HomeMy WebLinkAbout17000991301000_Variances_09-05-1991APPLICATION FOR VARIANCE
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OTTER TAIL COUNTY, MINNESOTA / 009^3Receipt No.
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Street & No.City State Zip No.
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8 L o N MSec.Twp.Range Twp. Name
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Explain your request:
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans,
information about surrounding property, etc. APPLICIANT SHALL BE PRESENT AT THE SCHEDULED HEARING.
I understand that I have applied for a variance from the requirements of the Shoreland Management Ordinanee'Of Otter Tail County.
I understand I must contact my township in order to determine whether or not any t^ditional variances aoa/or permits are required by the township for my proposed project. / /
,951P,~ '3 /Application dated.. X
tarSkOf Apolicant.-^Wbreo^^nty'^Ker J?PcArV County of Otter Tail ^
I fmbff certify that llw utm InstMnent
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— DO NOT USE SPACE BELOW—
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W.TOimofhtxirfi^Til
Court House, Fergus Foils, MN. 56537
12th SeptemberDEVIATION APPROVED this_____
(OR A TTACHED) REOU!REMENTS:
Allow an addition to the west side of the existing home up to what the string test
would allow and to grant the side lot line variance of 1 '$*' which would allow the
addition to be 8’3* away from the side lot line.
day oL WITH THE FOLLOWING
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^:t: fl.i.viiT required
V
4< ^ ~ f S f ' gChairman
Otter Tail Board of Adjustment
'yir..Signature: ><
MKL 0483 -001
231,616 — Victor Lundeen Co.. Printers, Fergus Falls. Minnesota
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White — Office
Yellow — Owner
Pink — Assessor
Goldenrod ~ 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
Permit No„LEGAL
Date.DESCRIPTION
AND
LOCATION
Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address— No. Street, City and State Zip No,Tel. No.
Owner
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) New Building
( ) 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:
( ) Masonry
( ) Wood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
( I 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:
( ) 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.
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.
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
Permit Fee $.State Surcfiarge $.
Comments:
file*
. KOTCft
Form No. MKL-0771-002 ilSS899
VICTOt LUMBEIN 4 CO.. PRiMTtaa. Ftt«U4 FaLLt.
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUALIS X MINIMUM Shall Be 4,Sq. Ft,
Lot Area (Square feet)Sq. Ft Sq. Ft.
Water Frontage Ft. Ft.
Building Set Back from High Water Mark Ft. Ft.
Building Set Back from State Highway Ft.50 Ft.
Building Set Back from Street or Road Ft. 40 Ft.
Side Yard &Ft.&Ft.
Rear Yard Ft.Ft.
Occupied Building to Septic Tank 10 Ft.Ft.
Occupied Building to Absorption System Ft.20 Ft.
Elevation at Building Line above
High Water Mark_________■Ft.3 Ft.
Inspector's Comments:
;
Inspector's Signature
Title
Inspection
Dated 19
Agency
VICTO* Lu««cca k eo..
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
Goldenrod — Inspector
V- ^ L
PJiuu^ A^D ^
Permit IMo„LEGAL
Date.DESCRIPTION 1
AND
LOCATION
Sec.TWP TWP NameLake No.Lake Name Lake Classif.Range
IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No.fcuai r.
^ (jD^rr\jCv<jdik n<Or 3^-Soy
Owner
y
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:
( Building
RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) One Family Dwelling
( ) Multiple Dwelling
*X5ther
Specify:.
Q) <.( ) Alteration Units
( )Other (Size
6000ESTIMATED COST OF IMPROVEMENT $(omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( ) Masonry
(•"jrVvo^ Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
( •PTndividual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( J-<nd^idual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
Basement: ( I Yes ( ) No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms Baths
HEATING:
( ) Electric
( ) Coal
Other;
Type of Roof:( ) No ( ) Gas
( ) None
( ) Oil
( ) No
( ) Unit
CHARACTERISTICS:
Ly..Q..■ 5Q.OOO t fLot 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
3..1
.S..O.feet — from road or street is feet.
L2:r±.±0J...^.1.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.
ADated.
Signature (oi 'ner
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
Management OfficialShoisoS?.Permit Fee $.State Surcliarge $.
Re.Comments:_^
Form No. MKL-0771-002 vierga uihscih 4 m.. mihtim. «ihh.158899