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Home My WebLink AboutBig Island Campsite_58000990362000_Shoreland Permits_APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER. 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us WHITE-Office GOLDENROD - Inspector YELLOW - Owner (after issue) OTTER TRIlcovtTT-aiaiiiOT* Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. TWP NO.RANGE TWP NAMELAKE/RIVER Cl^S Ko SECTIONLAKE/RIVER NAMELAKE / RIVER NO. ToiZDiz:r-JSK 5ct_VDH 13 &<2>too O I 2,00 i 0\C;^ I fCcl Mailing Address PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) '2. • v/LEGAL DESCRIPTION DEVELOPED. UNDEVELOPED Daytime Phone No.First InitialLast Name 3iG i^r4o cAmpsireBLASi^ 6tgNii2.l<^ br^r AL.Property Owner Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MHAR________ ( 5 ) RCU/Year (7) Add’n To Non-Dwelling ^^)6torage Structure (10) Non-Conf. ReplacementTraenf/fy)" (11) Other (identify) ________ (12) Deck_____________________ (13 ) Fence____________________ ONSITE SEWAGE TRE^MENT SYSTEM (i/'fl&R Cert, of Compliance within 5 yr ( ) Compliance Inspection Report within 3 yrs. (Attached) ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rome Mann at 218-864-5533 ONSITE WATER SUPPLI^ ^Individual ( ) Public ( ) None NOTE: MN Rules Chpt, 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. (2 ) Add’n to Dwelling/Attached Garage (3) Replacement Dwelling* (6) Detached Garage (9) W.O.A.S. ( ) Undeveloped Lot ••Existing Non-Conf. Structure Verified by L&R•Removal of Existing Dwelling Verified by L&R Inspector's Initial/DateInspector's Initid/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)OuWide Dim^ion CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Muet Include Attached Garage) Outsio^Dimension___ Sq. Ft. \ Setback to Lothtje ___ Setback to RightXway Setback to Ordinary High Wat^evel ___ Elevation Above Ordinai^Hi^ Water Level Setback to Septic Tank _/ Setback to Drainfield / Setback to Bluff / Total Bedrooms /_____ Maximum Proofed Height RoofChang/( )Yes ( )No \ Basemei/^ ( ) Yes ( ) No \ Walkout Basement ( ) Yes (side profile requiredK ( ) No loO Ft.x Ff .j. Ft."_ Ft. X Ft. X Ft.*> Sq.Ft. Setback to Lotline Ft. & Setback to Right of Way ^ Ft.*V^ Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank I i A Ft. Setback to Drainfield ^ ^"’^Ft. g£^Ft"'^Sq.Ft. \ Setback to LWIine ___ Setback to RignVpf Way Ft.^^Ft.&, Ft.&,Ft.^^Ft.^^ Ft.^^Ft.'55b Ft ^ ^ l^Setback to Ordinar\High Wat^evel __P ” Fr \ / Elevation Above Ordinary High Water Level Ft. Ft. Ft.Ft. Ft. Setback to Septic Tank Setback to Drainfiel^ Setback to Bluff / Ft. Ft.Ft. Setback to Bluff HA Ft. •2.0 ’Ft.■t.FOX'Maximum Proposed Height Roof Change ( ) Yes ( X) No ) Yes ('^) No Maximum RrMosed Height ( ) Boathduse Ft. ( ) Screen Porefk ( ) Storage StructuiBathroom Proposed (( ):ebo **Projectn.otlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection qj^miO^u^c^ar^^ '(UnnA>MMUCryD /OOAd't Topographical Alteration / Earthmoving 6^ □ None T^Must II le on sci Irawini fd.It^ 20 Cubic Yards or Less •□ 21 (VINOCHARACTERISTICS OF LOT:Bluff ( ) YesSq. Ft.Ft.Water FrontageLot Areaa^JUhiL> tho/yp 4^0% .% Impervious Surface RatioBuilding Surface Ratio TH/S /S A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. 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. 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 Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. /dI understand ihat it is my responsibility to inform the Land &T)es^^ Management office once the building footings have been constructed. . 