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Camp of the Master_35000240206000_Shoreland Permits_
OTTER TAIL COUNTY Lot Alteration Permit #7932 PROPERTY OWNER_SUAA^ LAKE NO. SEC. -z-H ^ <7^ TWP. NAME Ut^- o<-r\ LEGAL DESCRIPTION:pT~ <^03 V> *^Vr>p 4r«ap C»QoWORK AUTHORIZED ?5 y»A»s»«-N»0'*v C .—nKv>VvK'w ^^Vi«VN ^V^^Vs. r-rj ocyxjcv.^ N»A‘V.V.V. Va«-VYWJs, 1:3 O>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 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 wf TOPOGRAPHICAL ALTERATION / IMPERVIOUS SURFACE Land & Resource Management Government Services Center, 540 West Fir, Fergus Falls, MN 56537 218-998-8095 www.co.otter-tail.mn.usOTTER TflllCOKiTT-BiailiOTft Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMETWP. NO.RANGELAKE/RIVER CLASS SECTIONLAKE/RIVER NAMELAKE/RIVER# tus>^ LcaP Upct'/6 {lO PARCEL NUMBER(S) ^^jOCOXHOAO 'I CO'-i^ 25<9OOdii/Oi0-7(pO5', 3SC»Cx0^<VO3l0^OCO 3 X'^QJ.oi.OCO________________________________________ PROPERTY (E-911) ADDRESS </<30 ifh/0 Sib7^ CO' /Ft'Z'-s ^ •<oiLEGAL DESCRIPTION />cr^5^ SOI , DAYTIME Phone No.Initial Mailing AddressFirstLast Name 'TnrC\^y! j-k Ske IdOAProperty Owner t i/t<) e/'i c. 7ck' > -> \ SbSJlPOAlrUcil^ Contractor Name J'O&’/O liruj ^/V/ /2^L-L-CTn<r-> :>% s Sfe s 7rLie. #r NOTES: 1. A Scale Drawing & Impervious Surface Worksheet must be included with this Application. 2. The lotlines and project area(s) must be identified & staked onsite. 3. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Date Stamp L&R Initial DESCRIBE YOUR PROJECT(S): f^oL.lck ■1 i )ztK/ i Idh' lt>AI/FyOAPft K.Vwc.4'^IT'i \i-r to I /-jr'W/L uZi ii____.1(?g \A ^ '3i'006,ji‘<0-Jl.07Wi‘iP/v/tC ( TOPOGRAPHICAL ALTERATION: AREA TO BE CUT/EXCAVATED: -H AJi. T<Pp WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. - 27 = Yds^Z/OT) Ft. xjj Ft. X / Ave. DepthWidthLength Yds^Ft. - 27 =Ft. X Ft. X Ave DepthLengthWidth 9^^ Aoo Ft. X Yds"Ft. X Ft. - 27 =AREA TO BE FILLED/LEVELED: Ave DepthLengthWidth 3S7 Yds"TOTAL EARTHMOVING REQUESTED = BACKFILL AT FOUNDATION:Ft.Ft. Max. Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. NoYes IMPERVIOUS SURFACE BUILDING: Existing l_ IMPERVIOUS SURFACE TOTAL: Existing i%Proposed Proposed % 3% % 1 L/ — Signature Of Property Owner/Agent For Owner Date Receipt Number BK04-2014 354,253 • Victor Lundeen Co Pnniers • Fergus Falls MN • 1-800-346-4870 Page 1 of 2Rapidly-changing content, accuracy is NOT guaranteed I ^ OTTER TRIlk m counTY-minncioTn Wednesday October 5th, 2016 PLEASE NOTE; When land is valued by frontage, the amount of feet shown is based on the widest dimension on the front or the back of the lot. Any questions regarding the information on the Appraisal Information section should be directed to the Countv Assessor. Vu Parcel Map cJ[ov//' Vn\1\E Parcel Summary lil^Parcel Detailed Results ®Sales Data C'^w t vO©no »/rv^ VWtvw- ParceTSummary c. (a'-j)'/vv Parcel Number: 35000240207005 Town / City:V iCvOTTER TAIL COUNTY HRALEAF LAKE TOWNSHIP HRA District: Lake Improvement District: Tax Increment District: nSchool District:HENNING ISD 545 Watershed District: Hospital District:Site Address / Site Zip: Plat / Legal Description: Sectlon-24 Townshlp-134 Range-038 5 01 AC PT GL 3 COM W1/4 COR SEC 24 S 88 DEGE 1325.54' S 1320.09' TO SW COR OF N 80 RODS OF GL 3 S 88 DEG E 710.89' S 300.38' S89DEGE 191.61'S 73 DEGE 145.39'TO POINT C S 73 DEGE 145.39'TO BG N 1143.66'TO NLY R/W LEAF RIVER Primary Taxpayer: JASON & VALERIE TORNQUIST Alternate Taxpayer: N/A 6639 LOGAN AVE S RICHFIELD, MN 55423-2164 Summary Data Parcel Number: Summary of Land Value Land Program Acre ValueRecordDescriptionHmstd Status Land Value SEASONAL RES REC Non-Homestead1 53870 0 Total Land Value:53870 0 Summary of Building Value Record Description SEASONAL RES REC Hmstd Status Non-Homestead Building Value 1 0 Total Building Value:0 Total of Land Value & Building Value Total Parcel Value:53870 0 "^NEW SIMPLE SEARCH ^opynght 2001-2016 County of Otter Tail. Minnesota U.S.A. http://www.ottertailcounty.us/ez/publicparcel_summary.php?PIN=35000240207005 10/5/2016 Page 1 of2Rapidly-changing content, accuracy is NOT guaranteed ri OTTCR Tflll % ^ counTY-fflinncioTR Wednesday October 5th, 2016 PLEASE NOTE; VWien land is valued by frontage, the amount of feet shown is based on the widest dimension on the front or the back of the lot Any questions regarding the information on the Appraisal Information section should be directed to the County Assessor. Parcel Map ^ Parcel Summary Parcel Detailed Results Esales Data Parcel Summary Parcel Number: 35000240209000 Town / City:LEAF LAKE TOWNSHIP HRA District: Lake Improvement District: Tax Increment District: OTTER TAIL COUNTY HRA School District:HENNING ISD 545 Watershed District: Hospital District:Site Address / Site Zip: Plat / Legal Description: Sectlon-24 Townshlp-134 Range-038 5.01 AC PT GL 3 COM W1/4 COR SEC 24 S 88 DEGE 1325.54' S 1320 09' TO SW COR OF N 80 RODS OF GL 3 S 88 DEG E 710.89' S 300 38' S89DEGE 191.61'S 73 DEGE 290.78'TO BG N 1143.66'TO NLY R/W LEAF RIVER RD N 82 DEGE 138.40'TO E Primary Taxpayer: LEAH TORNQUIST Alternate Taxpayer: N/A 692 OAKLAND AVE APT F SAINT PAUL, MN 55102-2619 Summary Data Parcel Number: Summary of Land Value Land Program Acre ValueRecordDescriptionHmstd Status Land Value SEASONAL RES REC1 Non-Homestead 71643 0 Total Land Value:71643 0 Summary of Building Value Record 4Description SEASONAL RES REC Hmstd Status Non-Homestead Building Value 110 Total Building Value:0 Total of Land Value & Building Value Total Parcel Value:71643 0 "^NEW SIMPLE SEARCH ©Copyright 2001- 2016 County of Otter Tail, Minnesota U.S.A. http://www.ottertailcounty.us/ez/publicparcel_summary .php?PIN=35000240209000 10/5/2016 SCALE DRAWING FORM 76000:^iiOJ.O'y Oco , 7S 000 , -350D0 AvOoiov ao 3^oOO X<.o-^c^ ^>tc ______ 2SCx£>Ci A'tO J^OtxDOO____ ______________ ______ Tax Parcel Number(s) The scale drawing must be a signed drawing which includes and identifies a graphic scale (feet), all existing and/or proposed structures, septic tanks, drainfields, lotlines, road right-of-ways, easements, OHWLs, wells, wetlands and topographic features (i.e. bluffs). Must also complete the Impervious Surface Calculation (see back). Scale I3S00o?.