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HomeMy WebLinkAboutClear Lake Resort_60000240215003_Shoreland Permits_OTTER TAIL COUNTY Grade & Fill Permits OWNER’S NAME:^q>J<-v\ Address Location: LakeNo.^sec. Twp, \3y Rangfi Uxjwp. Name'^^^Vy j« \.AkjLQ_- , Expires 19Issued Work Authorized_i_2 ^“•ia - CX KN Oy, T yiVts.^o t-O-t YW«»vs.-V ^Ocjl Cxy\A\ x'N o>V*<^<N > ^lU^Q Y Y3S 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 Bounty, Minnesota Board of County Commissioners Land and Resource Management Officialn 1. Earthmoving 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 ail 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. !f * P?hk^ls<r>^_ #/P--3 ,• rI I. ~0*li /o' a ■I K f|«i>4'-----*■ "“II —__I /»* »** M CM tP*A.C*THHVCt TMttv4 fluTO ^"****® ^T. SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT WHITE — Office ' GOLDENRQD — Inspector YELLOW — Owner PINK — Assessor Lxj 3!(o bf' Ak €< kk Ao 5r /c>7.Af a^LK. pk CrL ^ P/^k er-k or Cc ^ 2- QLe^liex^ Pr:*..^jijjL B • (^\jUA.r iJc^ RO 131 Lake Name )/ D9APermit No.LEGAL DESCRIPTION AND LOCATION _____Lx. I I /UtFlt Lake No.Lake Classif.Sec.TWP Range TWP Name Parcel #Fire # or Lake ID # IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No, R-h / B cTjc U 73 Si^-P73COwner f NameContractor TYPE OF IMPROVEMENT: /H ■fo ne^ lo ^ ) Non Residential c. ouidL RESIDENTIAL PROPOSED USE: One Family Dwelling ( ) Multiple Dwelling Units (# Size NONRESIDENTIAL PROPOSED USE: Specify: //, 5 X ^ 2(^ Residential () 36 ESTIMATED COST OF IMPROVEMENT: $ PRINCIPAL TYPE OF FRAME: ( ) Masonry Frame ( ) Structural Steel ( ) Other — Specify TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank WATER SUPPLY: ( ) Public <x>“X DIMENSIONS: Basement: ( ) Yes ( ^ No Stories above basement:......... Sq. Feet (outside dimension). .4-. Tk^ c , etc. Bedrooms Baths Individual Well CHARACTERISTICS:-f-t/C Acr<^Lot Area is square feet Water frontage Is feet. Maximum depth of lot feet. /rPO ’Building set back from high water mark is__________ Land height above high water mark at building line is feet. (Building Line) 3'feet. so'Building set back from road right of way Side yard is __________ Structure will be located feet. r720'and feet. /O _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).rSlOStructure 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 p.ovisions 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. /^understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understanc LJ must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Q£UUDated: Signture 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. 9^Dated; Shoreland Management Official ^ 30-lnZiL:v9^Permit Fee $Receipt No_ ^rroj^eoT^ /yyA'g/// kir Sr AuiA.7. fTrg ■_________________________________________ X r /hComments: \r-tas■f yy^rOi/€ct (,y 7 Form No. MKL — 0891-001 '258.372 — Victor Lundeen Co., Printers, Fergus Falls, Minr>esota SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor V.c (aJ o-f Ak ^ yf / 67.6? IK. Pf (rL i PU-h o'^ or Co ^ z. Co-lUoi 3. )/ D9C>Permit No.LEGAL DESCRIPTION AND LOCATION V- - 5S^ CU^r iJc. __pR Lake No. Lake Name ~~P'u.kn^ lA i I131 Lake Cfassif.Sec.TWP Range TWP Name /U6NtParcel k Fire # or Lake ID # IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. R-k / BcTyc U 73________Ml_zy73COwner7* 3 <e /'T._____NameContractor /ylolY.A^ -fo ttei^u ^/Icljrh^ a /OIT^O CAcldU i< ri'.n TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NONRESIDENTIAL PROPOSED USE: JLr)c/^'r‘'>\t^ Specify: //, <5 X SU.S / /f - ,CieL't^ »?/.5 X/J.5 J^^r-,artk />A5^a3 Residential One Family Dwelling ( ) Multiple Dwelling Units (# Size ( ) Non Residential ) i ESTIMATED COST OF IMPROVEMENT:$( PRINCIPAL TYPE OF FRAME: ( ) Masonry (Wood Frame ( ) Structural Steel ( ) Other — Specify TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank WATER SUPPLY: ( ) Public (Individual Well DIMENSIONS: Basement: ( ) Yes ( ^ No Stories above basement:......... Sq. Feet (outside dimension). JaO. A.-2eriJ. Bedrooms . .TTv'. O .. . Baths . ... , etc. .i CHARACTERISTICS: y-IL square, leet. Building set back from high water mark is____ Lot Area is Water frontage is feet. Maximum depth of lot feet. feet. (Building Line) 3_:Land height above high water mark at building line is Building set back from road right of way____________ Side yard is __________ Structure will be located feet. ^asav .