77l. rA Signature of PropecN Ovtier / Agent for Owner0^ Date: Date: Land & Resource Management Official r^iifoo 3oo-oDPERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT. ^JLidoAub da/infUu;tjj iaO QAjuu OhaltAH/MD A/Jcidcth/. vJ Date Stamp RECEIVED .’m Form No. BK — 04-201 4 354,252 • victor LunOeen Co . Printers • Fergus Falts, Minnesota I *\ND & RF^X.IRCE )K, L&R Initial GOLDENROD - Inspector APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us WHITE - Office4 YELLOW - Owner (after issue) OTTER TflII 'yf'/aCOViTY-aiiiCIOTS Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED.i LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLAeS SECTION TWPNO.RANGE TWPNAME T,Tcfcotfr-ISK 5OL-0H 1s-J LEGAL DESCRIPTION 0TCi I S L—^X»2| O C.-» Hcl Ip/g'Miii,' ro hr^■'/ ¥ A/ & t/- y/./a PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS . /^ - 7 4^'.. . J_ '.J^ fo j:/j(y 'p n cL u ^/V. ';C-/ I DEVELOPED 4"UNDEVELOPED.O - . Last Name First Initial Mailing Address Daytime Phone No. I j3iv-T itLAr^Q c-<^v>^pbire feiCi 15LAHP O^rvny-^ KO ’ N tJ) v~ , r r>j 5 B^ i icl^ br Er At*Property Owner I Contractor Name Lie.* I ■... I I PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MH/YR____ ( 7) Add'n To Non-Dwelling /(TfStorage Structure (10) Non-Conf. Replacement T/dent/Ty)" (11) Other (identity)_____________ (12) Deck_ (13) Fence ONSITE WATER SUPPLY.. Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM (;.'f L&R Cert, of Compliance within 5 yr ( ) Compliance Inspection Report within 3 yrs. (Attached) ( ) OTWMD ‘Must have Sewage System Approvalfrom OTWMD prior to issuing Site ^rmit. Contact Rollie Mann at 218-864-5533 (2) Add'n to Dwelling/Attached Garage ( 3) Replacement Dwelling* (6 ) Detached Garage (9) W.O.A.S. (5) RCUA'ear ( ) Undeveloped Lot ’Removal of Existing Dwelling Verified by L&R "Existing Non-Conf. Structure Verified by L&RtnspectoPiillillMate Inspector's Initial/Date CHARACTERISTICS OF PROPOSED DWELU^ (Mu$t Include Attached Garage) Outsit Dimension___ Sq. Ft. Setback to Lotlipe___Setback to Righrol Way Setback to Ordinary Ntgh Wat^evel __ Elevation Abov^ (5rdinary,^Higfi Water Level Setback to Swe Tanit Setback to Dramflb^ Setback to Bluff 2 /■V CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Ft.x _Ft.j; Ft. & Ft.** .Outside ' Plipension___ \ /Outside DimensionFt. X Ft.**Ft. X Ft.3tSq.Ft.^ Setback to Lotline t Sq. Ft. (5 Setback to Lntline___ Setback to RigfH^of Way Setback to Ordinary High Water* Levef* ** Ft. Elevation Above Ordiriary High Water Level Setback to Septic Tank 2 Setback to Drainfiel^ Setback to Bluff / Ft.Ft.** / Ft.** Ft.**-¥Ft.**Setback to Right of Way .T. D Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level__S Setback to Septic Tank ; t *-^ Ft. Setback to Drainfield I — Ft.u^ Setback to Bluff rJr^ Ft.\Maximum Proposed Height '2.0 Ft. ex' Roof Change ( ) Yes ( X) No Bathroom Proposed ( )Ves ('X) No Ft.Ft. ^Ft. Ft;-"Ft.1Ft.7 ■1Ft.Ft.Ft.Vr.Total Bedrooms / P Maximum Propped Height Roof Change ( ) Yes '(^ Baseme^ ( )Yes ( )/Tptj Walkout Basement ( ) Yes (side profile required)\^ ( ) No Ft. Maximum Pr^osed Height_____ ( ) Boathouse ( ) Screen Pore.. ( ) Gaiebo ( ) Storage Structufn **Project7Lotllnes/Rlght-of-ways Must be Staked Onsite Prior to Application / inspection Ft. i'.> K, ( 1Topographical Alteration / Earthmovinp ' ^ _20 Cubic Yards or Less * ' □' 2'rci]falc fards -'9M Cubic Wdi**I :y * Must include on scale drawing, - ' ^ additional Permit may be required. i □ OmO Cubic Yards or More* '//i-y/A.□ None 1 CHARACTERISTICS OF LOT:Lot Area.Sq. Ft.Water Frontage Bluff ( )Yes ('‘;<]lNoFt. r i.%.% Building Surface Ratio Impenrious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. 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. 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 Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. Date: -_______________________________________________________ Signature of Property Owner / Agent for Owner Date: Land S Resource Management Official !Sit/on ■2.