‘4«^07 00‘i 35Ct>OAf0-l0Vt?00DO t 33C00 at*/0 Ae> 70 OO 3$06C> A<iO30b Ooo 5 r C <• I ci c c I1 ' C V £.1 t ^ >709' NTOO 1 /■ C / i (I r r.X *V Lr *' ( (- \ i giv/6 sWA- 700 VV \ 1 C € I I I 1\^- IIji "V-/fetro^^Signature of Property Owner Date BK —032014..'^(’,4.120 • Vi> U'4 1 iit'.cieen r.i) runh'is • Fi^raiis Falls, MN • ’-800--346-^B7C IMPERVIOUS SURFACE CALCULATION List & identify all existing & proposed onsite impervious surfaces on scale drawing. Lot Area (ft^):Signature;Date: Buildings Other Impervious Surface Existing Proposed Existing Proposed Ft^Ft^Ft^Ft Dwelling Deck(s) Attached Garage Patio(s) Detached Garage Sidewalk(s) Storage Shed Landing(s) WOAS Driveway(s) RCU Parking Area(s) Miscellaneous Retaining Wall(s) Landscaping (Plastic Barrier) Miscellaneous TOTAL BUILDINGS TOTAL OTHER Buildings Impervious Surface Percentage Maximum Allowable 20% Existing Proposed Total Lot Area Impervious Surface Ratio Ft^ Ft^Ft^Ft^Total Buildings 100+-r X = Buildings + Other Impervious Surface Percentage Maximum Allowable 25% Total Buildings + Other Impervious Surface Existing Proposed Total Lot Area Impervious Surface Ratio Ft^ Ft^ Ft^Ft^ 100+-r X Impervious Surface Calculation Worksheet 03-25-2014 RE.-;;. LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE-OfTice GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor FEB - 2 2001 LAND & RESOURCE 1^1Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMERANGETWP NO.SECTIONLAKE/RIVER CLASSLAKBRIVER NAMELAKE / RIVER NO. 5T6 '/ /^£4rrTLerrtA 3d9H/CJ) E-911 ADDRESSPARCEL NUMBER (S) ib3G,3 <3q -3 V -COQ LEGAL DESCRIPTION EO ^/z Lo'-j- 3- <4- uj AJ uj ^ g Daytime Phone No.Last Name First Initiai Maiiing Address 7o<gl0O^;-r7~ SVeikbi^ (—Property Owner o,i3-n3-i^n^ Contractor Lie.# PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dweiiing (3) 'Replacement Dwelling (5) RCU/Year. ONSITE SEWAGE TREATMENT SYSTEM O^fPermit No. 5 ^ ( )OTLSD* ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (1 ) New Dwelling (4) MH/YR____(6) Detached Garage ( 7 ) Add’n To Non-Dwelling ( 8 ) Utility/Stg Structure (9 ) WOAS (to) Otl&-Y’fc.4« ?fKlfln^tiiiyCwelling to be removed beforeS^~/^~<^j * This permit is only valid after verification from the 0. T.LS.D. that a conforming sewage system wit! be installed to service this tot contact Rollie Mann at 864-5533. CHARACTERISTICS OF PROPOSED DWELLIN(/CHARACTERISTICS OF PROPOSED NON-DWELLING Outside jDimension j l-i Ft. x ^ T Ft." Setback to Lotline too'*’ Ft. & Ft." Setback to Right of Way IPoc'* Ft.” Setback to OHWL d’SD Ft. Elevation Above OHWL Ft. Setback to Septic Tank Ft. Setback to Drainfield Ft. Setback to Bluff / ^0 Ft. Maximum Proposed Height Bathroom Proposed (1^) Yes ( ) No CHARACTERISTICS OF PROPOSED WOAS/ Outside Dimension _____ Setback to Lotline___ Setback to Right of Way Setback to OHWL ___ Elevation Above OHWL. Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff____^ Maximum Proposed Height Basement Walkout Basement Total Bedrooms_ Outside Dimension Setback to Lotline ___ Setback to Right of Way Setback to OHWL ___ Elevation Above OHWL. Setback to Septic Tank/ Setback to Drainfipra__ Setback to Bluff_____ Maximum Proposed Height ( ) Boathouse ( ) dazebo FL"Ft. X Ft."Ft. X Ft.&Ft."Ft."Ft.& /Ft."Ft, Ft. Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. / Ft.Yes No Ft. Yes No ( ) Screen Porch ( ) Utility StructureStaked (Onsite Spoil Disposal tiOositd-(s6aledfawmg-reqtiired) V ^ y; ^ □ Offsite Grade/Fill/Excavation s**Project/Lotlines/Right^f-ways j Must be Steked_&nsit^J□ Yes (scale drawing required) «^No_________________□ Within Shoreland Area □ Outside Shoreland Area CHARACTERISTICS OF LOT; 11 libZ^OCOSq. Ft. ^ lj5t),COC = Total Lot Area Bluff Onsite K YesLot Area.Water Frontage Ft.No i-'iOOQ < 4?Impervious Surface Ratio .%X100 =.% Total Impervious Surlace Onslle (FT^)ifll 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 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. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. y -3/ - o(Date: Signature of Property Owner c IDate: Land & Resource Management Office7.C,^PERMIT FEE $RECEIPT NO. sProject/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: Form No. BK — 0500-002 301.9S4 • Victor Lundaon Co.. Priniora • Forgui Falls. MN • 1-800-346-4870 3L .feetjnch(es) equals.feet, or.grid(s) equalsScale: FEB - 2 2001 Please use this sheet for the required scale drawing of your proposal. Be sure to include lot dimension, water frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper vious surface. Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance) , OC(o X 100_____^ Pro Total Impervious Surface Onsite %I j I ^~C .ccr) Total Lot Area (FT2) it0.5kcu>^v‘ htw-S €Lcrt 7m op /L P'. f- ^ A 1 ' ■r : ■ - ■ i y - 3 / - /DatedSignature BK — 0500 — 029 300.816 * Victor Lundeen Co . printers • Fergus f alls. MN • 1-800-346-4870 LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE-Office GOLDENRUD - Inspector YELLOW^ Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWPNAMERANGESECTIONTWPNO.LAKE/RIVER CLASSLAKE/RIVER NAMELAKE/RIVER NO. LtAke-16^1 3dKx)'!E-911 /ADDRESSPARCEL NUMBER (S) ^r/•S‘3C5 tZJl '•i -9H -03o-coo■T -^^EGAL DESCRIPTION Uf -s ^ A/i ^4- (> i [^7X '^ ^ (js) Daytime Phone No.Mailing AddressInitialFirstLast Name -Y? (^'<r{t'n i [UsProperty Owner 35 u IdX f O__I—3u3ll2-lll3J ■ xiU C>^/’ 3 LContractor Lie.# ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (v() Individual ( ) Public ( ) None NOTE: MN Rules Chpt, 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling ( 3) ’Replacement Dwelling (5) RCU/Year. (7) Add’nToNon-Dwelling (8 ) Utility/Stg Structure (9)W0AS (lO)Otrtet ’ 4(1) New Dwelling (4 ) MH/YR_____ /. J1( ) Permit No. ( )0TLSD* * This permit is only valid after verification from the 0. T.L.S. D. that a conforming sewage system wilt be installed to service this lot contact Rollle Mann at 864-5531_____ (6) Detached Garage ’Existing'Dwelling to be removed before. CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Setback to Lotline f ■ ' Ft. & ^ Ft." Setback to Right of Way / t.r. * Ft." Setback to OHWL ^ Ft. Elevation Above OHWL ' Ft. Setback to Septic Tank 30 Ft. Setback to Drainfield ^ tj Ft. Setback to Bluff / ''0 Ft. Maximum Proposed Height Bathroom Proposed (^) Yes ( ) No CHARACTERISTICS OF PROPOSED WOASCHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Setback to Lotline ___ Setback to Right of Way Setback to OHWL ___ Elevation Above OHWL. Setback to Septic Tank. Setback to Drainfield__ Setback to Bluff_____ Maximum Proposed Height Basement_____ Walkout Basement Total Bedrooms_ Outside Dimension Setback to Lotiine___ Setback to Right of Way Setback to OHWL___ Ft. X Ft." Ft."Ft. X Ft,"Ft. X Ft."Ft.&Ft."Ft.& Ft." Ft.Ft. Ft. I FtElevation Above OHWL _Ft. Ft.Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Ft. Ft.Ft. Ft .LFt / *-/ FtYesNo FtMaximum Proposed Height ( ) Boathouse ( ) Screen Porch ( ) Utility Structure NoYes ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite **Project/Lotlines/Right-of-ways Must be Staked Onsite Grade/Fill/ExcavationSpoil Disposal □ Onsite (scale drawing required) □ Offsite □ Within Shoreland Area □ Outside Shoreland Area f.V □ Yes (scale drawing required) □ No CHARACTERISTICS OF LOT: 7(^0 Bluff Onsite X Yes No_____OSq. Ft. Water Frontage /. ix : \ r oo =: , c 0 G’ Totai Lot Area .Ft.Lot Area. i C? %.%Impervious Surface RatioX100 =t Total Impervious Surface Onsite (FT^)(FTP 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 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. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. o I /'Date;■ r± Signature of Property Owner . a ^ o 1Date: Land S Resource Management Office RECEIPT NO. ! ' ^ / 3PERMIT FEE $; Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: iForm No. BK — 0500-002 301.934 ■ Victor Lurtdoon Co.. Pnntori • Fergus Fells. MN • 1-800-346-4870 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations structure Set Back from Ordinary High Water Levei Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft. /O"^ Ft, & ko ^ Ft.Structure Set Back from Lot Lines Ft.Ft. & Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: & Inspector's Signature -7,0’' Date of Inspection yi" I r Time of Inspection project Approved i Date/Initial LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT 4T-FWHITE — Office GOLDENROD — Inspector YELLOW —.Owner PINK — Assessor !/^ 0-1" fOio o-P Stz a Kid "The LOe^ Co'j ^ Lc+ X I sv' lO LEGAL Permit No. DESCRIPTION AND <l4'hoKi / T"ci LO*'Z9- // rU 33 LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAMECLASS ^rX^'f ^€^dtf Lfihil. (\ Q// C?/3V PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER 3b'00Q-2^ -o:icc,-occ LL G// IDENTIFICATION: Please Print All Information First Mailirtg Address — No. Street, City and StateLast Name Initial Zip Code Telephone No. ^ U <l(JltiA) L 1 (/£^dir?t/WlO^! M/okProperty Owner Name cContractor State Lie. # PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( V ) Water Orientated Accessory Structure ( ) Other CHARACTERISTICS OF PROPOSED ( ) New Structure ( ) Addition ( ) MH/RV ( ) Residentiai ( ) Non-Residential ( ) One Famiiy Dweiiing ( ) Muitipie Dweiiing # of Units ( ) Basement ( ) Walkout Basement ( ) Outside Dimension/ ■ of StructureliP IK/ot. Ft.YEAR ^ Ft.TYPE OF FRAME ( ) Masonry ( X,) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY Height of Structure. # Of Stories______/( ) Public ) Individual ( ) None OFFICE USE ONLY ( ) Bluff Impact Zone ( ) Shore Impact Zone (\ ) Sensitive Area ( ) Public (\X) Individual Permit #_ ( ) OTLSD C# Of Bedrooms o# Of Bathrooms LOT SIZE AND SETBACKS: 90CQaquaro feet. Water frontage is Building set back from ordinary high water level is Lot Area is feet. Maximum depth of lot.feet. SCI 'B (§ I! i W gfeet. (String Test)DLand height above ordinary high water level at building line is feet. Slope of lot rY-IJ -2 5 1994/ (pooBuilding set back from road right-of-way.feet. -h■tICO -3og 'Lot line setback is and feet. Y-MffiaM^SOURCEno - / 70 - Structure will be located feet from septic tank (Sewage System Permit must be obtainec Structure 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. i L (T.Dated: 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. H 'p(s>Dated: Land & Resource Management Office <=*Cl //vrPermit Fee $.Receipt No. Comments: Form No. BK — 0292-002 262,316 — Victor Lundeen Co.. Printors, Fergus Fails. Mlnnasola • 'ti' APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office * GOLDENROD — Inspector YELLOW — Owner PINK — Assessor i TsZTo '! f ■ ' Permit No.LEGAL DESCRIPTION (k The U> TtCK AJAND >■1 A AJ il\ lU r K n %f LOCATION S 'B" tOrr-T^* ■Vi SECTION RANGELAKE NUMBER LAKE/RIVER NAME LAKE/RIVER TWP NO.TWP NAMECLASS///Al R Q / k<^^rc-//(. FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) 3i'-000~3^ -0 2 0C,- OOO lL 6// IDENTIFICATION: Please Print All Information I First Initial Mailing Address — No. Street, City and State Zip Code Telephone No.Last NameI,y,. hi /'/ . A /7/iI /r~^ / )kC 1/1 -■ / ~Property Owner -• ^ I ■■f NameContractor State Lie. If PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( X ) Water Orientated Accessory Structure f • ) Other CHARACTERISTICS OF PROPOSED ( ) New Structure ( ) Addition ( ) MH/RV ( ) Residential ( X ) Non-Residential ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) Basement ( ) Walkout Basement ( Outside Dimension , of Structure. i )i K rx Ft. ^ ■ R. ;k I rYEAR TYPE OF FRAME ( ) Masonry ( X JWood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL System ONSITE water SUPPLY ( ) Public (^) Individual ( ) None Height of Structure. If Of Stories______/OFFICE USE ONLY ( ) Bluff Impact Zone ( ) Shore Impact Zone (V ) Sensitive Area ( ) Public (s/) Individual Permit #_ ( ) OTLSD # Of Bedrooms 1 IIf Of Bathroomsr LOT SIZE AND SETBACKS: -JOCGLot Area is square feet. Water frontage is feet. Maximum depth of lot feet. r■V<^Building set back from ordinary high water level is__________ Land height above ordinary high water level at building line is feet. (String Test) t:% 'feet. Slope of lot ■A Building set back from road right-of-way.feet. -A3T. 