-rrO" --------.^-^7 feet. r Z<p nand jr>.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).r? nStructure 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 p.ovisions 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. 4iiiriderstand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of^OtteT Tail County. I understantF I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. f3i \Dated: S/g 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: %Shoreland Managemenf SaT .1Receipt No. j Q >, ~y ^Permit Commendf P Si O' SJI^ ,i/i fc, Ic—^ ^ r—3?— -frtm— —Ce>'f. (>~t 1•i ■ I Form No. MKL - 0891-Mi ' '258.372 — Victor Lundeen Co., Printers. Fergus Falls, Minnesota ; • -tS" ‘ . INSPECTOR’S CHECK LIST Make all measurements and computations ACTUAL MINIMUM , Shall Be Sq. Ft.1IS Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. I/<joBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from Road Right of Way Ft.20 Ft.2.0 <*COAS )vSide Yard &Ft.Ft.& OkOccupied Building to Septic Tank Ft.10 Ft. OkOccupied Building to Absorption System Ft.20 Ft. :ic^Elevation at Building Line above High Water Mark____________Ft.3 Ft. Ft.Ft. 2-|’Inspector’s Comments: * Cg 1 UtQ Inspector % Signature Title Inspection Dated W' IV 19 Agency ..:5 r f[Ml E l^DEPARTMENT OF NATURAL RESOURCES STATE OF FILE NO.PHONE NO.TRAILS & WATERWAYS UNIT 1221 E. FIR AVENUE FERGUS FALLS, MN 56537 218-739-7576 February 26, 1992 R EC EtV ED FEB 2 7 U\N0 & R£S0t!5^C£ Mr. Bill Kalar Administrator Dept, of Land & Resource Management Otter Tail County Otter Tail County Courthouse Fergus Falls MN 56537 RE: SIDE LINE SETBACK, CLEAR LAKE RESORT, CLEAR LAKE (56-559) Dear Mr, Kalar: This letter represents my (DNR) approval as the adjacent property owner to allow for Mr. Reuben Finkelson to relocate an existing cabin within his 50' side line setback (buffer zone). This approval is based on his existing structure being removed from its present location (15 feet from our common property line and 17 feet from the lake) to a location 20 feet from our common property line and 174 feet from the lake. I agree with your determination that this greatly improves the existing situation. Sincerely, Bruce Winterfeldt Area Trails & Waterways Supervisor Ardon Belcher File cc: AN EQUAL OPPORTUNITY EMPLOYER O' T 'p f rO'l' V\- r/iMr ^ l!^s 0\ ki a ^ s m ^ \ V/ \ ^/ r X} yx/^ \ V‘ ly f 'V'^' * /<»*/■>' ^(ijuti»,^ i(c.4-fti^ 10^s< %?i >(r 1^ — - 5 iT ■ ■■ oi^ . ■ • • . -' ■'■ • \Mil. 5-\ W-A'[ W.c V N a;r:.- ^ ‘V- ■C V '■ k . 1 >Vf -^ . /V I \!>!« ■\ s n \ ::' ■% ' Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone 218-739-2271 Court House Fergus Falls, Minnesota 56537 February 4, 1992 Bruce Winterfeidt DNR 1221 E. Fir Fergus Falls, MN 56537 RE:Reuben Finkelson, Clear Lake Resort, Clear Lake (56-559). Dear Bruce: As per our telephone conversation on February 3, 1992, Mr. Finkelson would like to relocate an existing 10' X 20' cabin at his resort (see enclosed drawing). In addition, he would like to enlarge this cabin. Currently this cabin is located 17' from the lake and 15' from the lotline between the public access and the resort. The proposed location would be 174' from the lake and 20' from the aforementioned lotline. In my view, this proposed project will improve the existing situation, however the Shoreland Management Ordinance of Otter Tall County requires that a 50' setback (buffer zone) between resort cabins and lotlines be maintained. This buffer property adjacent to a resort, residential property, requirement providing you had no objection to this request. zone requirement was designed primarily to protect residential In this case, we are not dealing with a so I told Mr. Finkelson that I would waive the 50' From our telephone conversation, it is my understanding that you would approve this request. If I could get that approval in writing, we could conclude this matter. Sincerely, Bill Kalar Administrator mgb SHORELAND MANAGEMENT ORDINANCE - SUBDIVISION CONTROL ORDINANCE RIGHT-OF-WAY SETBACK ORDINANCE - SEWAGE SYSTEM CLEANERS ORDINANCE RECORDER, OTTER TAIL COUNTY PLANNING COMMISSION f Whit* — Office Yellow — O'wner Pink — Auessor 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_ pT C.L. 9 P/.AT O.r. CO. uJf\ PPL CfiLCGO pAfLceL. B- 13/LEGAL DESCRIPTION AND LOCATION 9L -131ERCmepr Arne ~fu/nuLi__ TWP NameLake No.Sec.TWPLake Classif.RangeLake Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. Pa/ 2 l3- F)ACTr./u. m/JNi PeuP>r./U__^Owner NameContractor Architect Name, TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( J^I'One Family Dwelling ( ) Multiple Dwelling ^ Other NON-RESIDENTIAL PROPOSED USE: Specify: j(f X I ^ /} h I 7~//C Al TO BXI.