- / /.)PROJECT(S) TOTAL SQ.FT.,PERMIT FEE $RECEIPT NO. ' C^mme'nts:^ O'r C Wc ' f('U (inj: 'O p( f j i-i/l.r //V X * • ■ O.'cL.T I u tyy ft n o -■ // r/',' fr.:/ J yfjf'( A '; / ' K.\■) [^israForm No. BK — 04-2014 354,252 ■ Victor Lundeen Co., Printers • Fergus Falls. Minnesota *.. SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations iar*~Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Structure Set Back from Top of Bluff Ft. Ft.1>0^structure Set Back from Road Right of Way Ft. Ft. & Ft.Ft. &Ft.Structure Set Back from Lot Lines Ft.A6 Ft.Structure Height Ft.Structure Set Back from Septic Tank Ft. ic^n^Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: A\ 10,4^ /j^ 'V'' U- Dv-.ll 1 Qc inspector’s Signature H-Ic-k' Date of Inspection Time of Inspection Project Approved Date / Initial IMPERVIOUS SURFACE CALCULATION List & identify all exis^iTtq & pj^op^^ed onsite impervious surfaces on scale drawing. 1 n't/ iH-I j100 M-tLot Area (ft^):Date:Signature: c_^COother Impervious SurfaceBuildings ProposedExistingProposedExistingFt^Ft^Ft^Ft Deck(s)Dwelling Patio(s)Attached Garage Sidewalk(s)Detached Garage Landing(s)Storage Shed Driveway(s)WOAS Parking Area(s)RCU Retaining Wall(s)Miscellaneous Landscaping (Plastic Barrier) Miscellaneous TOTAL OTHERTOTAL BUILDINGS Buildings Impervious Surface Percentage Maximum Allowable 20% Impervious Surface Ratio Lot AreaTotalProposedExistingFt^Ft^Ft^Ft^Total Buildings 100 ‘A -yX+-r Buildings + Other Impervious Surface Percentage Maximum Allowable 25% Impervious Surface Ratio Total Lot AreaExistingProposedTotal Buildings + Other Impervious Surface Ft^Ft^Ft^Ft^ 100X+-i- Impervious Surface Calculation Worksheet 03-25-2014 I lSLAr40 cS^MpSireB16» P)V/C E)lEHl^fc:- Q do \r >-=/: : 'T-. ^ IL-'l OG, AIV o i ;i & FILE MEMO & PARCEL # LAKE OR RIVER NAME & NO ♦ ♦ ♦ ♦ ♦♦ ♦♦♦♦♦♦♦ L&R Official _______ ♦ ♦ ♦ ♦♦ ♦♦♦♦♦♦♦♦♦♦♦ ^'10-AOlijDate ie/.izzmAction/Comments.jib lAAMJJ \lctfJ ^pULfLA^Aj Ciyiit&^ C4/J ^Lt^ rJiy) 4Uf^ jicV /?yfL(l£. \JlAtay^/ijAi/ry^ ^Ajju AtluJu^yh ~4^ ' )i^kcAu£Zjf (:M i£yyu)‘ ‘ ‘^ > - - -. - iJbiUAbp4kAAX7 XkvUJHJiiJ Mj^m loo M/S ay.c^S%tAtajt>^0aJonyk I^JUyL AO, Dati [aal Action/Comments. Date L&R Official Action/Comments. L&R OfficialDate Action/Comments. L&R OfficialDate ;•Action/Comments. L&R Official.Date. Action/Comments. L&R OfficialDate Action/Comments. OTTER TAIL COUNTY Grade & Fill Permit # 6682 S2- 2PROPERTY OWNER fe... LAKE NO. SEC. 3 TWP. NAME 'T7r^ *._s . o«-v>.!>7)^\.V ^ Ccy'rP- Tuvi^ s ^LEGAL DESCRIPTION: »> ♦_________________________________________ _________________________________________________________________________________________________________________________ WORK AUTHORIZED F\v\ 9 s\V^^ ^ 1\r^ '^o '^VAk. (oiA.^ Vw V \ ?<*vSV\^ w«J<. Iro ^ V«v V) vsVo S-AV VO ^ V ,* '«-r\0^>.V^ ^vLa, .\^e-Voax_i«s. ^ \jA*nrV< cay^y*.^. **^>fQ.s-a‘vv>.^ V 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 MANAGEMENT, 218-998-8095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. 1. EARTHMOVING SHALL BE DONE BETWEEN -7^S-(3 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 fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 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. APPLICATION FOR GRADE & FILL PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us • ^' it Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER #LAKE/RIVER NAME LAKE/RIVER SECTION TWP. NO.RANGE TWP NAME W jzs. V/03 _ L»t Name First Initial Mailina Address DAYTIME Phone No. PROPERTY (E-911) ADDRESS Mailinq Address Or<.(A.A ; f n, r kProperty Owner p /Ve 1 6" 7Contractor Name ^(^VvVA.