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58000330237026_Variances_05-29-2003
July 3, 2003 Page it 2 Marcus and Sharyl Richardson - Approved as requested. (6:39 p.m.) Marcus and Sharyl Richardson, Lot 20, Block 1, Govern Addition, Dead Lake in Dead Lake Township, requested a variance of 38’ from the required side lot line setback of 90’ for the placement of a water oriented accessory structure 52’ from the side lot line. The audience was polled with no one speaking for or against the variance as requested. A letter from George Kettenacker in support of the variance as requested was read for the record. After discussion and consideration, motion was made by Steve Schierer, second by Paul Larson and unanimously carried, to approve a variance of 38’ from the required side lot line setback of 90’ for the placement of a 20’ by 13’ (boathouse) water oriented accessory structure 52’ from the side lot line. It was noted that if the proposed structure was placed at the required setback distance from the side lot line it would obstruct views from the adjacent properties and would also be very visible from the lake. The proposed location does not obstruct the view from the neighboring properties and will barely be visible from the lake. Hardship is the terrain and topography of the applicants’ property. David Gregg - Approved as requested with conditions. (6:44 p.m.) David Gregg, part of Government Lots 1 and 2, Section 35 of Girard Township by East Battle Lake, requested a variance to subdivide an existing 5.59 acre parcel into one 2.5 acre lake lot and into one 3.09 acre back lot. The audience was polled with no one speaking for or against the variance as requested. After discussion and consideration, motion was made by Robert Schwartz, second by Steve Schierer and carried with Mark Steuart voting no, to approve a variance to subdivide an existing 5.59 acre parcel into one 2.5 acre lake lot (Tract C) and into one 3.09 acre back lot (Tract A) with the following conditions: 1) a registered surveyor’s drawing must be provided at the time of conveyance, 2) an easement or easements for ingress and egress to Tract C must be legally recorded and 3) no additional variances will be needed for the development of these two tracts. It was noted that both of the proposed lots (lake and back) meet or exceed the minimum size requirements for platted lots in an area classified for recreational development. The variance as approved will provide the applicant with an ability to separate the commercial portion of the property from the residential portion of the property. Raymond Ciesielski - Approved as requested with a condition. (6:53 p.m.) Raymond Ciesielski, part of Government Lot 5, Section 33 of Tordenskjold Township by Stalker Lake, requested a variance of 75’ from the required ordinary high water level setback of 150’ for the placement of a septic system 75’ from the lake and a variance of 123’ from the required ordinary high water level setback of 200’ for the replacement of a 12’ by 64’ manufacture home with a 16’ by 64’ home 77’ from the ordinary high water level. The audience was polled with no one speaking for or against the variance as requested. After discussion and consideration, motion was made by Paul Larson, second by Cecil Femling and unanimously carried, to approve a variance of 75’ from the required ordinary high water level setback of 150’ for the placement of a septic system 75’ from the lake and a variance of 123’ from the required ordinary high water level setback of 200’ for the replacement of a 12’ by 64’ manufacture home with a 16’ by 64’ home 77’ from the ordinary high water level with the condition that the Land and Resource Department must verify that the propose location for the septic system is in fact the best available site. Hardship is a substandard lot of record. 932796 OFFICE OF COUNTY RECORDER OTTER TAIL MINNESOTA I hereby certify that 9il2796 this instrument #______ was filed/recorded m this office for reco^ on the S day of ^ - Ji003at2^nif^ Wendy Metcalf, Coun^ Itecorder—^ ^ ^ well certificate by; THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER APPLICATION FOR VARIANCE COUNTY OF OTTER TAIL COURTHOUSE. FERGUS FALLS, MN 56537 (218) 739 -2271 COMPLETE THIS APPLICATION IN BLACK INK ■k-trk /7b •Application Fee Receipt Number Accepted By / Date^ 1 Xj ^ ^ ^ y OlheA: Lha. i7fv DAYTIME PHONEPROPERTY OWNER ADDRESS 6k LAKE NAME TOWNSHIP LAKE CLASSLAKE NUMBER /3A RANGE TOWNSHIP NAMESECTION E-911 AddressPARCEL NUMBER fnn LEGAL DESCRIPTION ' Ky Stl^ -Ijrv-rv^ ^CL-=-'- \1 4- c( I (/ "f ^^ I I ^ uoi (^c^7 AC.) Vo^b oic- VJ F y' ^61 C-Z-. AC- TYPE OF VARIANCE REQUESTED (Please ChecIO Sewage System v Subdivision Cluster Misc.Structure SizeStructure Setback SPECIFY VARIANCE REQUESTED P/wcjo v\<lv_v So-p^lc. V L L>_ -t" Vb"V\rN |bT\ ^X\ OV f -7^' P u^.OTbk'iv^3rc/t^ Kl<bc. .(7S y o w-\ IiCb X CM Voe- ~~i~i V^y Vv-<k \ b ir * t12.' K CM v\ V/*(^/■ ■ )-vO •( I UNDERSTAND THAT I HAVE APPLIED FOR A VARIANCE FROM THE REQUIREMENTS OF THE SHORELAND MANAGEMENT ORDINANCE/SUBDIVISION CONTROLS ORDINANCE OF OTTER TAIL COUNTY. I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO CONTACT LAND & RESOURCE MANAGEMENT REGARDING THIS MATTER. a 9 DATE APPLICANT MUST BE PRESENT AT THE HEARING(Applicant Will Receive Notification As To The Date/Time Of Hearing) bCC 53 Cj / cixL--^g^ S2C 3V '?sbl 'OOG --ooa^ ^(003 — cpo5 ^ <DO^ ~ OOl — oCf\ - C5/S^ ' o\S Otlf - 0/7 “O/? S.’il'OO f —<oo^ GG3 (50-4^g— ^ 09-^ - osC 'o03 - cxdH " OGJ - r^O '60o - (D\\ ' O/^ (^00 A.X'JDate Of Hearing Time Motion Raymond Ciesielski - Approved as requested with a condition. C6:53 p.m.) Motion was made by Paul Larson, second by Cecil Femling and unanimously carried, to approve a variance of 75’ from the required ordinary high water level setback of 150’ for the placement of a septic system 75’ from the lake and a variance of 123’ from the required ordinary high water level setback of 200’ for the replacement of a 12’ by 64’ manufacture home with a 16’ by 64’ home 77’ from the ordinary high water level with the condition that the Land and Resource Department rqust verify that the propose location for the septic system is in fact the best available site. Hardship is a substandard lot of record. Chairman/Otter Tail County¥oard of Adjustment Peri^t(s) required from Land & Resource Management /V Yes (Contact Land & Resource Management) No Copy of Application Mailed to Applicant And the MN DNR bk 0501-001 305.391 • Victor Lundeen Cc., Printers, Fergus Falls, MN • 1-800-3^6-4870 System design must be to scale and must include the proposed location of the sewage system, all existmg/proposed buildings, property lines, the ordinary high water level of the water body, wetlands, bluff and all water wells within 150' of the sewage system.received OCT 0 9 2002 !