'Lot line setback is and feet. ! 7r ;Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).tI !('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 IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. ./I JDated:/Signature of Owner I 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. Dated: Land S Resource Management Office A50./ / ^ B Y6Permit Fee $.Receipt No. ■ .141Comments: * Form No. BK — 0292-002*262,316 — Victor Lundeen Co., Printers, Fergus Palis, Minnesota INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. P.0Building Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. lirvl'Building Set Back from Road Right of Way Ft.20 Ft. iMtzfx. & FtBuilding Set Back from Lot Line Set Back Ft. 10Building Height Ft.Ft. /djofBuilding Set Back from Septic Tank Ft. 10 Ft IM-Building Set Back from Absorption System Ft.20 Ft S'Elevation AboveHigh Water Level at Building Line Ft. 3 Ft. Land Slope at Building Line o/o Inspector’s Comments: . -t. > Sketch: ■ •• .-a . V. '' /in ;•! Sv/X*/-L S I f/ ) Inspector s Signature Date of Inspection jutro Time of Inspection ^e^inches/Scale: Each grid equals GRID PLOT PLAN SKETCHING FORM ‘V-P/ ___Dated: Signature Please sketch your lot indicating setbacks from road right-of-way, take and sideyard for each building currently on lot and any proposed structures. rQCK. looo' 1I g Lo-€ II 1^0 - ^^4.6 D V X) t«i M I Mi4 II ■v> !V luANO&^S^ O'’ f' *. V 5/p 's Ii. I Lai- i.e+ i»? 21598 7®VICTOR LUNOIIN CO.. RRIMTERS. EtRCUS PM.I.S. UINN. / (fe^inchesScale: Each grid equals GRID PLOT PLAN SKETCHING FORM lelL.Dated: 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. yO Jl<r V-w-r* u t)«c-«.ose '"1 i i t4 ____4 t» *, • 1APR 2 5 1994 \ri y ft resourcei■! j. 1 •Cor 13*^4^ ^ ■ ' (4 S We. ^( < 'C —4 pS MKL-0871-029 215987® VICTOK UINOetM CO.. PRlMTERt. PCRRUt rM.i.1. HINN. White — Office Yellow — Owner Pink — 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 M NameTWPRangeClassif.Sec.Lake No. IDENTIFICATION: Please Print All Information Tel. No,Zip No..IVIailing Address— No. Street. City and State .InitialLast Nanrie First Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: ()A New Building Specify:( ) One Family Dwelling ( ) Multiple Dwelling( ) Alteration Units /( ) Other SizeOther ESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes No Stories above basement: ..................y............... Sq. feet (outside thmension) Bedrooms ........ PRINCIPAL TYPE OF FRAME:#= £6 Hi( ) Masonry y^Wood Frame i ) Structural Steel ( ) Other — Specify ( ) Public (,X) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well / / :nDr..Baths CHARACTERISTICS:/Ma.alMaximum depth of lotWater frontage is feet.feet.square 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 right of way.... Side yard is ..........feet. (Building Line) feet........„.S. s52>.m.feet.feet — from road right of way is lb.feet. .l.H...............feet from septic tank (Sewage System Permit must be obtained before installation). ..... .............feet from soil absorption system (Sewage System Permit must be obtained before installation). and Structure will be located M..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. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. M. Ji(ii <r.Dated.^X^IgnatureofOwn^ 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 I'JlanagemdnJ^OfficialOD Receipt No.Permit Fee $. (UjH- OL^ L<fCa (UjUMi jComments: A r':22i Form No. MKL-0286-019 229971@ VICTOR LUNOEE.S CO.. PRiNTKRS. FERGUS FALLS. MINN. Office OwnerWhite - Yellow Pink -- -PiTssaescJ^^ 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 If/HO o./ ^DESCRIPTION V.. AND LOCATION AT:j-. . / / TWP NameRangeSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailina Address— No. Street. City and StateInitialFirstLast Name ('■Owner /T NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPDSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling ( ) Multiple Dwelling L-.) Other ( ) New Building ( ) Alteration Units /- 4'Size( ) Other ESTIMATED COST OF IMPROVEMENTS DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ■'f-Basement: ( ) Yes tx) No Stories above basement: Sq. feet (outside dimension) Bedrooms .V( ) Public ( \) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well ( ) Masonry ( 0 Wood Frame ( ) Structural Steel ( ) Other — Spwcify / Baths CHARACTERISTICS:/ Maximum depth of lot feet.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 right of way..... Side yard is ..................... Structure will be located feet .feet.feet — from road right of way is .............feet. ■feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). and 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 ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES. I understand that I have bean granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. 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. i yDated Shoreland Management Official Permit Fee $.Receipt No. Comments: % -t i J.t Form No. MKL-0286-019 229971@ VICTOR LUNDGEN CO.. PRiNTKRS, FERGUS FALLS. MINN.A INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4-Sq. Ft Lot Area (Square feet)Sq. Ft. Water Frontage Ft.Ft. iooBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 50 Ft.Ft. tiQOO-tBuilding Set Back from Street or Road Ft.40 Ft. (0*~ & /O'!' Ft.Side Yard & Ft. IDQch*'Rear Yard Ft.Ft. jotOccupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft. 20 Ft. Elevation at Building Line above High Water Mark_____________SD Ft.3 Ft. Inspector's Comments:4: a Inspector's Signature ^ Titfe M-^ Agency Inspection Dated 19 VICTOI LUttBEEH 4 C» . BRINTiat. rC«4UB fALLI. HIHN. L Applicant agrees that this plot plan is a part of application (s) indicated above. 