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Arbor Resort_25000990403000_Shoreland Permits_
Grade & Fill Permit #ns 04736 PROPERTY OWNER LAKE NO. 2M0 SEC. I LEGAL DESCRIPTION: Twp. NAME ^veigrs_________________ Iqj: ^ lo\rto 2 r«Cv \ v'o 4a e Vn3<k\,\>WORK AUTHORIZED A.rvn OyTt.0^5 r«^9 . \w QY^S -(jlV^r-Vny V*^A. NOTE: This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MAN AGEMENT, 218-739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. 1. EAFITHMOVING SHALL BE DONE BETWEEN G-(0-'a'l & S- o(-cr) 2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fiil shaii enter or be taken from the beds of public waterivithout a vaiid permit from the MN Department of Natural Resourcesu. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. RECEIVED /PR 2 7 2007 LAND & RESOURCE HllL APPLICATION FOR GRADE & FILL PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 5653 218-998-8095 www.co.otter-tail.mn.us Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMETWP. NO.RANGELAKE/RIVERLAKE/RIVER NAME SECTIONLAKE/RIVER # 1^3 -ifioI PROPERTY (E-911) ADDRESS■^Qo ^ \~ctr1^PARCEL NUMBER(S) J^S^-OOQ - t9 ~~ 0^0] — oao LEGAL DESCRIPTION '^'yjq/e^oocl E ^z- Lo-j' ft ^ to ^0 XM' /Q Last NameFirstInitialMailing Address DAYTiME Phone No.pV~oL.se V C'ci'-nnneu: ^A / V-y T-S' ycLCh 'f- A U^^UJUL^J //uiir h 1yisa ____________Property Owner Q /9^A/ S53^0 Contractor Name NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. Received DATEL&R Officiai PROJECT REQUEST (You may use the grid on back for required scale drawing): DESCRIBE YOUR PROJECT(S):j Ci k DETAILED INFORMATION: Ft.AREA TO BE CUT/EXCAVATED:Ft.Ft. Maximum DepthWidthLength ^ Ft.II Ft.AREA TO BE FILLED/LEVE-bED:Ft. Maximum DepthLengthWidth Ft.SLOPE OF BACKFILL AT FOUNDATION:Ft. Distance Extended From FoundationMaximum Depth CULVERT:If Yes, must indicate size and location on drawing. Yes No -VTYPE OF SOILS AND/OR FILL MATERIAL: TOTAL CUBIC YARDS OF EARTHMOVING REQUESTED: I date (m mtS SIGNATURE OF PROPERTY O'WNER/AGENT FOR OWNER RECEIPT NUMBER BK0606 intr , ■ rl ^ -'iU03-000 - Ooo- y nunx - atrr^ Tax parcel Number(s) Drawing must be to scale. Drawing shall identify project and include the setbacks to all of the existing and proposed lotlines, road right-of-way(s), -------- ordinary high water level(s), structure(s), septica fank(s), drainfield(s), bluff(s) & wetland(s). Must also include all proposed topographical alterations. %Scale IImpervious Surface { \■b E i / (I l<3^ G I » -Xo 5 ! I ! !y ^■zy/o'7 Sigrralure of Property Owner Date BK — 0505 326.3)4 • Victcf LundMn Co. Primers ■ Fergus l^aiis MN • 1-800-346-4870 RECAP Collection System , , R 2500099,0401000........ RCB310M1 Inquiry - General Summary (A) ,2008 Mod.'' Taxpayer Calc thru: , 4/18/2007.MP?T T15167 CpNNAQE A FRASE.R............ 17475 YACHT AVE HUTCHINSON MN 55350-6605 Total:Deeded acresEMVLMV 155,100 Dist: 2501 TIE Dist: Plat: 00729 INGLEWOOD Sect 155,100 BlockTwnshp Range 133 W 40' OF LOT 10 Lot Alternate 01 040 Subd: Escrow NON-HSTD - SEASONAL RES REC Prop Address RE©©VecPai APR 2 7 2007 LAND & RESOURCE Adj/ChgOriginal PaymentsT _ Net Tax Special Asmt Tot before P&I Penalty “ Interest “ Fees * *Totals F2=Tier F14=Legal F16=Notes F17=APINs F19=OtherNames F24=MoreKeys A=GS B=ASM C=DQ E=TR F=SP H=THST I=PRASC J=COJ P=PA R=ADJ U=CAMA Y=CMP SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor / J ‘-Ik I£iLI Permit No.LEGAL M ' oF joliDESCRIPTION07 AND LOCATION LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP RANGE TWP NAMELAKE NUMBER >1 |2.^i ‘/O5 PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER0^/Ol - ooo D- 5 'Oco ' o Hd - ooQ B 73 IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City and StaleFirstinitial Zip Code Telephone No.Last Name //ncLhsFfQiyf M RPZ /^y7.S'£S/<-Property Owner OOP C ___________ R/^3 Bd(97£/i Mi,.NameContractor State Lie. If RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage ( ^ ) Utility Structure ( ) Water Orientated Accessory Structure ( ) Other CHARACTERISTICS OF PROPOSEDPROPOSED PROJECT ( )C) New Structure ( ) Addition ( ) Other PROPOSED USE ( Residential ) Non-Residential ( ) One FamMy^welling ( ) MuJLtfire Dwelling 3f Units ( ) Basement (NO) Walkout Basement IfjO ) Outside Dimension h/yy i U of Structure_____ZB R.ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLYTYPE OF FRAME { ) Masonry ( ^ ) Wood ( ) Structural Steel ( ) Other Height of Structure # Of Stories_____I( ) Public (yi ) Individual ( ) None OFFICE USE ONLY jOO ) Bluff Impact Zone (/JO) Shore Impact Zone (A>0) Sensitive Area ( ) Public ( ) Individual Permit (X) It Of Bedrooms It Of Bathrooms ^ LOT SIZE AND SETBACKS:l>i^lO 6 feet. Maximum depth of lot feet.square feet. Water frontage IsLot Area is lOO feet. (String Test)Building set back from ordinary high water level is s feet. Slope of lot %Land height above ordinary high water level at building line is ao feet.Building set back from road right-of-way. / .S50 feet.Lot line setback is and JO feet from septic tank (Sewage System Permit must be obtained before installation).Structure will be located /O feet from soil absorption system (Sewage System Permit must be obtained before installation).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 CHAPTER 16, MINNESOTA STATE STATUTES. Signature of Owner (Si,F:9 /99=!Dated: Permit: Permission is hereby granted to the above named applicant to perform the work 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 workrnen sMI 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. / ----------------- /O - 0 5 3 ly^e Management Office //J/5 7 Dated: Land & Peso5o^Receipt No..Permit Fee $. ^ A-s. 6..4, ctaj' per ~7. 7993Comments: XFF \/YfL.t.F) f\77crR ycS^riVFC/l Fr Tfy ^.c-riMlco 'T/U.S Le j'- CcA/-/icr -SS3'% XA.yS'fA^rcd Form No. BK — 0292-002 262,358 — Victor Lundeen Co.. Printers, Fergus Falls. Minnesota SHORELAND MANAGEMENT — COUNTY OF OTTER TAI COUNTY COURT HOUSE \ Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 5 APPLICATION FOR SITE PERMIT WHITE — Office^ GOLDEfiROD — Inspector YELLOW — Owner PINK — Assessor 1 L>\t^Ltor H V Permit No.LEGAL oF joDESCRIPTION AND LOCATION LAKE NUMBER LAKE/RIVER NAME SECTIONLAKE/RIVER CLASS TWP RANGE TWP NAME 0 C-40 o^ol - oo’c OyC7-^9 - OHO! ' OOQ PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER /; 1 IDENTIFICATION: Please Print All Information FirstLast Name Initial Mailing Address — No. Street, City and State Zip Code Telephone No. F.: &■>/>/ Aeon.) jj h V/ ' Z. ;SV*>y y%',' / Z. ? A'//7Property Owner j-fPC /iS ft? I yi rfyt'c.f P.M3NameContractor State Lie. # 00{) CHARACTERISTICS OF PROPOSEDPROPOSED PROJECT PROPOSED USE { ) Residential ) Non-Residential RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure ) One Family Dwelling ( ) Multiple Dwelling of Units ( ) ( ) New Structure ( ) Addition ( ) Other (Basement ( .) Walkout Basement (<u0 ) Outside Dimension / / v 11 / of Structureg-' ’' *' * ' Ft. zSTYPE OF FRAME ( ) Masonry ( . )Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY ( ) Other Height of Structure # Of Stories______ Ft. 1( ) Public (yC ) Individual ( ) None OFFICE USE ONLY (CO) Bluff Impact Zone Shore Impact Zone iuC) Sensitive Area ( ) Public ( ) Individual Permit #_ ( I OTLSD \# Of Bedrooms Fl# Of Bathrooms LOT SIZE AND SETBACKS:!<$lou T?3square feet. Water frontage is feet. Maximum depth of lot feet.Lot Area is OOBuilding set back from ordinary high water level is feet. (String Test) Land height above ordinary high water level at building line is feet. Slope of lot % oBuilding set back from road right-of-way.r''.feet. OLot line setback is and feet. ioStructure will be located feet from septic tank (Sewage System Permit must be obtained before installation). zoStructure will be located.feet from soil absorption system (Sewage System Permit must be obtained before installation). 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 CHAPTER 16, MINNESOTA STATE STATUTES. / CDated: Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work 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. y Dated: Land & Resourbe Management Office r:OQ —7 /Receipt No.Permit Fee $.< /9 9PC 7 /Comments:1' c '-i./ '■t f)//^//S Pr::i2.^.J-r 7:7 y/lr^Xi'' At 7 ciZ \J t:Q z 7j:r/} 7O V 7^-7 7 L. LApt T'/my A C'f.n/A.fCt/i'rjr. >/-T^,. s r.7 /■/‘c (yy y1^ /V/r *?• ^. ? Form No. BK — 0292-002 262,356 — Victor Lundeen Co.. Printers, Fergus Falls. Minnesota INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. 54Building Set Back from Road Right of Way Ft.20 Ft. ___Ft. &Building Set Back from Lot Line Set Back Ft. Ft. 4)S Ft.Building Height Ft. 1Building Set Back from Septic Tank 10 FtFt. 45+Building Set Back from Absorption System 20 FtFt. Elevation Above ■ High Water Level at Building Line 3 Ft.Ft Land Slope at Building Line % Inspector's Comments: ‘I Sketch: P */'■ *1.a n ' i i •I. \ Inspector's Signature Date ot Inspection Time ol Inspection r feet/inches GRID PLOT PLAN SKETCHING FORMSca/e: Each grid equals Dated:19 Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently ^-on lot and any proposed structures^^ r i c c ci/ £,yts4-.r>^ .\'1 ; I 15rII I i i/ \l K cs■l\'1 I s:*v \r'1 &L K.*■/ I ^ i :*)’fi f /tt ! ■ M 1 !/- "v,..«if /I \ !1 : X 1v'\\ j r 1 e*'— • ri_ i f / Z.i'f'fi-1 l\. : I i ‘ 21598 7@MKL-0871-029 VICTOR LUNOCEN CO . RNINTCRS. FERGUS FALLS. WINN.