___inch(es) equals feetfeet, orScale:grid(s) equals LAND & RESOURCE /'J 7-, 4^'-V: \{ 11 LH k ^^/»i5A'S1GNATURE:SUBMITTED BY A l/A :)7cl-DATE:FIRM NAME: i f MPCA LICENSE #:ADDRESS:r ■ -/U LICENSE CATEGORY:/, -I ^ t 'T n ■* 1’^--^ f~ 777777^ /7F13 : i.<E/ IS' / 7'' ^ r rtjj /r....r ->t7.— 77^/\/ /I f !Hf af / / j--sr iC j -L. I I 7-7vS I /3^-75 /l/f lo 7/f n 7/tv:p, pfVi ’ II fic tJ“J c;.t / u / I ; \ I n V ' cjfJ \\ IL.. i- \.J . J....../ <?_! ,f* BK - 0599 - 029 300.817 • Victor Lundeen Co. Printers • Fergus Falls. MN • 1-800-346-4870 SITE DATA WORKSHEET ALAND AND RESOURCE MANAGEMENT Otter Tail County 121 W. Junius Ave., Suite 130 Fergus Falls, MN 56537^oos e 0 TOO OWNER: P fL ^ A-‘ ! TELEPHONE NUMBERLAST NAME FIRST MIDDLE ADDRESS: STATE ZIP CODECITYSTR./RT. 3 TWP, NAMERANGESEC.TWP.LAKE/RIVER NO.LAKE NAME LEGAL DESCRIPTION;SOIL BORING LOG - Date COLOR & MUNSELL NO. DEPTH (INCHES)STRUCTURETEXTURE BLOCKY PLATY PRISMATIC NONEPARCEL NUMBER BLOCKY PLATY PRISMATIC NONE FIRE NUMBER NUMBER OF BEDROOMS BLOCKY PLATY PRISMATIC NONE GARBAGE DISPOSAL: YES NO WELL CASING DEPTH:ft.BLOCKY PLATY PRISMATIC NONE FLOODPLAIN: YES NO VEGETATION: AQUATIC TERRESTRIAL BLOCKY PLATY PRISMATIC NONE SLOPE AT INSTALLATION SITE:% TYPE OF OBSERVATION: Probe Pit Boring PARENT MATERIAL: Till Outwash Loess Bedrock Alluvium COMMENTS: ORIGINAL SOIL: Yes No COMPACTED SOIL: Yes No DEPTH OF BORING:ft. PERC TEST #2PERC TEST #1 - TWO TESTS ARE REQUIRED - PERC RATEWATER DROPWATER DEPTHINTERVAL (MINUTES)TIMEPERC RATEINTERVAL (MINUTES)WATER DEPTH WATER DROPTIME STARTSTART TIME DROP PERC PERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIMEWATER DROP PERC RATEINTERVAL (MINUTES!TIME WATER DEPTH REFILLREFILL PERCTIME DROPPERCTIME DROP PERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHPERC RATE TIMEWATER DROPTIMEINTERVAL (MINUTES)WATER DEPTH REFILLREFILL TIME DROP PERCTIMEDROPPERC PERC RATEWATER DROPWATER DEPTHINTERVAL (MINUTES)PERC RATE TIMEWATER DROPTIMEINTERVAL fMINUTES)WATER DEPTH REFILLREFILL TIME DROP PERC TIME DROP PERC PERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHPERC RATE TIMEWATER DROPTIMEINTERVAL IMINUTESI WATER DEPTH REFILLREFILL PERCTIMEDROPTIMEDROPPERC PERC RATEWATER DROPWATER DEPTHINTERVAL (MINUTES)TIMEPERC RATEWATER DEPTH WATER DROPTIMEINTERVAL (MINUTES)refillREFILL PERCTIME DROPPERCTIME DROP PERC RATEWATER DROPINTERVAL [MINUTES)WATER DEPTHTIMEPERC RATEWATER DROPTIMEINTERVAL (MINUTES)WATER DEPTH REFILLREFILL PERCTIME DROPTIME DROP PERC PERC RATEWATER DROPINTERVAL (MINUTES!WATER DEPTHTIMEPERC RATEINTERVAL (MINUTES)WATER DEPTH WATER DROPTIME REFILLREFILL TIME DROP PERCDROPPERCTIME PROPOSED DESIGN: PRESSURE DIST.GRAVITY DIST.HOLDING TANKATGRADEMOUNDTRENCHBED SPECIFY: — SYSTEM DESIGN ON BACK — OTHEROUTHOUSESEWER LINE Notice of Hearing for Variance Otter Tail County Courthouse 121 West Junius Ave. Fergus Falls, MN 56537 (218) 998-8030/998-8041 Email - wstein@co.ottertail.mn.us www.co.otter-tail.mn.us Applicant must be present at the scheduled hearing. To Whom It May Concern: Raymond Ciesielski 556 Cheri Ln Fridley, MN 55421 has made application to the Otter Tail County Board of Adjustment for a variance as per requirements of the Otter Tail County Shoreland Management Ordinance and/or the Subdivision Controls Ordinance. The Otter Tail County Board of Adjustment will assemble for this hearing on Thursday, July 3, 2003, at 6:30 p.m.. in the Commissioners’ Room of the Otter Tail County Courthouse, Fergus Falls, MN. (Please use the west Law Enforcement entrance.) Individuals requiring special accommodations should contact the County Auditor’s office prior to the date of the public hearing. The property concerned in the application is legally described as part of Government Lot 5, E911 Address - 31450 GOLF COURSE LN Section 33, Township 132, Range 41 - Township Name - Tordenskhjold Lake No. 56-420/437, Lake Name - Unnamed/Staiker, Class - NE/RD The variance requested is; a variance of 75’ from the required ordinary high water level setback of 150’ for the placement of a septic system 75’ from the lake and a variance of 123’ from the required ordinary high water level setback of 200’ for the replacement of a 12’ by 64’ manufacture home with a 16’ by 64’ home 77’ from the ordinary high water level. Board of Adjustment Secretary Date: June 13, 2003 f.r OTTER TAIL COUNTY Fergus Falls, Minnesota State of Minnesota ) )SS County of Otter Tail) I, Wayne Stein, Secretary for the Board of Adjustment for Otter Tail County, Minnesota, do hereby certify that on the 16th, day of June, 2003 the attached Notice of Hearing for Variance was duly served upon the individuals listed below and/or included in the attachment: Raymond Ciesieiski, 556 Cheri LN., Fridley, MN 55421 Tracy Schoening, Twp Clerk of Tordenskjold, 19485 County Highway 39, Underwood, MN 56586 Otter Tail County Cola, % John Matteson, 23674 W Silver Lake Rd, Battle Lake,MN 56515 Richard West, Otter Tail County Highway Engineer, Courthouse, Fergus Falls, MN 56537 Terry Lejcher, DNR 1221 1/2 E. Fir Ave., Fergus Falls, MN 56537 DNR Regional Administrator, 2115 Birchmont Beach Rd. NE, Bemidji, MN 56601 Town Clerk Board of Adjustment: Paul R. Larson, 21283 County Highway 65, Henning, MN 56551-9573 Richard S. Schierer, 3310 Rollins Beach Tris, Fergus Falls, MN 56537 Cecil B. Femling, 13 6th St. NE, Pelican Rapids, MN 56572 Randall Mann, 532 N. Ann St., Fergus Falls, MN 56537 Mark Steuart, 36768 Lillis Drive, Richville, MN 56576-9725 Robert Schwartz, 31548 County Highway 75, Wadena, MN 56482 by piacing a true and correct copy thereof