19Dated.S igna tu re L k S'/- 0" R 4E 4]’-: -r t .... •...... o I <IA<PX2. (pt0 \ /! / J '.i 3£Z>.9 \ N. -jj cs tu\o^ \r< - (A A « IV V ^<7 3VUJ \ OTTER TAIL COUNTY Grade & Fill Permit #1870 To APROPERTY OWNER fu iCa) LAKE NO. 5~6 ‘l)(g SEC. TWP. /3 V TWP. NAME J^<-0 / IdL Co A/uj<s:/5Vy 4(^.L, :iLEGAL DESCRIPTION; WORK AUTHORIZED Cu.i /LtVy- ^ ol_ Lc fxj I CLlro^ €> ^ H' Ajo ^ <90QC.ca. y</c^ n ixi (X) I 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. EARTHNIOVING SHALL BE DONE BETWEEN 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. Land & Resource Management Official 0 ft) 0 '>L c3oojl!{) /?! ofte_ 4l (ji>, \-U •£a^'-- 5(f OlfuiL/ 0 oo i? (3 V ^/ (9’//«r'+w-i'1 ( ^ ^7/ lAlJL <uu»ur^i i Grade & Fill Permit* 'qm 'Sk^Lc/cy^ ToXjLl^KJCjfCLfsf' f^77 O i''Z /Ha^. JTT 7/ OWNER’S.NAME: Address LiOCSttlOHI Lake No..^'^gSec. <^/_Twp /3/Rangfi J^Twp. Name f UjV^ _______________ 19_2Z_, Expires 19 ^3 UJglLL j-o _______ Issued ^ Work Authorized-^ ^ r Aj dO(/uO^ jf-AA£L , / AJ f 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 Resource Management Official -7 3 .1. Earthmoving shall be done between g ~ 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 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/ BK-050092-003to legal prosecution. 266,614 — Vidor Lundeen Co., Printers, Fergus Falls, Minnesota c cr 3- /^-yy S~ IS-- >n/L / <3- / ^m/i- / c '■ ;:=*■• > ■ V f *'■ ■ s *»; - T* «♦*;•te' -:■ ■**»^-;iT V- ' *■'4s:>-■»4s- MLt. ) . A" ,- ’^■ ;^“-t \-e^- BSt’’*-- '^ifi*4-.'' ■• .< W^' > ■- ^s^-'■ '■'I ^ /^ca <f L0.{^-»~~ 6? /'G y / C«c£./C^m.a > (— (y. I -CO j Lq^ Jcj^ 7 3 ‘^LCel- 1aU.^1 y/ c. ^ /C’. I e a f ^ .. /V r 'J * 6 'r-f■' r ■ .yI •r-j 'f '■ ‘a •. jr I’ ll FILE CHROHOLOGY (Conplalnts/Violations) DATE -tl-^ 7Citizen Complaint Received/Office Staff Observation: Onsite Inspection: . VSummary:lyC C7t^ ^ ^ ^7 Ajo (3 /i/ 9f^ t Itu&^ p o ^-7^ ru. l@ V i ^3^ <s- ^iX^ Owner Contacted: Letter: Violation: p) In Person ()C) TelephoneOwner's Response:(/s'*-?- 7- 4 0 ^/7 ^ Pc/I^ /fci^’Ccy'---- Summary: J S/is^ Uuy^JLe^ 6e 4~ C/i^ ■Jl IXSf-icn- <r~fcTT- ^7 4 I/O ' Action Taken: Settlement Reached: Summary: Court AppearanceCs): Initial: Trial (Judge/Jury): Appeal: Situation Resolved: JL\1 d/Px-.ja'iArt^ (^2^^ iyOdirl< Lej[ ajlIm^^M- ~ <^.<^t-(<. ^ 1975 '^^loiDT C6 (f~<-cil iSri'X^ - -^aZeW—9^r^r ^ ^ J^a.^tcLd--if U5^ /^jL^^iyi.^C^ 4^JLy Ri&U r^Lz^ 7 (c H?/ 5 /“ 6^=/ t4?Gl(5^ ^ i3r «? ^ -3^ /^s <rr (n~tJc^ c^-i^ ^ iT yi l^/// (^ C^O_u^ U^^sf /;Y/ fl. y ■/5 (y-ue^f 73r(/Ot^ pp\ /T doz./^^s7cr^-’'^jS>^ 5/tdL^ {i^'^lx?^ k^L3^ (^ ^jsC^ '^-A-^r-3^,5d -4M-'»Xa-v. ^ I^fei-C k. ijL^^ ' 0) Do jZy ^ /r&rJs^ 6 (- X Uis P^ cryyI /'-<?cL^-o 7X “5 a'y ^ff f^\JL,'TotA.x^<p,^ cj2^-^ ^-Xh^y oiyi$ciuH,-f*^. — (O' ~f ^ /^^'-oote^ ^C3f / ? {A-< i/j Pf U/ee, €^ °<^ 3 d C Yo “g*^ * .-p 5 OVV^ C Gla,^^r </*s-/ol^U<U, q7 fLufxA, 0-«-Yi^ /| d^i-A-X S'py'-CA^(X'—i^ (^7 d>Cl > I u.0-^ C 7^ Ci CXjyt^A^Xsi^^ ^/-zZZuXs:=xC:^ (0 ^s^c^XJil A ^ 4f^ ^;-)a /Ux- iPoSTTx (^7 ^^777^ l~~^ if (L&(X^^t7'X' X- ' ^ <a ^ ^ ^y /-«'tA'ir X^'-6zj:^ r CT f J / • 'f^/ White - Offjce Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ^QOQ Permit No,.LEGAL Ni'J ^ 6 F / Q-PDESCRIPTION AND LOCATION gjQ m LeflP Lk.SOi'llta •&! Lefi'P TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel, No-Zip No-Mailing Address— No. Street. City and State_______________InitialFirstLast Name Vl '( ST~Owner / NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT; ( ) New Building ( ) Alteration (Pother_________ RESIDENTIAL PROPOSED USE; Specify:.( ) One Family Dwelling ( ) Multiple Dwelling Un^ts ./o'y:( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL;PRINCIPAL TYPE OF FRAME: Cv/no( ) Masonry (vHJvood Frame ( ) Structural Steel ( ) Other — Specify Basement; ( ) Yes( ) ^lic (vT Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( 'J^d^ividual Well J.Stories above basement: Sq. feet (outside dimension) Bedrooms Baths f(CHARACTERISTICS:2c:>C)(J feet.Maximum depth of lot feet.Water frontage issquare feet.Lot Area is \oo feet. (Building Line)Building set back from high water mark is. Land height above high water mark at building line is 3 feet \ S.O.feet.feet — from road right of way isBuilding set back from|State highway right o^way Side yard is ............................. and ............feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Sewage System Permit must be obtained before installation). 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 ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. '\ 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 ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated. rgTTature of Owner ^ - 2f' Si LDated Shoreland Management Official Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 22997I@ VICTOR LIJNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. r White - Office Yeilow — Owner Pink — Ateessor Goldenrod — Intp^or SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT4. jPermit No^LEGAL ■/ •:DESCRIPTION X ] /a AND LOCATION TWP NameTWPRangeSec.Lake Ciattif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.I ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Units ( ) Other SizeI ) Other IESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( I Other — Specify Baths CHARACTERISTICS: Maximum depth of lot.feet. feet.square feet. Water frontage 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 right of way......................... Side yard is ...................... Structure will be located Lot Area is feet. (Building Line) feet .feet.feet — from road right of way is .............feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Sewage System Permit must be obtained before installation). and 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 ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STA TE STA TUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. 