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HomeMy WebLinkAbout57000320197001_Variances_05-25-1972White ~ Office Yellow — Owner Pink — Township APPLICATION FOR VARIANCE FROM Requirements of Shoreland Managetpent Gsrdinances Otter Tail County, Minnesota Last Name First fiddle Phone No.Owner: L Street & No.City State Zip No. Sols anLegal Description: Lake Nn. ' S70 Sec. 3o^- Lake Name Lake Class d rufOdi/33Twp.Range Twp. Name. S}i/ui<F5(n'h:ij If applicant is a corporation, what state incorporated in____ Applicant is: ( ) Owner ( ) Lessee ( ) Occupant (p-Agent Oc^r /i/rss. e- nn List Partner's name and address below:Is Applicant a partnership. yes or no NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO. This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in what Section of the Ordinance:_____ EXPLAIN YOUR PROBLEM HERE:"i hu‘li -({0^ pTopeS^ -ify s ^ o) II ^A. 'tL Voot- ofo'V *~ds, /A Car Udell CO- a.cccs'dancs In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans, information about surrounding property, etc. ' Signature of Applicant ^ .19.Application dated. — DO NOT USE SPACE BELOW— 19___Date application filed with Shoreland Management Administration________________________________ Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( ) ByFiling acknowledgement Signature Date, time and place of hearing , 75____WITH THE FOLLOWINGDEVIATION APPROVED this______ (OR ATTACHED) REOUIREMENTS: day of_ ‘^^sca;;1 I j «> Signature. Frank Alstadt, President Otter Tall Planning Advisory Commission Deviation Approved this day of. Malcolm K. Lee, Shoreland Management Administrator Otter Tail County, MinnesotaMKL-0871-016 Vicroii tUMDCCN 4 CO CUcMTCItt rcoeut «HIM. 168079 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 White — Office Yellow — Owner <»'Pink — Assessor Golt^nrocJ^ — Inspector /i Permit No^'ALEGAL Date.DESCRIPTION AND LOCATION n /• Lake No.Lake Classif,Sec.Lake Nanae TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. / rOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:, ' A V -5 A Units I ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify (, ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: I ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None (/ ) Oil ( ) No ( ) Unit CHARACTERISTICS: !Lot Area is square feet.Water frontage is . feet. (Building Line) '...............................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........................ Side yard is.................... Building will be located Building will be located feet — from road or street is feet. and ....................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. 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. Dated. Signature of Owner 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 State Surcharge $.Permit Fee $. Comments: // j/> / cM.t'®iMI Form No. MKL-0771-002 1S8899 viero* LUHecm a e«.. MiHtcM. fckaua r«.Lf. wnn * INSPECTOR'S CHECK LIST Make all measurements and computations MINIMUM Shall Be 4. Sq. Ft.ACTUAL IS I Sq. Ft.Sq. FtLot Area (Square feet) Ft.Ft.Water Frontage Ft.Building Set Back from High Water Mark Ft. 50 Ft.Ft.Building Set Back from State Highway 40 Ft.Ft.Building Set Back from Street or Road Ft.& &Ft.Side Yard Ft.Ft.Rear Yard 10 Ft.Ft.Occupied Building to Septic Tank 20 Ft.Ft.Occupied Building to Absorption System Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: Inspector's Signa^re Title Inspection Dated 19 Agency vicToi umoECN i CO . roiHTiM. riaouo fm.10. hhin. White — Office Yellow — Owner ^•!nk — Assessor Go^denrodi|— Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING RERMITAND CERTIFICATE OF OCCUPANCY Stf’C.30.Permit No,.LEGAL DateDESCRIPTION AND LOCATION Stj^r-d ru TWP Name GD 33L /33 yy Lake Classif.Lake No.Lake Name Sec.TWP Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. // nr/firtC'C^AOwner i__k£r\QNameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building (^reiteration ( ) One Family Dwelling ( ) Multiple Dwelling ( Hither Specify:. Units ( ) Other Size VennESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL: ( ^.+'Pub^^c (VKTndividual Septic Tank WATER SUPPLY: (|,«Kl^ublic ( ) Individual Well DIMENSIONS: (‘■.f^asonry ( ) Wood Frame (M-Structural Steel ( ) Other — Specify ( ) Yes (O^^Basement: IStories above basement: Sq. feet (outside dimension) Bedrooms , etc.S2.L.. Baths MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric ( ) Gas (^J.-Oil ( ) None (t>1^oType of Roof: (L-KfJo ( ) Coal Other:( ) Unit CHARACTERISTICS: .«C.K.S.Lot Area is square feet.Water frontage is, feet. (Building Line) .feet feet. QQO.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 Side yard is Building will be located Building will be located io..±.t/o ± .Qac..±. feet — from road or street is feet. ...Z.5T../Q.and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. 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. Signature oi Owner / i 7 ZDated./ 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. /V)Iy\/^ //Dated Shoi^nd Management Official Permit Fee $.State Surcharge $. Comments: __db umib. Form No. MKL-0771-002 158899 VICTOB LUMBIIN 4 C».. PBIHTt*!. FC«flUI rULCt.