in a sealed envelope, postage prepaid, and depositing the same in the United States Mail at Fergus Falls, MN, property addressed to each of the individuals listed above and/or listed in the attachment. Dated: June 16th, 2003 Wayne Stein, Secretary Otter Tail County Board of Adjustment V^JL , (TlHra X A By: Vi Manderud Shirley Little, PO Box 344, Loraine, IL 62349-0344 Creighton A and Teresa Clemens, 4428 Welcome Ave N, Crystal, MN 55422-1165 Steven Holo, 17197 County Highway 47, Battle Lake, Mn 56515-9213 Gayland and Harriet Fronning, 16156 Golf Course RD, Dalton, Mn 56324-4519 Betty Osier, 31404 Golf course LN, Dalton, MN 56324-4517 Eldon and Marlene Petersen, 31364 Golf Course Ln, Dalton, Mn 56324-4516 Larry and Diane Engstrom, 31389 Golf Course LN, Dalton, MN 56324-4516 R and T Nordick Properties LLP, 1310 4*'’ Ave S., Wahpeton, ND 58075-4665 Curtis and Donna Mark, 811 Pebble Creek Dr., St. Cloud, MN 56303-0949 Bassen TST, 12825 Boxwood Ln, Union Bridge, MD 21791 Gerard C and Laurie A Thompson, 8101 35*'’ Ave N., Crystal, MN 55427-1933 Craig W and Lisa R Utterberg, 1714 Pulaski Rd, Buffalo, MN 55313-2230 Darrin Good etal, 2012 Meadow St., Cologne, Mn 55322-9068 Duane W. Bock et al, Attn: John and cleone A. Bock, 104 3’*' St. SE, Gwinner, ND 58040-4332 Loren and Shirley Kay Frigaard, 12769 County Highway 35, Dalton, MN 56324-4603 Mary Ann Christians, 354 222th Ave NW, Coon Rapids, MN 55448-3302 John C. and renee L Marlenee, 512 Hayes Dr., Northfield, MN 55057-3539 Robert A and Nancy K Purdon, 16319 Golf Course Rd, Dalton, Mn 56324-4520 Robert G and Sheila Christenson, 5651 164*'’ LN NW, Ramsey, MN 55303-5803 William T and Dorothy J Minor, 8889 Chaparral Rd, Eagle, ID 83616-1415 Rodney L and Barbara K Howard, 16230 Golf Course Rd, Dalton, MN 56324-4518 OTTER TAIL COUNTY TG670R ACS Tax System 06/10/2003 11:27:14 Freeform Image Print COVERPAGE ******************************************************************************* SON SON SON SON C N E L N E L N E L N E L * * *** * ** c * * *★* **★ * sir ★c * * *** * * *c * * *** ******************************************************************************* Report Selection: Freeform Type : U Freeform Number: 61 LABELS 6 Width: 35 Multiples: 1 Paper: LBLLength: Select Model: 95 Sort Model: 127 Run Time Changes: N Summarize Keys: N Use Current Taxpayer: Y 095 SELECT UP TO 300 PARCELSSELECT MODEL 2004PAYABLE YEAR ROLL TYPES PARCELS ALL R 58000330237000 R 58000330237002 R 58000330237003 R 58000330237005 R 58000330237006 R 58000330237007 R 58000330237009 R 58000330237014 R 58000330237016 R 58000330237017 R 58000330237018 R 58000330237019 R 58000330237022 R 58000330237024 R 58000330237025 R 58000330237027 R 58000330238000 R 58000340247001 R 58000340247002 R 58000340247003 R 58000340247004 R 58000340247011 127 LANDScRESOURCE SORT AS ISSORT MODEL Run Instructions: Jobq Banner Copies Form Printer Hold Space L CNELSON LPI Lines CPI 6 066 1001PIYS GrcdjLhv ti j(Kp:^£:^ 0J^4e M/V 6S9-We iklAk. 9^ mitSystem design musrbe ^o'^c^lie’a^ ip9lude|tfie proposed Iqcatiqn; pf the sewage system, all existing/prqposed buildings, property lin^, ^he qrdiqqry high yvater level pf the water body, yvetlands, pluff ar)d all, water, wells within 150'of the sewage system. i i Ii 1 9^iScale!grid(s) equals feet, pr feetinch(es) eqUa siI ! 1 5^k I75 //^.T^^/SIGNATURE: -H—^—— 1 1 . : ; ^ 'I i I !DATE:I j II ! ; : I : ! MPCA License #: SUBMITTED BY \i l.17Pf<f^ik4FIRM NAME ?i I I ADDRESS klL 1 /Uiirr r^^E CAy^GQF^Y -J7jrrT-H-r— ; P'1 LCEi;Sl22i-\ mJTAJSSi1'1 ±.r“ ' I' I \mi ! r:*!9lC Ifi#U7^/Ji/ •VI ~i' ;l5 J<‘^/%n yJ/P iPl f k/rrH [£V T k, .1 - ■/ J- I / I tH':>5 -■'T 1L- ni -*V 7 'S -f- f- J_ "f i t y •8( 0-346..l87iBK -I 0699 - 029 300.81'Yt :tor Lui iderri CO-. *rirHars Ftrdut F*lk MN SHORELAND MANAGEMENT OTTER TAIL COUNTY FERGUS FALLS, MINN. MKL 0871-030 File Opening Date. Individual File~^ ) Name of Applicant: \ J Legal Descrijjtion Subdivision Name,Subdivision File ( )___________ Special Use ( )Use Description.(O aaon^ JS ^ Address; ~ ^ Clastif. StTta ■7 r\4-^ Ranpa Twp Name /y St. & No.Zip No.Phone No. M. Leke No.Lake or River Name Sac.Twp. " T-'bn-OXU SURVEY LOTS OF GL 5 i 6 5o“ X 70' NO LK FRONT (CALLED LOT A) 3^-000- o - OO U . 08 AC _.«:°W SE- 101.08' STV SELY^■»7 PG 387^ ™ BG RC BKfN.•27 AC 5S - QOC - 3)5 03 O BUILDING PERMITS VARIANCES ON BUILDINfi PERMITS PurposeDate Date Inspected Date NotifiedResultsAppl. Date Hearing Pete H^ing JudgementNO. 5^/7 i ./HSPP. a90/ i- 0 SEWAGE SYSTEM PERMITS VARIANCES ON SEWAGE SYSTEM PERMITS Date flotifiedPurposeDateDate Inspected Results Appl. Date Hearing Date Hearing JudgementNO. Wot SHfjf,S yS /("rv-w.«-u^e^ZW/UfcO >e 0 SPECIAL USE PERMITS §3 COIMMENTS SECTION:Notice MailedApplication Date Hearing Data tA CA Accompanying Documents Filed in Cabinet No.%. ^ <Mtw UMMI* ( «■ . riatvl ’mx*. mmm 1 S9093ANOTE; O aid © See enclosed Inspectors Copy of Permit Application. @ See enclosed Special Use Permit Application. tfSfiiBM-1 h \ s - - 7) - ^- - 7_o O') Plaf ..I I : STALKER / •7 ( Vi Q 'n LAKE i J fi •:^<n//jt, iL /7 /6jp-VAv\ -tf r- ^n ?0r So,M I Acr N-J t.*N '-'■. 15'? 7 —4 '5,J>>»•'n r <c _ f.. vj^ / \/l L-isf.k "Tsi-•L ■" Hi!»9fegi«^i VA A ' O A 9 4 h- •sfl’,LiJ3^'r7' s t ' 3 Aj *9fi )aS£(^t ^ i.Oa • - ,> i i-^>-Z (> \fl'' ^ i■- . 'li?. . .i=L % ap- bi .i jJ tl? ??.V2 1*) CiC< ^i is-■ ‘rt civii|7 ':!'