^TiNQ I ( ) New Building I ) Alteration (\1 Other Units /) r> I-r~> iT>. hi ESTIMATED COST OF IMPROVEMENT $ Size IPRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry {y) Wood Frame ( ) Structural Steel ( ) Other — Specify I ) Public Individual Septic Tank, etc. WATER SUPPLY: I ) Public Individual Well Basement: ( ) Yes (^) No Stories above basement: Sq. feet (outside dimension) Bedrooms ...... ...0MB.......... Baths .ONi.Ei.. (X) Type of Roof: CHARACTERISTICS: Lot Area Building set back from high water mark is. Land height above high water mark at building line is......al.Q.. is frontage is .30..0.linimri font Water feet.Maximum depth of lot feet. feet. (Building Line) feet .SC..Q.Building set back from State highway right of way Side yard is ..... Structure will be located feet — from road right of way is .feet. and feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).N.IA.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 herewitf shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES.Signature of Owner 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 £o\oPermit Fee $. S.£.U)E.fl___LN^T/kLUEEF^ XP- r TUB REp>(J!hnaj T.F. hC> f? A A/ Abni TiDNA)-. J Rf^.DPoo/7)<. . r^ aJ <r-C/j c^/nA/ Co ___aS__/)0/J.__________________Qc-roni^f?, _________________________________ Comments: 19S676® VICTOR LUNDEEN CO.. PRINTERS, FERGUS PALLS. MINN.Form No. MKL-0771-002 r "w Whits - Office Yeiiow — Owner Pink — Anessor Goidenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT \ai 0 Permit No^;iLEGAL< /' i'''•r-DESCRIPTION AND LOCATION II TWP NemeLake No.Lake Name Lake Classif.Sec.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 I" ) Other Specify:, Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGi DISPOSAL: ( ) Public ( j* I nt^vidual Septic Tank, etc. WATER SliPPLY: ( ) Public ( ) Individual Well A a'* DIMENSIONS: / 7■ n( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: I ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths Type of Roof: \«CHARACTERISTICS: Water frontage is feet. .................................................feet. (Building Line) »> «' ' ) Maximum depth of lot..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 ..................... Structure will be located Lot Area is feet. feet feet — from road right of way is ,feet. and feet. .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 herewitf 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 STA TE STA TUTES.Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This F>ermit 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 $. Comments: 195676®VICTOR LUNDEEN CO.. PRINTERS, FEROUS PALLS. MINN.Form No. MKL-0771 002L rsINSP^OR'S CHECK LIST Make all measurements and computations ACTUAL IS 4r MINIMUM Shall Be Sq. Ft Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. so '/o' Ft. //A ^ ' tf-XiVBuilding Set Back from High Water Mark Building Set Back from State Highway 50 Ft.Ft. mBuilding Set Back from Street or Road 40 Ft.Ft. / ^ Ft.f-/aSide Yard &&Ft. Rear Yard Ft.Ft. /C? ^ Ft. HH: Ft. Occupied Building to Septic Tank 10 Ft. Occupied Building to Absorption System 20 Ft. Elevation at Building Line above High Water Mark_____________Q ©- Ft.3 Ft. Inspector's Comments: 1isiOih nspector'^ignature 1 Title Inspection Dated 19 Agency vicToK uiaviCM * CO.. MtuTtaa. rcMua rM.k.a. HiiiH. •. f .i.. ■ 1-1 Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone 218-739-2271 Court House Fergus Falls, Minnesota 56537 ! f MALCOLM K. LEE, Administrator i 1 have been informed by the Land & Resource Office that I must contact tL-60N N£U5oa/7 UMMLi:in (Township Chairman)(Township Name) order to determine whether or not any additional permits are required by the township for my proposed project. ^(Owner) /(JJate) SHORELAND MANAGEMENT ORDINANCE - DIVISION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE SOLID WASTE ORDINANCE SEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER, OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION RIGHT-OF-WAY SETBACK ORDINANCE FUEL AND ENERGY COORDINATION 1I /feet/taebes-Scale: Each grid equals GRID PLOT PLAN SKETCHING FORM n 19 .