^. cLi—C^yy\7f;i - ^17:^aaALie. # Date Stampf RECEIVED OCT 0^ 2C12NOTES: 1. The lotlines and project area(s) must be stake 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. RECPrv'flD'lO'IO-iZ LANDS RESOURCE L&R Initial PROJECT REQUEST (You may use the grid on back for required scale drawing): DESCRIBE YOUR PROJECT(S):_jf: 5 ,V- y /; /<' rtr''.r r : r 4 •• /X f « DETAILED INFORMATION: AREA TO BE CUT/EXCAVATED:Yds^Ft. X Ft. X Ft. -27 = Length Width Ave. Depth Yds^WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Length Width e> Ave. Depth Ft. - 27 = \Tf Yds^AREA TO BE FILLED/LEVELED:Ft. X Ft. X Length Width Ave. Depth 5^1 Yds^TOTAL EARTHMOVING REQUESTED = BACKFILL AT FOUNDATION:Ft.Ft. Max. Depth Distance From Foundation 7-CULVERT:If Yes, must indicate size and location on drawing. Yes No IMPERVIOUS SURFACE:% tmtB n- io~f^ xaTTM/") SIGNATURE OF PROPERTY OWNER/AGENT FOR OWNER DATE RECEIPT NUMBER BK062011 ;;1 ■• ! t ■ i 1 1Ii:1 ’!:1 ■J ^The scale drawing must be a signed drawing which-'includes and identifip a graphic;scale;(feet); all existing arid^or-proposed structures, septic^nl'r^ , , I drainfields,'lotlihes, road right-of-ways, easements, 6tjtVVL!s,1wells,| vyetlapds,'topographic features (i.e. bluffs); and onsite impervious surface'cbiculatibTfc.j r ' ■ I ■ j ' ^ ' I '-f; - ■ ' , ■ ' ‘ ‘ V _ ; , : | -1 ^' ' ; , I 1'■ 1 I;...J—^—I-----i Scale ■I Ii !r-fI;L-ft I II1 !! JiI ■U ;i..1 ^ '.LJ_.--I-T-r:H-----j- . ; . J. ■ . ‘ i -s-—T -IJI1t -i1!1 I 'I t1 p •!I f"i V-.• 1 : : M'i .. i.i, t T r i .*ciI I 1 ; : -1 1r.i ;___I____■\A-lif;—r-r^^—j—•—I —V-:-■t- -1-!l;'r fr ; .,i~—i- —'»-Vi ;I.J.— - i'- *;J!liI! J. 1o ! 1r1I!; Li i I .i. m I!iII r 4 I *\ t- -i -II II: 1I!if1; T‘ -I-;;I ____: : i UJ/1 I t J.-!I ;I i L ‘, 11..,. ' i 'i-i ■<a J. i ^.r-nri!i. IL 1 I i1 r !i ■ -!I-I '4- j : : t.' ;i-I,J > 4' I-U-I ;;‘4^—■+I i ' ! ■ I;;I !•»:!i IiI i;!;i! T iI'; I ,!„ j..:I%-------------------------------------I ■y VI .V . . t 1 iI1 1 if:A I ] J i— 1 A-jJ.,1f I * -T^ \r 1 :1 fir 1J-'1 I !Io:Ti-4:!I"I t . Pc . IijI L I —h 'i—: i 1 IIito/!I I-I I-1f 1 ' t 1 I Ijr f: 4 !Ll.S -iLI 4!I■'Jtv : ■: fA ;BK^;0209 ( ■ ■' LQ J ) -1 ) ' s -:I I ^ AOf Lundeen Co, Printers • Fergus Falls, MN • 1-800-;W6-4870, , i345,195 r Viet■J.1 I .1.__t r—;— OTTER TAIL COUNTYCcn-^cr of- ^opef h^por\}.c ^ q( af-f Le. fci.itldQra4e & Fill Permit# nn woyt< . ^es cr OWNER’S NAME:____Si Address LiOCSltlOn! Lake No.^l-Sec.j?__Twp/^-i Range Hi Twp. }\mCTTtJ cgrskj old :~Rl^ TgK»v<^ CAw\p<'itvj„ ^•\.OV\ \vVC ■ 'T6''Rok U,v\A.w VJO o . KVi t Issued ^-2^- 19^c. , Expires Work Authorized^ \p«<w\ ^ V 19^‘f-i SCU gy V^AvC/( QVN ^ y 2-0 v-j\A^*—y’W^wovv “IMa^ l»v\:o Wv ^9 Y U. ov>ofF\\\ CK^gv/^V \* ^ v\ road av\ ^ f o ^ d > NOTE: This card shall be placed in a conspicous place not more than 4 feet above grade on the premises on which work is to be done, and shall be maintained there until completion of such work. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEMENT, TELEPHONE (218) 739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. OTTER TAIL COUNTY, MINNESOTA Board of County CommissionersULand and Resource Mana^emehi, Official &1. Earthmoving shall be done between 2. Entire area shali be stabilized within 10 days of the completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of a public water without a valid permit from the State of Minnesota Deoartment of Natural Resources. . 1 ! I /I\ / #i /#f / # ///// / /J # ! I \ iI\>> \ ■$ •iI II Z/I \/ I /-■\/\#\ I.1 /%%'■ I f /iI/i,I I N;.1 \I \f \f I:!S \I \IIti1i %■■,’ I 'i Vv. / Sf5!>syV/•"p / / J / ■■\/ / J I dr. 1 1II1Ii'rI\ Iti i..'"N \e'cP / -’ ' V 0»•%:0 f IV I# ^ fi f / I<0L i I — • .fX «•II!■ I djl «*^ r»^ <i« Ii II I»o# I IiIiIIIIft BbG C^MpSotl wCv Vt H OTTER TAIL COUNTY Grade & Fill Permits \3S’l 'l^L.asP- B Xis ________________ I 'Soy lf\ vxNicy VMOoJI I /nJ OWNER’S NAME: Address Location: Lake No^^^Sec .1 Twp. ^32- Range Twp. Name slcjacQ 3 'X. ^CAkUO) OAmp^jT^4 Issued 19 Expires 19 ?r Work AuthorizedJS-AVi C.atApsi-^ Ppprta i. ^ ikJi V Aity > c^qe>p UbTT ^ ^ /o, //“1 nf 7 CoO ^r#m A C«^i^ NOTE: This card shall be placed in a conspicous place not more than 4 feet above grade on the premises on which work is to be done, and shall be maintained there until completion of such work. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEMENT, TELEPHONE (218) 739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. OTTER TAIL COUNTY, MINNESOTA Board of County Commissioners Land and Hesoutce Mana'gemerfh^fficial &1. Earthmovlng shall be done between 2. Entire area shall be stabilized within 10 days of the completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. r White — Office Yellow — Owner Pirtk — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No..LEGAL DESCRIPTION AND LOCATION Lake Classif. 5*^-377 3^- Tc^JU Fc/ -P S’ ^cVo TWP Name ^ /35 Wf RangeSec.TWPLake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No,Last Name Zip No.First Initial Mailing Address— No. Street. City and State _______SI. 70f^i Jj.h \ ^ k'SS/0)Owner NameContractor Architect Name. TYPE OF IMPROVEMENT: ''^"'Ssf4ew Building ( ) Alteration NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:% Pne Family Dwelling ( ) Multiple Dwelling Specify: Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: iI ) Masonry (\) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement: ( ) Yes ( ) No5»yS' Stories above basement: Sq. feet (outside dimension) . Bedrooms ....../.....................A Type of Roof: CHARACTERISTICS: Lot Area is .........-sguaiu fetit. Water frontage is /.9..9M...... A.Q9.9..feet.Maximum depth of lot 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 right of way....Tt^^. Side yard is Structure will be located feet. (Building Line) feet ‘f.lfeet — from road right of way is •feet. /O and feet. JO .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.)..Q.LStructure 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 STATUES.£:l®l^n^urei^ 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. 7-/3- Sr/Dated Shoremnd Management Official ) ■Asc '^37^Permit Fee $. Comments: 195676(g) VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINNForm No. MKL-0771-002 White - Office Yellow — Owner Pirflc — As^^or Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT £Permit No,,AbLEGAL r- /(■l. :IS-Z)DESCRIPTION AND LOCATION I 1 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 Tel. No.Zip No. Owner NanrteContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: I ) New Building ( ) Alteration I ) One Family Dwelling ( ) Multiple Dwelling Specify: Units ( ) Other I )Other Size ESTIMATED COST OF IMPROVEMENT $ 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 Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths Type of Roof: CHARACTERISTICS: Water frontage is rW' square 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 right of way..... Side yard is Lot Area is feet.Maximum depth of lot feet. feet. (Building Line) feet feet — from road right of way is .feet. and feet. Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).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. TH/S /S A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUES.Signature of Owner Permit: 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. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreland Management Official Permit Fee $. Comments: NO CEkT iSsUhU l2-8I 195676® VICTOR LUNDEEN CO.. PRINTERS, FERGUS FALLS. MINN.Form No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X MINIMUM Shall Be 4,Sq. Ft. ^Oo Sq. Ft.Lot Area (Square feet) “7 aoooWater Frontage Ft.Ft. lOO'^ Ft.JO^Building Set Back from High Water Mark Ft. Building Set Back from State Highway Ft.50 Ft. -\r~ Building Set Back from Street or Road Ft.40 Ft. LQ_vx.f ^ Ft.Side Yard && Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. — H Inspector's Comments: __3? 