^ ‘’of\ ■' liii Vtf■zzrD■\C3.nv.. }j n 1//\I \ ^/•rli9'0 ^ ' '"S 's ’ Q ^ <D 3 as Ct^' ■ I5/,/h,/,!oI/1 fI,0.I Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center • 540 West Fir Fergus Falls, MN 56537 Ph: 218-998-8095 Otter Tail County’s Website: www.co.ottertail.mn.us September 29, 2003 Raymond & Evangeline Ciesielke 556 Cheri Ln NE Fridley, MN 55421 RE: Sewage Treatment System Servicing Tax Parcel Number 58000330237006 & 58000330237026 Described as Pt GL 5 & Survey Lots of GL 5 & 6..., Section 33 of Tordenskjold Township, Stalker Lake/Unnamed Lake (56-437/56-420) As of July 21, 2003, the sewage treatment system (Sewage Treatment Installation Permit #16041) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a 3 bedroom home. If you have any questions regarding this matter, please contact our office. Sincerely, George Hausske Inspector 1/ Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY 121 W. Junius Ave., Suite 130 Fergus Falls, MN 56537 Ph: 218-998-8095 Otter Tail County’s Website; www.co.ottertail.mn.us August 19, 2003 Raymond & Evangeline Ciesielke 556 Cheri Ln NE Fridley, MN 55421 RE: Sewage Treatment System Servicing TayRarcel Number 58000330237006 &58000330237026 Describe^s-Ptj(i^^^ Survey Lots of GL 5 & 6..., Section 33 of Tordenskjold Townshi^J^talker La^(56-437) As of July 21, 2003, the sewage treatment system (Sewage Treatment Installation Permit #16041) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a 3 bedroom home. If you have any questions regarding this matter, please contadt our office. Sincerely George Hausske Inspector L s'.Y •APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM \ LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WhHTE - Office YELLOW -L&R Inspector PINK ■ Owner / Contractor (after issue) iLoll \APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. SECTIONLAKE/RIVER NAME LAKE/RIVER CLASS TWP NO.RANGE TWP NAMELAKE NUMBER HT) 33 \ / E-911 ADDRESS ’ GJ-f C. Sox "70 A 4/ PARCEL NUMBER (S) OF PROPERTY BEING SERVICED2%700<^ ^ 5 > o;} 5 7 <2) ^4, LEGAL DESCRIPTION L ^L 1 Last Name First Initial Mailing Address Daytime Phone No. ^. / P f I K'l_____f\/>. R^axjfyfonJ a-- ^l/ar)c>e,/, Trc^c/ m.I<4a f Maj SS‘/,S, i~Jt^07 JC!£Property Owner /''cX /3?y Ij^ 7 //7/iJ^y~77 r'f] 5 < A IhlContractor Lie.#j THIS SPACE FOR OFFICE USE ONLY m> This System will be ready fo^nspectionmn ___, the year of Time Received 7^P.M. Date Beceiwd L & l^ffifal SEWAGE TREATMENT SYSTEM DESIGN DATATYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD \“~T r;^ ^Size GIs. fa /Add-On/ Replacement ^,(32) Tank, Septic ! ' (33) Tank, Lift (34) Trench, Rock ■ (35) Trench, Gravelless (36) Trench, Chamber '(37) Bed (38) Mound (39) At Grade • (40) Combination > New System Fl^) Trench, Rock j '■(2l)'Trehch, Grave 11 ess (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade i7Setback to nearest well----J7----------------¥ Setback to OHWL(mke&/or river) Uj > JV Ft.hj■/ -V 71^ -h Ad Ft. Ft. Setback to'wetland »Ft. Ft. TSetback (o dwelling Ft. Ft.4 \0Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (30) At Grade \ . Setback to,non-dwelling Ft. Ft./ 4 Id 4 m Setback to nearest property line ,Ft.Ft.Other (41) Tank, Holding (42) Outhouse (43) Sewer Line (44) Performance (45) Warrantied (46) Miscellaneous d to 4 lY)Setback to road right-of''way j-Ft.Ft. . 1. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. Elevation above restrictive layer R.Ft. # BEDROOMS ■. 3 "i ' - GARBAGE DISP^Y \ ABATEMENT(S/ N________ DEPTH OFVyyERWELL ABSORPTION AREA FOR MOUNDS •\/.Ft^HOLDING TANK MONITOR/ DISPPSAL CONTRACT (-y)Yes (y'} No-L&R Can Not Process EFFLUENT \ DISTRIBUTION >\ /- 7a< } C If ' ‘Designer Designer Lie. # Gravity,A ) Fissure-’ ■ (A PERCOLATION TEST DATA r~, </'A'Tn XL </ 1. /LLDate of Test.Highest Rate Agreement: The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accordance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which Is approved by a Land & Resource Management Official 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 approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. 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, employ^ and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE: This permit is valid for a period of six (6) months. A copy of the final Inspection Report will serve as the Certificate of Compliance for approved installations. Ii ’lli —L./\ .Date:Permit Fee $~T Li t'cS'ignaXure of Property Owner/Agent for Owner 1\ /3Cy//Date:Rec. No.1 Land & Resource Management Office i (■IComments: yForm No. BK — 0201-003 306.475 • Vidor Lundeen Co., Printers • Fergus Falls, Minnesota t •SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements HOLDING SEPTIC TANK OUTHOUSEDRAINFIELDLIFT TANKCATEGORY Capacity FT2 FT2GLS.GLS. 017?'' ft 5:^.'FT FT FTSetback from Nearest Well Setback from Buried Water Suction Pipe FT FT FT FT Setback from Buried Pipe Distributing Water Under Pressure FT FT FT FT 7^'"7^ ' FTSetback from OHWL (lake &/or river)FT FT FT Setback from Setback from Wetland FTct -rr ft FT FT ^0 *■+ 33 " FTSetback from Dwelling FT FT FT 'VSetback from Non-Dwelling FTFTFT fSetback from Nearest Property Line FT+ vo ft FT }0 FT lo-f'Setback from Right-of-Way FT FTi-LO FT FT pp 3^Elevation above Restrictive Layer FT FTFT —N0-Holding Tank/Lift Alarm YES'Ar Old System Pumped & Destroyed SEPTIC TANK FILTER Sewer Line to Well Separation DRAINFIELD CALCULATION J\/linimumActual 3FTX□ YESManuf.. 2^I06>a >6jo ’Model #FT 20 MOUND CALCULATION MOUND /AT-GRADE ROCK REDUCTIONInspector’s Comments: 1^ rABSORBTION AREA Rock trenches with inches M1of rock under pipe for reduction / equivalent ( ft^ DR %Ft. X ■t M'i Ft2 SKETCH: r ^ ^JrooriSl QlOO Cl ilnlo'} -|:)p Date Initial /L&R OfficialTime CERTIFICATION OF COMPLIANCEAs of 1 Code of Otter Tail County. , the above described sewage system installation was found to be compliant with the provisions of the Sanitation Copy of Inspection Report Mailed to Applicant L&R Official / DateLand & Resource Management Official APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE - Office YELLOW- L&R Inspector PINK - Owner / Contractor (after issue) O')!APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE/RIVER NAMELAKE NUMBER LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME TORCEL NUMBER (S) OF PROPERTY BEING SERVICEDS'S'O'&o ?‘'^o S.17oo(^ S^oo ^ 3^ RD -33 \i3?~^\ 4/ ' E-911 ADDRESS ' C-L. ScSX ?<2> ^ 'X//a LEGAL DESCRIPTION C ! Jl - o L S Last Name First Initial Mailing Address Daytime Phone No. / € 5/ c? /S Ct Aer'i——M£ __tin i:>d.7 O',Property Owner r ____________________________- J3ny 4^4 7 M _________________________j<yj07 Contractor Lie.#74/ 7'X74^ THIS SPACE FOR OFFICE USE ONLY A.M. >■ This System will be ready for inspection on.the year of P.M..at. A.M. P.M. Date Received Time Received L&R Official SEWAGE TREATMENT SYSTEM DESIGN DATATYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD Ft"GIs.Size /2>jCyXAdd-On/New System RocO Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination ^Oj ^ench.Setback to nearest well .ftFt.Ft.