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 $.Receipt No. Comments: \ iForm No. MKL-0286-019 229971© VICTOR LUNDECN CO.. PRINTERS. PEROUS PALLS. MINN. •; • ^4 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X MINIMUM Shall Be 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* LUaOECa « CO.. OOIHTCM. PCROUO rM.L*. Hllltl. I s. r GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals ■Application for Building Permit Dated Application for Sewage System Permit Dated Building Permit Number_________________ Applicant agrees that this plot plan is a part of application (s) indicated above. .19 .19 Sewage System Permit Number. ■ ■ L 19.Dated.Signature i 11 ■i- I 3 C“ >v :T I ■ns 1-Cl T!4 T" I 3 1—i O;-, T i 159104 VICTOK LUliMCB « CO.. MIMTCRI. FEHUI FALL*, tlllia.MKL-0871-029 1White — Office Yellow — Owner Pink — Assessor Goldenrod ~ Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT IPermit No„LEGAL I I .DESCRIPTION c? p w oAND LOCATION d?s/ /3^ 3Y£" > L-e C( ^S'(c tl h Sec.TWP Range TWP NameLake No. Lake Classif.Lake Name IDENTIFICATION; Please Print All Information Last Name Mailing Address— No. Street, City and State Tel. No.First Initial Zip No.sCrn Hc^n»r'iy\^;H I S f Ova m n .tOwner O'T NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: fOOhTK ■ fVf^ew Building /J A mch‘,(a ( ) One Family Dwelling ( ) Multiple Dwelling Specify;. ( ) Alteration Units ( ) Other ther Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: -To( ) Masonry ^Jood Frame ( ) Structural Steel ( ) Other — Specify I ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY; ( ) Public ( wl^ndividual Well Basement: ( ) Yes ( Stories above basement; Sq. feet (outside dimension) Bedrooms / ( Cl p P a Baths Type of Roof: yv-j p CHARACTERISTICS: Water frontage is feet.square feet.Maximum depth of lotLot Area is feet. 100Building set back from high water mark is Land height above high water mark at building line is Building set back frotjfi State highway right oyway.... Side yard is ............... and j.......i!.C? Structure will be located feet. (Building Line) .3.feet i~lofeet — from road right of way is ■feet. feet.t\o It.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 forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. se \ 4- THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES. '/ 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 the hall conform in all respects to the ordinances of Otter Tail Permit; express condition that the person to whom it is granted, and his agent, employees and workme County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.\ vw\Dated Shoreland Management Official Permit Fee $.<L C Comments: 195676@ VICTOR njNoeeN co.. printers, ferous falls. m:nnForm No. MKL-0771-002 V ^ ^ White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT* (,! I ''^nPermit No.,LEGAL /I I w /aDESCRIPTION o P0AND LOCATION f/JV 3y Aa: ■ (L. (4 P-Lk .: (o I I b .j T' TWP. NameTWPRangeSec.Lake No. Lake Classif.Lake Name IDENTtFICATION: Please Print AM Information Tel. No.Mailing Address— No. Street, City and State Zip No.Last Name First Initial ku hifn Y\/)! n ■/. / f > ■'■ n n ^ VfOwner T3 NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: /■v ! / 'V- X- 1^ 0 Fy\ ■ /(( W^ew Building ( ) Alteration •V ; niohi'Z IT, ( ) One Family Dwelling I ) Multiple Dwelling ( tF^ther Specify;,0Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: r'a qe. DIMENSIONS: Basement: ( ) Yes ( j Stories above basement: ............. Sq. feet (outside dimension)........... Bedrooms ( ) Masonry ( vj^ood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public I ) Individual Septic Tank, etc. WATER SUPPLY; ( ) Public ( »yndividual Well p p a Baths Type of Roof: ^ CHARACTERISTICS: square feet.Water frontage is feet.Maximum depth of lotLot Area is feet. looBuilding set back from high water mark is Land height above high water mark at building line is Building set back froryr State highway right oyway.... Side yard is ...../..Ci?...... Structure will be located feet. (Building Line) .3,feet S.3..feet — from road right of way is ■feet. /.Qand ^feet. \o .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).52Structure 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 forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit: shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. se 1 1THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUES.Signature of Owner f 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 \iU)Dated Shoreland Management OffIciaT'' :4^A'Zo'^e ZjI7Permit Fee $.C‘C Comments; FILEQKQT CALf-^ 19S676®Form No. MKL-0771-002 VICTOR LONDCEN CO.. PRiNTSr.S. f--RJUS PA..L6. M!NM. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 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 Ft.10 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 Titi¥ Inspection Dated 19 Agency VICTOM UINBCCN t CO.. MIHTtI White — Office Yellow — Owner Pink — Assessor Goldenrod — inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT SeUJ 'i.Permit NoLEGAL DESCRIPTION AND LOCATION i3H _M.5'^-iih RO TWP NameRangeLake Ciassif.Sec.TWPLake No.Lake Name IPENTiFICATION; Please Print All Information Tel. No.• Mailing Address— No. Street, City and State Zip No.Last Name First Initial 3j>3^ E:OP^\4fVO GLvO Cl7-l~(3r7yV O u\<^~^ kffSLJX>^Owner nori/ NameContractor Architect Name. TYPE OF IMPROVEMENT; ( M"^w Building ( ) Alteration RESIDENTIAL PROPOSED USE; (•^’’^e Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE; Specify;/ Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME;TYPE OF SEWAGE DISPOSAL; { ) Public 7~^ (•••f’^dividual Septic Tank, WATER SUPPLY; ( I Public ( Lt'Tndividual Well DIMENSIONS; Basement; ( ) Yes Stories above basement; Sq. feet (outside dimension) Bedrooms T3^( ) Masonry ( Kl^ood Frame ( ) Structural Steel ( ) Other — Specify ih ..........................y • ... Baths ............ etc. ) f\/£TALLE O 3 Type of Roof; HLOCHARACTERISTICS; '?r squaru fPtt. Building set back from high water mark is Water frontage is feet.Maximum depth of lot feet.Lot Area is feet. (Building Line) Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is feet tfP..feet — from road right of way Is feet. fOiOand feet. toStructure 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 se forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit! 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. . !/ Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. ThisTaermit 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. /3.Dated Shoreland Management Official /^ec ^ 1^4>lPermit Fee $. Comments: 195676® VICTOR HfNDCEN CO.. PHiNTKRS. FERGUS FALLS. MiForm No. MKL-0771-002 f •AT*''■‘Vi; White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT UJ I if UJ a C 3.^ Permit No..LEGAL DESCRIPTION AND LOCATION LUL I , I KF" I ■"FO1 TWP NameSec.TWP RangeLake Classif.Lake No.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Last Name Mailing Address— No. Street. City and StateFirstInitial ■/ F ij !'\ t fi'c > L'-LOwneri_L ±'a FF U'-/-h FL S 01 NameContractor Architect Name, TYPE OF IMPROVEMENT: ( Building ( ) Alteration RESIDENTIAL PROPOSED USE: I i/Y^ne Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE: Specify:./I / Ft h Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENTS PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes Stories above basement: ....... Sq. feet (outside dimension) ...ui...:... Bedrooms ( ) Masonry ( U'VVood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( '.Findividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( tf^ndividual Well ;J£F ilU..i / • f) j-fu ^ .11 1 0 z>Baths../...........7Vrr^ to K( Type of Roof: V* OCHARACTERISTICS: square feet.Water frontage is feet.Maximum depth of lotLot Area is feet. Building set back from high water mark is. Land height above high water mark at building line is feet. (Building Line) ZI£..feet Building set back from State highway right of way iO feet — from road right of way is .feet. Side yard is feet.and itStructure 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 forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. se \THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA ST A TE ST A TUBS. f Signature of Owner I 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 JDated Shoreland Management Official F'r f ^a' Permit Fee $. Comments: IC'D 1956 76®VICTOR LUNDEEN CO.. PRiNTKF'.e. f--r5CUS FA..LS. MIN^I.Form No. MKL-0771-002 w INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS i MINIMUM Shall Bej,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 40 Ft.Ft. Side Yard &Ft.&Ft. 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. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTO* LUMRCea « C« . PMIKTCtlt. rCRflUl r<U.k«. MIMM GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals ) I b.19.■ Application for Building Permit Dated. Application for Sewage System Permit Dated .19 Sewage System Permit Number.Building Permit Number Applicant agrees that this plot plan is a part of application (s) indicated above. 10 - ii19,Dated Signature L i\kelen-f t/ % 06 i<<■ 'Sf' 1/\ AL §-X £o>5 Ll/V V t OC'(O' 2)V H3VUl V MKL-0871-029 159104 ®VICTOa U1N9CCH 4 M.. ^BIHTII 7^ 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 Yeilow — OwnerPink Goidenrod — inspector Assessor bd k. Lo!' Q.Permit No„LEGAL Date.DESCRIPTION AND LOCATION Rn /3V 3^ TWP NameLake No.Lake Name Lake Classif.TWP RangeSec. IDENTIFICATION; Please Print All Information Last Name Maiting Address— No. Street. City and State Tel. No.First initiai Zip No. /^n^r^rvK,I I)IOwner NameContractor Architect Name. TYPE OF IMPROVEMENT: I jJ-Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: (—H3ne Family Dwelling ( ) Multiple Dwelling ( ) Other Specify:, Units AofcTKr/L xV( ) Other Size ESTIMATED COST OF IMPROVEMENTS /l0r*> O (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: (( I^Masonry (>>1A/ood 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 Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................e.-Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: (*>No^Type of Roof:( ) Oil ( ) None<5L5 ( ) Unit CHARACTERISTICS: ,aa....7t...A .>.o..Q.Lot Area is square feet. Building set back from high water mark is............. Land height above high water mark at building line is............... Water frontage is feet. feet. (Building Line) •feet s:.Q..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) moi/|fhs. ADated. Permission is hereby granted to the above named applicant to perform the work described in thiPermit: 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. ove statement. This permit is granted upon the 7 //!___/;>TDated Shoreland Management Official<3fOA.^ ~7Permit Fee $.State Surcfiarge $. Comments: Form No. MKL-0771-002 I..... 158899VICTOa UiHOCIH 4 n.. PfllMTII FM.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 White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector Permit No..LEGAL Date.DESCRIPTION AND LOCATION Lake No.Lake CJassif.Sec.TWP NameLake Name TWP Range 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 ( ) Other Specify:, Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: I ) 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 ( ) Yes ( ) NoBasement: Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. /'•*^-7 e.Baths HEATING: ( ) Electric ( ) Gas ( ) Oil ( ) None Type of Roof:( ) NO"I ■■ ( ) No ( ) Coal Other:( ) 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 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 Surcharge $. Comments; Form No. MKL-0771-002 @ VICTOR LUNOIIN 4 CO.. PRIHTIHO. PCROUt FALL*.,158899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS jr 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 40 Ft.Ft. Side Yard &Ft.&Ft. 