HomeMy WebLinkAbout29000360244007_Conditional Use Permits_07-17-1992Conditional Use Permits
Barcode 128
t)i-n'9xt
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
APPLICAHON FOR SITE PERMIT
WHITE ~ Office
GOLDENHOD — Inspector
YELLOW — Owner
PINK — Assessor
LEGAL Permit No.36 133 39 2,60
PT GL
SUBDIV #101 S 43 DEG E 382.02V
S 31 DEG W 264.39' TO BEG S 3J DEG W 80.04' N 81 DEG W 1038'I e.uPDESCRIPTION3 COM SW COR LOT A AUDAND
!LOCATION
LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION^TWP RANGE NAME
PARCEL NUMBER (S)FIRE OR LAKE :iON NUMBER
^cDG-p I* IDENTIFICATION: Pleaae Print All Intormallon
First Mailing Address — No. Street. City and State
^hcLox/^.r, J ^A/
Last Name Initial Telep^g^^l^.
^73- /
Zip Code
(x}i ({'am J!
eJcan
Property
Owner 7A?
_____ JkjrrJ EPc.Kko¥f
/^no
NameContractor
if TYPE OF PROJECT PROPOSED USE RESIDENTIAL USE
( P^y<yne Family Dwelling
( ) Multiple Dwelling
# of Units ( )
NON'RESIDENTIAL USE
( ) Garage
( ) Utility Slftjcture
CHARACTERISTICS
</K)
Walkout Basement (
Height of Structure^
( >x (Residential
( ) Non-Residenlial
) New Structure
^ ( ) Alteration
( ) Other
Basement
)i <^“7 FI.
Outside
Of structure f\
H Of Bedrooms
# Of Bathrooms
( ) Vi^er Orientated
kccessory Structure
< ) Other:•TYPE OF FRAME
( ) Masonry
)Wood
) Structural Steel
( ) Other
TYPE OF SEWAGE DISPOSAL
( ) Public
(V ) Individual ^
Permit # -^r/Uo. g1o3
WATER SUPPLY
( ) Public
(^) Individual
OFFICE USE ONLY
) Btuff Impact Zone
) Shore Impact Zone
) Sensitive Area
(
(
(
LOT SUE AUD SETBACKS:A5oLot Area is square feet. Water frontage is.feet. Maximum depth of lot feet.7
Building set back from ordinary high water level is
Land height above ordinary high water level at building line is
Building set back from road right-of-way_______________________
feel. (String Test)
X. 8¥0 OLhouui' 3
feet. Slope of lot %£Tc
^8 1992
feet from septic tank (Sewage System Permit must be obtained before installation),(y<^^'^ ^
feel from soil absorption system (Sewage System Permit must be obtained before instaHation).'"'
_feet.
!nLLLot line setback is and feet.
Structure will be located
Structure will be located.
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.
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN lAPTER 16, MINNESOTA STATE STATUTES.
r fr
Dated:
S/gnafure o/ Owner
Permit: Permission is hereby granted to the above named applicant to perform th£>tfSrk described in the above statement. This permit is granted upon the 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.
Dated:
Land A Resource Management Othcef
t Permit Fee $.Receipt No.
I Comments:
1.
'' Form No. BK - 0292-002 960.770 — VfctOT Lundeen Co . Pvtors. F«igus Ps'ls. Mm
'-.u
ii
;!;:Scafe! ; Each grid equals feef/inchm GRID plot PLAN SKETCHING FORMiiI;II
Please sketch your lot indicating setbacks from ro^ right-of-way. lake and sideyard for each building curr^hfh
i on lot and any proposed structures.
!t
19 YJ-Dated !L
!
i
i
A/9-^E(III!f
1i !:T II1! I I IIft t ii .1 I1_i I ^ t-';f"'! ■II';ii r riI-■-i i !Ii Ir r
i:!-M
iti!I ! it ii:iiI !
rm-ii
);!(II r;(iit 1Ii I1
i 1 m 1i
I iiI
: !1 !f 1
i II Jt!<t!! 1;tJi1
1 '*!Uni1.Ii1 ii1■I fi !I *11':iI Iri !i*! I I ti I I Itii i I!1
f ft ;rt!SCEiVtr&
i , , t I 1 , I I I (ll)8l'9?2
M ! ! 't R|£$Ql|nt!.
! !!! i1
t iII i'I I’Mi
%1
liriD!i i!i i1 i:!f i
i *ri r rI 1 i M!I ;T ;i I:I■P I i i!t_rc>j^ol^-,sd
; ■ l4ou,5e,
i !I
;i t-r-!rf ;r Ii‘ ifi iT i\!t i1\+1 IIIIi IiIi!;r* f‘ i !I
iltt;
!iI
It itiitII!t I I \!I rIIj -1iI!i!i t 1i1
!‘
11 ; i i
.]\I!il !1i; 1I
I o!
Pr'ii/ui'O
!E/\I
5’;I I i i if QiI'I DioI
i I iI!i
\I QIi!I I CiCOI I !1!IIf HiI;1
! I■1 €ii i tI1;. _L.
MKL-0871-029 2ISM70
vieiM UMKCB HMiiiaa. rcauia