-F'S-rench, G rave 11 ess (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade -F Zh" 7-'52> Setback to OHWL (lake &/or river)Ft.Ft.2^ -i JT2>Setback to wetland Ft.Ft. Setback to dwelling Ft.Ft.f icCollector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (30) At Grade Setback to non-dwelling Ft.±M-Ft.4 Id Setback to nearest property line Ft.Ft.Other 4 Id.4 10(41) Tank, Holding (42) Outhouse (43) Sewer Line (44) Performance (45) Warranted (46) Miscellaneous 4 It4- ICSetback to road right-of-way Ft.Ft. Elevation above restrictive layer Ft.Ft. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. # BEDROOMS c_? GARBAGE DISP. Y ABATEMENT(^/ N DEPTH OF WATER WELL ABSORPTION AREA FOR MOUNDS .Ft"HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes C)^) No-L&R Can Not Process EFFLUENT DISTRIBUTION Gravity ( ) Pressure jjnDesigner ^J£lr Designer Lie. # PERCOLATION TEST DATA K'i 5/T/7n rL Y LLDate of Test.Highest Rate Agreement: The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accordance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource Management Official 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 approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. 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 Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the' Sanitation Code. NOTE: This permit is valid for a period of six (6) months. A copy of the final Inspection Report'will serve~as the Certificate of Compliance for approved installations. Date:Permit Fee $ ynature of Property Oj^ner/Agent for Own non/Date:Rec. No. Land & Resource Management Office Comments: Form No. BK — 0201-003 306,475 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota System design must be to scale and must include the proposed location of the sewage system, all existing/proposed buildings, property lines, the ordinary high water level of the water body, wetlands, bluff and all water wells within 150' of the sewage system. /___inch(es) equals feetScale:grid(s) equals feet, or ISIGNATURE: DATE: LICENSE CATEGORY: f)csij SUBMITTED BY:_ FIRM NAME: V he. Jl _4^7 Mn itAy\y 4r h MPCA LICENSE #:ADDRESS: JT (AV < \ 7J XX / BK - 0699 - 029 300.617 • Victoi Lundeen Co, Pf*mefS • Fergus Falls. MN • 1-800-346-4870 SITE DATA WORKSHEET LAND AND RESOURCE MANAGEMENT Otter Tail County 121 W. Junius Ave., Suite 130 Fergus Falls, MN 56537 OWNER: &fl;jLKl—7 '^S L cLA^TNXMt 'fff TELEPHONE NUMBERMIDDLE ADDRESS: Hn?/ u<:n STR./RT.CITY ZIP CODESTATE / 7/2Ssz~^jyLAKE/RIVER NO.LAKE NAME SEC.RANGE TWP. NAMETWP. LEGAL DESCRIPTION:SOIL BORING LOG - Date COLOR & MUNSELL NO. DEPTH (INCHES)STRUCTURETEXTURE BLOCKY PLATY PRISMATICItillPARCEL NUMBER BLOCKX, FIRE NUMBER PRISMATIC NONESAf\Jy Lxjt^ 7 Y/l ^/a/ NUMBER OF BEDROOMS GARBAGE DISPOSAL: YES <1^1> WELL CASING DEPTH: -fy FLOODPLAIN: YES VEGETATION: AQUATIC BLOCKY PLATY PRISI^^IC nr/iJ3C -ft.BLOCKY PLATY PRISMATIC NONE^RESTRjAlP BLOCKY PLATY PRISMATIC NONE SLOPE AT INSTALLATION SITE: TYPE OF OBSERVATION: Probe Boring ^TTir^ Outwash Loess Bedrock Alluvium COMPACTED SOIL: Yes DEPTH OF BORING: PARENT MATERIAL:COMMENTS: ORIGINAL SOIL: PERC TEST #1 PERC TEST #2- TWO TESTS ARE REQUIRED - PERC RATEWATER DEPTH WATER DROPTIMEINTERVAL (MINUTES)WATER DEPTH PERC RATE TIME INTERVAL IMINUTES)WATER DROP :^'W\..■? ^ TIME ’■"DROP PERC ^ STARTSTART PERC RATEWATER DEPTH WATER DROPTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)/lEk. fl.OK REFILLREfILL 4.V TIME DROP PERC PERC HATEWATER DROPTIMEPERC RATE TIME,^INTERVAL IMINUTES)WATER DEPTHINTERVAL (MINUTES)WATER DEPTH WATER DROP UaT.MJKfJjoREFILLREFILL TIME DROP PERC~TIME DROP PERC ^.<3 PERC RATEWATER DROPPERC RATE INTERVAL IMINUTES)WATER DEPTHTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP TIME 9 - ■3.1 REFILLREFILL TIME DROP 1>ERCTIME DROP PERCa ..fh7^s^i...... PERC RATEWATER DROPPERC RATE INTERVAL IMINUTES)WATER DEPTHTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP TIME Hut A.%.REFILLREFILL ^^-IL TIME DROP ‘PERC "~TI^ ‘"‘•'DROP ~ PE^'Mmsn... PERC RATEWATER DROPPERC RATE INTERVAL IMINUTES)WATER DEPTHTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP TIME 31$refillREFILL TIME DROP PERC 'DTOP ' l^C .Jd-’4S±.............''TIME PERC RATEWATER DROPPERC RATE TIME INTERVAL IMINUTESI WATER DEPTIMEINTERVAL IMINUTESI WATER DEPTH WATER DROP X£2 refillREFILL ^.42jriL ~~rtME DROP PERC :3.6-DROPTIME PERC PERC RATEWATER DROPPERC RATE TIME INTERVAL (MINUTES!WATER DEPTHTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP REFILLREFILL DROP PERCTIMETIME DROP PERC PROPOSED DESIGN; PRESSURE DIST.HOLDING TANK GRAVITY DIST.TRENCH MOUNDBEDATGRADE ._______ SPECIFY:____________ — SYSTEM DESIGN ON BACK — SEWER LINE OUTHOUSE OTHER Department of LAND AND RESGIJRGE MANAGEMENT OTTER TAIL COUNTY 121 W. Junius Ave., Suite 130 Fergus Falls, MN 56537 Ph: 218-739-2271 June 10,2002 Raymond 85 Evangeline Ciesielki 556CheriLNNE Fridley, MN^55421-1207 RE: Abatement Notice, Stalker Lake. (56-437) Dear Mr. & Ms. Ciesielki, It has been almost one year since you received the Abatement Notice on your Stalker Lake property. To date, this matter remains unsatisfied. Please bring your septic system into compliance with the Sanitation Code of Otter Tail County by July 15, 2002. Please notify this office when this will be completed or this matter will be referred to the County Attorney’s Office. Sincerely, George Hausske Inspector GH/ajm SEWAGE SYSTEM ABATEMENT NOTICE LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL COURTHOUSE, FERGUS FALLS, MN 56537 (218) 739-2271 Lake Niimber: (56- 437) Lake Name: STALKER RAYMOND & EVANGELINE CIESIELKI 556 CHERI LN NE FRIDLEY, MN 55421 1207 I You are hereby notified that the sewage system which, you maintain on the following described property: UNPLATTED PT GL. 5: BG 3 02.3 9 CR: W 89.59 101.08 447 PG 387 W FR SE SELYN 150 SLY 110' TO BG RC BK I I I Twp: , 132 . Range: 041 TordenskjoldSec:33 't Parcel Number: 58000330237006 GIS #:31450 .Golf Course Ln is not constructed and/or located in accordance with minimum standards of the Shoreland Management Ordinance of Otter Tail County. Please be advised that you must correct this situation within 30 days, should contact this.office in order to