 \7,S 73 ^ I ^5bo-757 50 / -’^3*4^e4^/7 '^■'■''''" ■ V V> /I.. IC)0ii 1 itii^nI1j if fU ■r