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. Inspector's Comments: I nspector's S ignature Title Inspection Dated 19 Agency VieT»* kU«»iC« A 00 . ABIHTC**. rCBtUB MIIIB. 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 Office t — Owner — AssessorInspectorsnrod /AO 7 y-A / - 73 /Permit No,,oY S^o -AYLEGAL Date.ESCRIPTION AND LOCATION Lake No. ___ Lake Name RangeLake Classif.TWP NameSec.TWP IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No-Last Name First Initial Sikie>} dt>^101Owner NameContractor fArchitectName. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: (|>K5ne Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE: (t>-tOew Building ( ) Alteration Specify:. Units /■S' X ?D C{ ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry (W^ood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ■ ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (jjp Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: { ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms /'i- Baths HEATING: ( ) Electric ( ) Coal Other; ( ) NoType of Roof:( ) Gas None ( ) Oil ( ) NoCo^^P ( ) Unit CHARACTERISTICS: 7100..a.cr.<TJ..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 Z.X. from road or street is.....Jt... feet. .......feet from septic tank (Sewage System Permit must be obtained before installation). .....feet —feet. ...and feet. Rear yard isJo f 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. ■ LC]^--<. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This V Dated. 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. mit is granted upon the Shoreland Management Official ~7~, * /irj 73Dated ■5^6 Permit Fee $.State Surcharge $, ■aJTZ/ 'HHJLComments; C-0-v-~-p ^ Form No. MKL-0771-002 vierea kunoccii a ee.. mihtcm, Pt««vt fall*, hiiin.158899 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Fails, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector Permit No„/LEGAL ■X'7< 4'/)cyC’ Date.DESCRIPTION AND LOCATION // Lake Classif.Sec.TWP Range TWP NameLake No.Lake Name IDENTIFICATION: Please Print All Information First Initial Mailing Address— No. Street. City and State Zip No.Tel. No.Last Name Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE; ( ) New Building ( ) Alteration ( y ] One Family Dwelling ( ) Multiple Dwelling Specify:. ■ J Units ( ) Other ( )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 ( ) Gas ( ) Coal Other; Type of Roof:( ) No ( ) Oil ( ) No ( ) None ( ) 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 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. y-'/ ■ 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: JsLQX.. C A Ll-E^q .FJ-LJZ-D. ^18 r- 7 7. Form No. MKL-0771-002 victoa uiKDCCH 4 CO.. PRiHnai. fehsus fm.lb. 1S8899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS i MINIMUMShall Be 4- Sq. Ft Sq. Ft.Sq. FtLot 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 Rear Yard Ft. Ft. Ft.10 Ft.Occupied Building to Septic Tank Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VlCTOtt LUHBEEM t CO . PRINTiaS. rC*«U» raLLB. MIMH. ' r ’ 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 Yeliow — Owner Pink — Assessor Goidenrod — Inspector J-i Permit No„YLEGAL 1^1197^ i3<-f TWPRange_____ /TWP Name ~ DateDESCRIPTION -Xand location Lake NamB /ID Lake Classif.Sec.Lake No. IDENTIFICATION: Please Print AM information Tet. No.____________ First c7 Initial Mailing Address— No. Street. City and State Zip No.Last Name Tor A 0 hflA IOwner NameContractor Architect Name. TYPE OF IMPROVEMENT; (‘'Y^ew Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: al}~ 1'^( ) One Family Dwelling ( ) Multiple DwellingCTc - <> Size Specify;. Units ( ) Other IvDOther ESTIMATED COST OF IMPROVEMENTS / Q Q 0 ■(omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: l-\/V u ( ) Yes (*<l5o( ) Masonry (''4^/9ood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. Basement:/. Stories above basement; Sq. feet (outside dimension) Bedrooms .............................. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central /Vy i i\ e Baths HEATING: ( ) Electric ( ) Gas ( ) Oil ( ) None (v-M^o^Type of Roof: C Q *n ' (■ ( ) Coal Other: No ( ) Unit CHARACTERISTICS: ^.2...CL<auu>.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. ’1^2.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. f 0'^ 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 prart of this permit application. I also understand that this permit is valid for a period of six (6) months. /r /-? 7^Dated.7 Signature oT Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit i!Permit: express condition that the p>erson to whom it is granted, and his agent, employees and workmen shall conform in ali respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. iranted upon the r r /?7J /h TDated /Shorelaryd^anagement Official //■ ^ 1) ' f) & (o-2. V (3 0Permit Fee $.State Surcharge $. Comments; Form No. MKL-0771-002 ,158899 vi«T»a u»*ftca« * c*.. PManaa. reatM rakit. 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 Permit No„^ /LEGAL Date,DESCRIPTION //AND LOCATION TWP NameSec.TWP RangeLake Classif.Lake No,Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Zip No.Tel. No.Last Name First Initial 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 ( ) 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 ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None ( ) 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 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 Surcharge $. Comments:NOT CALLED FILED ^-18-T7 Form No. MKL-0771-002 ,158899 VICTft* UIHPCfH 4 CO.. MINTCtl. FCKSUO r*LLI. INSPECTOR'S CHECK LIST Make all measurements and computationstI ACTUALIS i MINIMUMShall Be i Sq. Ft Sq. Ft.Sq. Ft.Lot Area (Square feet) 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.&Ft.&Side Yard Ft.Ft.Rear Yard 10 Ft.Ft.Occupied Building to Septic Tank 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 viCTOt tUHDCeii ft CO . Mmrtftft. riKftUft mimh-