determine what corrections arid permits are required prior to complying with this notification. You Land ^ Resource Management Of f icial - Date'd ’ JUNE ' ’2001 STATE OF MINNESOTA ) )ss. AFFIDAVIT OF SERVICE BY MAIL COUNTY OF OTTER TAIL) Mavis Samuelson, of the City of Fergus Falls, County of Otter Tail, in the State of Minnesota, being duly sworn, says that on the (22^ day of June, 2001,) she served the annexed: ONSITE SEWAGE SYSTEM ABATEMENT NOTICE Oh the following person, by mailing a copy thereof, enclosed in an envelope, postage prepaid, and by depositing same in the post,office at Fergus Falls, Minnesota, directed to said person at the following address: RAYMOND & EVANGELINE CIESIELKI 556 CHERI LN NE FRIDLEY, MN 55421 1207 V Mavis Samuelson Land & Resource Management Official Subscribed and sworn to before me this in the year of My Commission Expires \mWJ ■ f r FIELD NOTES LAKE NO. 56- ^S7 DATELAKE NAME: FIRE NO.: ^Parcel No.: ^'^CCO^yX^'S'iCO^LEGAL DESCRIPTION ^j^iSO Coutfe. Llr<fH- Gl S' : j2 S' ? ^ ^ ' OWNERS NAME AND ADDRESS: ^Vaiy^lfi^A^ <Oi-e,s S'5% CUe^i U p-\r\i^Uy /yi/\/ f Comments: SEPARATION DISTANCES(IN FEET) SEWER LINE TANK ABSORPTION AREA OUTHOUSE WELL OHWL LOT LINE DWELLING NON DWELLING GROUND ELEVATION @ REASON(S) FOR ABATEMENT: /3 f- r ■r,'- / :: >- ■ r I h /-fid I,\ 010 V/I □ V V 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 W te — Office V low — Inspector Pli.. Card^ 'OwiTer' Owner .7 Permit No.y >1LEGAL /i /■ ■Date DESCRIPTION AND LOCATION Lake No. Lake Name Lake Classif.Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. Initial Mailling Address —No. Street, City and State Zip No.Tel. No.Last Name First OWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only 19 ,M Date Rac'd Time Rac'd Phone Call Rac'd By Owner or Agent Signature NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Sq. Ft.Sq. Ft.Capacity Ft.Ft.Ft.Distance from nearest well Ft.Ft.Distance from lake or stream Ft. Ft.Distance from occupied building Ft.Ft. Distance from property line Ft.Ft.Ft. Ft.Ft.Distance from bottom to Water Table Ft. AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19,, Time By PERCOLATION TEST DATA:Date of First Test , 19 , 19 , Rate Date of Second Test , Rate 1st Test Taken By First Test -I- 2nd Test S5 2 Rate2nd Test Taken By Agreement: 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. (Call or use attached mailer notice.) The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in Dated Signature Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement, condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordingni 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. pon express Minnesota. Issued Date: Shoreland Management Office Fee $Surcharge $ Comments:. Form No. MKL-0771-003 vicToa uiHscia t eo.. .aiMTiaa. rtasui fu.li. hihh 158906 INSPECTION RESULTS V 4 Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be Capacity GIs.GIs.S F S F S F S F Distance from Nearest Well F 75F 50FFF F Distance from Lake or Stream F F F F F F Distance from Occupied Building 10 2020FFF F F F Distance from Property Line 10 10 10FFFFF F Distance from Bottom to Water Table 4 4FFF F F F Inspector's Comments; Date of Inspection.19___ Time of Inspection.M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet =* Linear Feet Job TitleF AgencyMKL-0771-003-Backer 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 W :te - Office V low — Inspector Ph.. — Owner Cardiff 6wf«er L 7177Permit No.LEGAL Date DESCRIPTION AND fCD /?:? t//Tr>jlcjir-LOCATION Lake No.Lake Name Sec.Lake Classif.TWP Range TWP Name IDENTIFICATION: Please Print AM Information. I^st Name r-I 0 /-V Mailling Address —No, Street, City and State Tel. No.First Initial Zip No. Do KOWNER ^ry 2. TSEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only .19 -M Date Bec'd Time Bec'd Phone Call Bec'd By Owner or Agent Signature NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD 2^7 GIs.Sq. Ft.Capacity Sq. Ft. n.o Ft.Ft.Ft.Distance from nearest well 7r>75 Ft.Ft.Distance from lake or stream Ft. r111Ft.Distance from occupied building Ft.Ft. 7^,vLol:.n /oDistance from property line Ft.Ft.Ft. Ft.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 .M By 2i:PERCOLATION TEST. DATA: 1st Test Taken By ' Date of First Test „ 19 , 19 Rate /V / rDate of Second Test , Rate ;i -f '.^...7..,..First Test -I- 2nd Test 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. (Call or use attached mailer notice.) nhh yDated Signature Permit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform/n alj 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 jfTthe above statement. This permit is granted upxjn express Issued Date: STOrMnd Management pffice Fee $Surcharge $ Comments:. Form No. MKL-0771-003 vicToa LuMBtCH t e«.. PtiHTCkt. riaius racLt. itiHa 15S906 PERCOLATION TEST DATA Price $ 1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No Owner:Mailing Address: St.'& No.Last Name First Middle City State Zip No.Legal Description;MlLr~33 ^.r£- is? TWP CITaMESEC.TWP.LAKE OR RIVER NO.NAME RANGE TEST HOLE NO. 2TEST HOLE NO. 1 ^G’’' Depth to Bottom of Hole inches; Diameter of Hole jnchesDepth To Bottom of Hole,Diameter of Holeinches;inches f 19Depth, Inches Soil Texture Depth. Inches Soil TextureDate.Date Percolation Test By____ Percolation Test Bv ./*Aw </LU(T &»FirmName,q:FirmName.3(3 OLU oc LU Address,CC Address <i3-y CO Otter Tall County License No.,Otter Tail County License No.,J-coUJMeasurement, Inches Depth in Water Level, Inches h-Measurement, Inches Depth in Water Level. Inches Time Remarks Time Remarks o .'GS/ : oc3 § (-^ if,S9 i 1ja:¥3^ WW' V/ W' /I ds^/ ‘ tf o 'WW ~sw 7^/f£d /‘3j^£f. W' ¥3Ve^3-3jrBf a G Y¥¥V /41"3' Wl 3 9.