'x '3 f ' X ' 01^Inspector's Signature Title Inspection Dated W- /f 19 3-/ Agency VICTOII LUHOCCH t CC.. MtNTIM. rCtt«U* rALLB. 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 Gotdenrod — Inspector ►i'j Permit No'LEGAL // - ysDate.DESCRIPTION AND LOCATION Range______________ TWP _______ £L2lxi Sec.Lake Classif.TWPLake No.Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No, Street. City and StateInitial Zip No,Tel. No.Last Name First Bi ■LA.Owner C'-’5^//a^•k. ’T 17 NameContractor Architect Name. TYPE OF IMPROVEMENT: Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units ( ) Other ( ) Other Size ^600ESTIMATED 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: ( ) Electric ( ) Gas ( ) Oil ( ) None ( ) NoType of Roof: ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS: m...A..S£i.O.O..h.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 .....fri.0..t:T. ..................................feet. feet. +■feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). and 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 six (6) months. //- 3--piDated. 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. Shoreland Management Official Dated Permit Fee $ ^.sdohState Surcliarge $. okor^ ^/Ac ~hs ii^^SURFR(71 aniR-TAIL CO.Comments: Form No. MKL-0771-002 i,158899 VICTOR LUHOCCH 0 CO.. PRINTtI r Vhite — Office /el low *“ Otvner Pinip — Assessor Goldenrod — I nspector 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 IIPCPermit No„LEGAL 7-.^‘f-73Date.DESCRIPTION AND LOCATION / Ci'/'c/ n f Cl/ Name STl.rlk.35v;' 37;?v>/Lake Classif.Sec.TWPLake No.Lake Name TWP Range IDENTIFICATION: Please Print AH Information Last Name /j^ /T ! /° Fitrt Initial Mailing Address— No, Street. City and State Zip No-Tel. No. /A ky /T)<r Sc /oOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: jon Avi I l^/KNew Building ( ) Alteration ( ) One Family Dwelling I ) Multiple Dwelling Specify:, Units Size 3Y) X tT D( ) Other (^,X)ther ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: (pl^asonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( i>^lndividual Septic Tank, etc. WATER SUPPLY: ( ) Public (yj-^ndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes (ti-f^o Stories above basement: ....... Sq. feet (outside dimension) .... Bedrooms I Baths HEATING: ( ) Electric (t'T^as ( ) Oil ( ) None Type of Roof: »(lyuo {lyuo 4 ) Coal Other:( ) Unit ) CHARACTERISTICS: eSooc? r-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 !^Ot.sa.±..cAOi- feet — from road or street is ..........^f..O....feet. 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.). 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. /r3Dated. 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. t Z3.horeland M^agement Official ^ A)o /r^>S~ Dated £Permit Fee $.State Surdtarge $. Comments: 04C Form No. MKL-0771-002 0 ««9. twaii.,158899 4 M.. MlHTCKf, 7M.I SHORELAIMD 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 — (SWner Pin{; “ Assessor Goldenrod — Inspector / /Permit No„LEGAL )) - )tl -j iDate.DESCRIPTION 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. I /Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. / / ,--V ’ f <'TUnits \■V /)( ) Other (, ) Other Size t / ■■ T ( i 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: ( ) Electric ( ) Gas ( ) None Type of Roof:( ) No ( ) Oil ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS: >v /:£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 1 hfeet — 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 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. .'-NDated. 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. /J ^ y •VDated Shoreland Management OfficialAT-/State Surcharge $ / ’Permit Fee S ' "/ ' 'O Comments: NOT CALLED FILED 4-20-7 t Form No. MKL-0771-002 J1S8899@VICtOH kUNOCCH & CO.. MlHTCKI. rCA*U» FM.LI. V. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUMShall Be i Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Ft.Ft.Water Frontage Ft.Building Set Back from High Water Mark Building Set Back from State Highway Ft. 50 Ft.Ft. 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 VICTO* LUMDCCN t CO . MlNTtR*. FC««US FALkl. HIIIM. k 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 ^ -Pwner Pink —‘/Assess6r G<?ldenrod — Inspector 107Permit No..LEGAL 1 971Date Nnvpmhpr 1 6DESCRIPTIONLot 6 of Block 1 of the Big Island Subdivision AND LOCATION Tordenskiold411322Sfi-371 .4mith Turtle TWP NameTWPLake Classif.Sec.RangeLake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Last Name Mailing Address— No. Street. City and State Zip No.First Initial 826-677756586Underwood, MinnesotaMerlinV.ThompsonOwner ■Self.NameContractor SelfArchitectName. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: (x) New Building ( ) Alteration (x) One Family Dwelling ( ) Multiple Dwelling Specify:. Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ IQ . QOQ . QQ (omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry (x> Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (x) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (x) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: (X) Yes ( ) No Stories above basement: ....... Sq. feet (outside dimension) ....gg4. Bedroorhs 1. Baths......1..2, Attached Garage HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:(x) No (X) Oil Composition (X) No ( ) None ( ) Unit CHARACTERISTICS: 150,...4.1.,.D.0.Q..............Lot Area is ... square feet.Water frontage is. feet. (Building Line) ...............................feet feet. 1.40.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 ,1.4, .^..mile................................ and.........l.O.OHr..................feet. Rear yard is 150feet — from road or street is feet. 150,20.feet. 10*.. feet from septic tank (Sewage System Permit must be obtained before installation). . feet from soil absorption system (Cesspool, Drainfield, etc.).20+ 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 of Owner November 16. 1971Dated, 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. November 16. 1971Dated Shoreland Management Official^ -fic. , ylb , S'^ j"/ </.State Surcharge S 5.002.00Permit Fee $. Would like extension beyond 6 months limit.Comments: Thig giihrlivi .«;inn ftnal plan.s have not been approved as of 11/16/71 O.K. -by M.K. T.ee_______________________________________________—:__________ Form No. MKL-0771-002 158899 vicTo* LUHOiEN t CO.. piiMTcai. FCR«ua rAci-a. SHORELAND MANAGEMENT COUNTY OF OTTER TAILWhite — Office Yellow -* ^wnerPinM -^-^ssessoff G«^de*nrod — Inspector 1 COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Permit No,.LEGAL Date.DESCRIPTION Lot 6 of Block 1 of the Big Island Subdivision AND LOCATION 3Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Informatioti Last Name First Initial IVIailing 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 ( ) Other Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENTS (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: ( ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil tnnosi tion ( ) 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 .V.SCfeet — 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 Surcharge $. Comments: called F1LEL.4-2l-(V Form No. MKL-0771-002 VICTOR U/N»CCN t. CO.. RRIHTCM. fCRSU* FM.!.*. 158899 } A INSPECTOR'S CHECK LIST Make all measurements and computations MINIMUMShall Be 4. Sq. Ft.ACTUAL IS i Sq. Ft.Sq. Ft.Lot Area (Square feet) Ft.Ft.Water Frontage Ft.Ft.Building Set Back from High Water Mark 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 Signature Title Inspection Dated 19 Agency VICTOR LUHDCCM 0 CO . RRlunRO RCROUO fALLl. i