^"3 9S‘'B '0^313d 7^/»"3^3 :S-^i' f/ a G ¥3 <3 J- - SL 7 MKU-0871-028159179 ®VICTOR LjkoecH 4 CO.. (■•laitRa. rc*eu9 fm-ls. See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. . .IRELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSt Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Permit No„V,/ OtiLEGAL7 •1 Date./'DESCRIPTION AND LOCATION TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No,Mailing Address— No. Street. City and StateFirstInitialLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: ( ) One Family Dwelling ( ) Multiple Dwelling Specify;,( ) New Building ( ) Alteration Units ( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME; ( ) Yes ( ) No( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator; ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement:( ) Masonry ( ) Wood Frame I ) Structural Steel ( ) Other — Specify Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. .b - Baths HEATING: ( ) E lectric ( ) Coal Other: ( ) Oil( ) Gas ( ) None ( ) NoType of Roof: ( ) No ( ) Unit CHARACTERISTICS: feet.square feet.Water frontage is. feet. (Building Line) ................................feet Lot Area is 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.feet — from road or street is feet........................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and 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: P1 LED NOT CALLED 8 2”g T8 Form No. MKL-0771-002 ,158899 VICTO* UlOOCtH 8 CO.. FCMOu* FM.L8. f INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4. MINIMUM Shall Be 4, Sq. Ft. Sq. Ft.Lot Area (Square feet)Sq. Ft. 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.Side Yard &Ft.& Rear Yard Ft.Ft. 10 Ft.Occupied Building to Septic Tank Ft. 20 Ft.Occupied Building to Absorption System Ft. Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: Inspector s Signature Title Inspection Dated 19 Agency ff,: UMftCCN ft M.. ftItIHTt ■> ftl-- K '■ , JRELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUS6 Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY * Permit No,.LEGAL Date.DESCRIPTION AND LOCATION TWP WmeHO3"3 TWP RangeLake Classif.Sec.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name J', /M4/fOwner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: czfW'OK , t ) Alteration One Family Dwelling ( ) Multiple Dwelling ( ) Other Specify:.New Building Units ( ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Yes (\) No( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (^f Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify 4,fBaths HEATING: ( ) Electric ( ) Gas ( ) None tyiT No OilType of Roof: (y No ( ) Coal Other:( ) Unit CHARACTERISTICS: feet.Water frontage issquare feet.Lot Area is feet. (Building Line)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 .....7]f..Ol. feet. feet.feet — ........ feet from septic tank (Sewage System Permit must be obtained before installation). feet. Rear yard isand feet from soil absorption system (Cesspool, Drainfield, etc.). 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>«ix (6) months. i.y 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. ______/Pi t ty Shoreland Management Of^ial Dated State Surcharge $,Permit Fee $. Comments: Form No. MKL-0771-002 ,158899 VICTtll U7MCCN 4 C*.. Ptiatta*. rC44U4 r«.L4. rOixM I!:?LL=AS5 SUBMIT THE FOLLOV/iNG li^FORMATiON:i 1I 1. Distance vrom normci water mark of lake to structure (if applicable). : 2. Disicince to ali property li.'tes. ■i ;.J "n~ry:vtz i ;!‘I3. Distance to center of closest public road or distance from road right-of-way. ..........' :........}-/ I .! ...I.. :.: '..:..................L. *...|..|..i........i..:..L.! ../: :.. ' .t..i'"^*.[■■ I ' i.'..i.^.i..i.i..tT-:-!-r[- :}I ! / i JI:■ 1;I /Lfj2.,.aan\!::i1!i(!/-•-;I ;i ,<rJ-.-.'-ikiJ .!];/'■ ■■ /fio tv I i4/7 /.: |rr a v';I '(!\ 'i I Ii;'O'■I \r?^r.\..i i,."I i 1 Ii }ii j ........i.i J.lJ. i/_,i.I..L ! y:.,,; \ i .!..Lx: / ^ ' .. ....I I!1!I-:'L i;I II ;I t". |01 IXi .SC'X,'' I ^ ^ I • !■^''1 I.4';-1 /../i ■ /Li.->0 ’>y'ti. V! .i<y-'X '.^:it:h-1-]."i'"'.■ <::!r II/T; ./TXV:. j. . ..-I -.......X i19IV / ....... } ........... Xi ...r: J!I I!i.:o X'i !VS.'I!i Ii •• t /\!.t i\ i\^.L I!i !;X 1 Mi ■i/^ 1 !I I ; -»\! !“,L i.i !i ;I;• X'1 I j I;y ......y Ii1-:/1 i:[ :y-i i.. J ..; . I ...I 1'i I i ii!;i i . r Ii!;!•A :;! A;j Vi iIiY-f'. is'.;;:i:1!* I !!I I VNi i; :I ;1ii ■ '«Vi !. tsi..‘ ’■ I / I II I !!X i !V jI:I i!!1 !!:1i!:ii;'! !:J. ;I I;I:i i;:I ?I !U.'.I ;iI ::;:i,• >(q?;» // ‘ '/liDa^ed..L i SJgnaJuro of Owner or Contractor I 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 OfficeWhite Yellow — Owner Pink —Gol^enro'd — Inspector i Permit No.,LEGAL ;//v'Date.DESCRIPTION !’ L-AND LOCATION Lake Classif.Sec.TWP Range TWP NameLake No.Lake 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 ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL;DIMENSIONS: ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY; ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Gas ( ) None Type of Roof:( ) No ( ) Oil ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS: .It,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: & ~S~ TSS mmMO N.Form No. MKl.-‘d771-002 fvT) vieron uinsecH 4 ea.. fcksus (158899 r n' , i INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS I MINIMUMShall Be 4, Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Ft.Building Set Back from High Water Mark Ft. Building Set Back from State Highway 50 Ft.Ft. 40 Ft.Building Set Back from Street or Road Ft. 9 ^ Ft.^ ) Y' Ft.Side Yard Rear Yard Ft.Ft. AJOccupied Building to Septic Tank Ft.10 Ft. /\J AOccupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________/jT Ft.3 Ft. Inspector's Comments: ^ s' +ri^'t inspector $ Signature Title Inspection Dated 73> - If 19 Agency VICTOR OJMOItM I ee . MIMTCRI. flltoul FALLI. HIHH. f r/ White — Office Yellow — Owner Pink — ^sessor Golcfenr^i — Inspector 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 ^ ff. I. (t, ((LiUJ? A ) 9^0/Permit No,.LEGAL - f-/Date.DESCRIPTION AND LOCATION TWP Naiy —a,-4a 7T/Lake No.Lake Name Lake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information Name_______ _T-iL\Sr..CY>- First Initial Mailing Address— No. Street. City and ftate Zip No.Tel. No. Owner <T NameContractor Architect Name. TYPE OF IMPROVEMENT: C^ev^uilding fO-^ (X-^ /A>^4s'4' RESIDENTIAL PROPOSED USE;NON-RESIDENTIAL PROPOSED USE: (( ) One Family Dwelling ( ) Multiple Dwelling (/+tJther Specify:./Z/r( ) Alteration Units ,^-6 l|>( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS: ( ) Masonry (»'TWood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public I ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( ) No < ) Oil ( ) No ( ) None ( ) Unit CHARACTERISTICS: <D..o.<aLot Area is square feet.Water frontage is feet. Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is........................ Side yard is Building will be located Building will be located........ feet. (Building Line) .feet feet — from road or street is feet. .v^:.f.A.feet. Rear yard is ............. feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and feet. .z$. 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 peri^of six (6) months. Signature of Owner Dated 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. Jg-?- C^. QC> Dated Shoreland Management Official Permit Fee $.State Surcharge $__i. Comments: Y ~■7—1 tlyY" ^ Form No. MKL-0771-002 @ tMMH A M„ PIAAUA rM.L«. MlttH 158899 Speed Letter® From Subject -NO.8&10FOUO MESSAGE '4*> xViPT'JiA^j/ri0 TZl ^iA X ^rex>cKy^j^€T*/0/( C(^J^ Jl/> .allfpA AL^ ^<jg> xr<s^r^c€i:^3^ (/p. SignedDate ¥REPLY -No. 9 POLO -No. TO FOLD SignedData WilsonJones FORM 44-002 5-PAffT PAfNTEO IN USJ^ eRAYUNE C197S * f SNAP-A-WAY AND RETAIN YELLOW COPY. SEND WHITE AND PINK COPIES WITH CARBON INTACT Speed LetterI From LAND & RESOURCE MANAGEMENT -------COUNTY OF OTTER TAIL------- FERGUS FALLS, MINNESOTA 56537/z 'Cn.U<iM^ cgs; — ^3-?Subject >No. 94 10FOLD MESSAGE /y? r C ^00£i ^ ___ w__^y5/?7rir^nr. pj}A/ryJ^^ /v,/-^-^ 2T // /Q ^ Y^ci Ziihtf . //. cln/r^ I . '^<JU ‘IhuK !^iJ''i^ )>^ rr7 Signed /YvC REPLY TLX -L -tY ~ ^d.AlTLl£) - — — - — ~tJ-( J&>^2^vua-^ OO ' -No. 9 FOLD / -No. 10 POLO 0 G^///Date Signed WilsonJones 476 4RAYUNE FOf^M 44-902 d-PART O 197& • PRINTED IN U.5A RETAIN WHITE COPY. RETURN PINK COPY Speed Letter AlA^ ___^eCH I f. From- .5-^/2 Z- £T^ -- H^'7Az/VC/Z. U^MPSubject «No.9& to FOLDMESSAGE ^_cA iZnn^ dJyy^/^. y^s ("e<^^r7HjA^ (Jje. fiJAfnoj __c::^^ A/M(/' HkyytK yyj '/57i2^r»(re's—^^Fgi{>cr—- /O/^y Sg^ggwVZS^i___£2^ r/HU^Signed T REPLY : •■ .N0.9FOU) >No. to FOLD SignedDate WilsonJones 6AAYUNE FORM 44-«02 5-PART O 197S • PfUNTEO IN U.&A. SNAP-A-WAY AND RETAIN YELLOW COPY. SEND WHITE AND PINK COPIES WITH CARBON INTACT Speed Letter 3— ® FromTo dk ■V -^en netj ^ Subject -No. 9 A 10 FOLD MESSAGE Ic^^4^ ■<^g26C/?-------- —-j^ S(<(^T^4k 59W c^~ ----S76------/T~hu^ 54^^Signed22 ^gi4Datev5ri^/< y^44- X REPLY -No. 9 FOLD -No. 10 FOLD Date Signed -1 WilsonJones ■ Y* NE FORM *4-002 5-PART > PRINTED IN USA SRAYLI0187S /*■ ^ ■1- ‘.*1 SNAP-A-WAY AND RETAIN YELLOW COPY. SEND WHITE AND PINK COPIES WITH CARBON INTACT . - . L Li. . ■■ -\ •V X V i- 'a :u . N -NJ. • ^s. .-f%:::s=Jv\ »- '0r A, _k t_ •,. \v:7 1\•t. “’t; ■ ■i . _ r i, ' " k •> ;ui^-3.■■ „>- - ^ "W A!^■u !' ■ -^V-^■f f :; r. • ■ ■ i~. 'T ^ ■«i. j VA '■u M ■■ , maaapfs aii^^aii ‘ > ■ ■•' • ti;;^ .-■r-i-hh•xh.'^-' V/« vSS-4^?V' \y-----'^C.t,^.7 ■ <J y ^> ^ * /m-.’.JbiII I'\/1V'i '«/ X7:IS it l4 •3 Vfx 'I' .7K "^irn^mm. mfL\. '. 6'^>V ■'<*«■✓./ / Lt>f/^ine S 'v -.'• • ■Cv•t,'u0 V A «r*q 'T« m-:r \>1 Ci llBfC>^l ^ . /'//.. q| rij StJ,f^^ ^1 j Lot 0*|l \h ■:i<i COV’T hnWi p'/!-\s ^ C32E>SI * •Vk-7.''^•3ftin;B^^»i ?v v •'•f f**,. , i\ \^l j. _ •A.I! ■ ■ip fi El.|5S>- // .1// »:R; ■// (/-mfT{^‘\ L HV<.ir »s llv-'I ■ ''1V•/\ <J e✓I a^swiipia* :aHi|i^Pfi^» IS-r,/.iI If n s\hK-m,-ff - * -:■• r~.\ & FILE MEMO PARCEL #PROPERTY OWNER LAKE/RIVER/WETLAND NAME 7/^r/e;L&R Official &} H ^ ^6rh4if Tlti\ 75 Date Action/Comments tiir C C. l hi /NC/yj-// '- /6M/M iJlJDateL&R Official 7} FILE MEMO - 10/02/02 JOYCE THOMPSON Mr. & Ms. Ciesielki came into the office to take out a Site Permit for a replacement dwelling. In checking the file I found that the abatement on the septic system (holding tank) had not been satisfied. I told them that a Site Permit could not be issued until the abatement was cleared up (a new holding tank/septic system installed). They said that John Torgrimson had been “talking with our office” and that he would be putting in the new tank/system “next spring”. I explained again that until that was done no site permit would be issued. I found nothing in the file indicating that anyone in this office had talked with John Torgrimson. Also, the drawing they were submitting was not done to scale. I explained what a scale drawing was and told them if they needed help they could see if John Torgrimson would do it since he would need one for the septic permit also. Explained what they had to complete on the Site Permit, also. ■'-y, gVMlIIILUWDateL&R Official ih ^ i jjjrijLy^i Jhust QuaiL) . f. / I / i : /) ! ~UMjJj uJMJtA Action/Comments 7^. 'jn 2b %/> ( Q/nd sd ynPiAtfJ r/j ]lnhj/j/nyt>r) i^)rA^phT7j'^2li/Aj\i tyii rrt)L&R OfficialDate /TlA. i MAa. i/yi) ■h, LJj) Pil'tAvjJ::> UdniA^pl/^^^ it j>Jp/^z^j-6i rJiAn^ -yHi/ iMj/i/tuu) U/LUj iTTXjrVrjs^) IM& jj) /p MUjtn'^hUu/-'tb Iu<^± Action/Comments. //)//(o____________ _______________________________ AcHon/|Coiiwients /l-MlAJ y^-^LOCOt) ^ J biujip)) yinl/i^fj) X/fU'ljyJjJ ] /iPj^jjjtb._____________^___________________ Date_i L&R Official tMlomL&R OfficialDate • /CP. • /if^J/7/>£y/?iJy^:r. ^j/i/ ^ JjjT2/yiijj Jpi/ruL ^ ■onop f /'^j____________________ MjA)Action/Comments. A7t4P /:& nAHUltL&R OfficialDate. }%pyh JjPcHu* A'9Z4UA:^J. ^ pJj^y^>j2. ^/jaffyyy?^ jyTi 0jYryft/.^r7f J /iJt^ ^ A-. aAA^JjL /tJJlAuAuJ /(. UilAlZlL^i/t/ ]. r/ymAction/Comments. ALL /2X ^[(Ji/yp 4nilJ Jiyhjjj^ fi/vui^ /Pyut/lfM tJtJfjAj /^J/)fJ)/MfA. ! ! In hui/)t/fju H>jQph^/itj}rhJ ■ [InltUlMAj ; m one & FILE MEMO & PARCEL # ^ Q'Z-'^ o'2-V^ PROPERTY OWNER ~~ ■^'2-0 \ c\ ~LAKE OR RIVER NAME & NO. ♦ ♦♦♦♦♦♦♦♦♦♦♦ ♦♦♦♦♦♦♦♦♦♦♦ ♦♦♦♦♦♦ "l-H-ib %Date L&R Ofnciai Action/Comments ^ \/>s.^\-V7^ r* ^g,| r=~>\z^ .A3*3a.sJ- \/*^/-~ g !<•- H/ov/7*i t \~tyw>-p Ve3-e-€-r /^i ^Af £>^-cAia^ {i^AA.J A T2^ \l-g^ \C<^ *4- ' VHa/v\^ . ' -£tZ-/s»KA ^ A>LV [Vy£>}«af-. ~/a ^\ i.X Ni^ <q ■ Lg ^ y ~lr>* &** -HgA/»v-P ■ ^'JU/' l2->| *0>\^ Us>OuJ?A Utg /gj?Q trs.. >-e<4 \-^ /''M\jur' »S/-|-Ub-cLa* «-J AgtA/rf . ~i;'^Ua-:;^ Y>~p{0-<i.e^ "VtA^aLi. T^C4 A L ^ ^ ow-Q \lo-A. o"E?. ^. \/a/ VOfl ~Z^orsj»-i \t/^ y' *a- O'tH-* ^L.____6 \o‘y-\o /±oi~Jh^l l<VC_p 4-*^ Y (e>* Date L&R Official Action / Comments. Date L&R Official Action/Comments. L&R OfTidal.Date Action/Comments. L&R OfficialDate Action/Comments. L&R OfficialDate Action/Comments. L&R OfficialDate Action/Comments.