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. r ns T/ ^U//ld;/vG \ —4~ r- t- POSB0 ] Beo^oo/v, . i. Bf^rH]^er>l2,oOfOo L Pf^RPlAl fr PoBn ■ 4 I I I L «k 21598 7®MKL-0871-029 VICTOfl LUNDECN CO.. PRINTCHS. FERGUS FALLS. White - Office Yellow — Owner Pink — Assessor Ootdenrod — 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 LkDESCRIPTION AND LOCATION ( TV-t VA ( (£. YJ VCnLll TWP NameLake Classif.Sec.TWP RangeLake No. Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Last Name Mailing Address— No. Street. City and StateFirstInitial e V):p«yvn tJO P C"T 0 r\Jr\ ■Owner t / rNameContractor <eirArchitectName. TYPE OF IMPROVEMENT: ^ ^ ( yl^ew Building /S ^^ ^ (2? NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. ( ) Alteration Units yK^therI ) Other (Size ESTIMATED COST OF IMPR0VEMENT|$ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry (vTWood Frame ( ) Structural Steel ( ) Other — Specify ( ) Pi^ic ( ^Individual Septic Tank, etc. WATER SUPPLY: ( ) ^lic ( vT^dividual Well Basement: ( ) Yes ( yj No Stories above basement: ....... Sq. feet (outside dimension)..... Bedrooms / la^ Type of Roof: ^ CHARACTERISTICS: square feet. Water frontage isBuilding set back from high water mark is......^ ^ Land height above high water mark at building line is ing set back from^tate highway right o^ Side yard is ....../...(?............ and Structure will be located feet.Maximum depth of lotLot Area is feet. feet. (Building Line)3 feet 2^Build feet — from road right of way is .feet.way feet.rLq..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. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.of oCvn^lature 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. ) 0 ~ S ~ g- ^/i tI Dated Shoreland Management Official3o.<2 ^Permit Fee $. g ( /- >0 0 (Aa"f q <L( Vi OComments:¥■^ (/s'CS^'W IK ^ 19S676@ VICTOR LUNOEEN CO.. PRINTERS, FERGUS PALLS. MINN.Form No. MKL-0771-002 ■"T.ufc 1White - Office Yeiiow — _Owner Pink — Assessor Goldenrod — inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAlii COUNTY COURT HOUSE Phone: (218) 739 -2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT 1 Permit No..LEGAL i'c.:S J 4^ )Lk >DESCRIPTION AND ■i ILOCATION /i-y. !/3 '/■ • '’J ^ \ i iITWP NameLake Classif.Sec.TWP RangeLake No. Lake Name ;IDENTIFICATION: Please Print All Information Last Name Mailing Address— No. Street. City and State Zip No.Tel. No.First Initial Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building I ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:, Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ( ) Public ( i'^ndividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( individual Well !DIMENSIONS: ( flsio( ) Masonry ( Wood Frame ( ) Structural Steel { ) Other — Specify Basement: ( ) Yes Stor ies above basement: Sq. feet (outside dimension) Bedrooms .............................. / Siaths : (JType of Roof: ~TV^o .. square feet. Water frontage is -^i^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.... and ...^ CHARACTERISTICS: .....feet. Maximum depth of lot .. feet. (Building Line) Lot Area is ....feet. ■■-7 -5 feet feet — from road right of way is .feet. i//Side yard is feet. iStructure 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 K 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 shiall become a piart of this permit application. I also understand that this permit is valid for a period of six (6) months.I :THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. i 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 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. Permit: ■O’^ 'Dated Shoreland Management Official12-r Permit Fee $.J■( lo- &S" Comments:n ^ (^ 0oke(p>SOI 0.1-1 .W - nz5 195676® VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL-0771-002 %' 7" u [4^ ^ /a> i INSPECTOR'S CHECK LIST Make all measurements and computationsi ACTUAL IS Jr MINIMUM Shall Be J.Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. Q/.'7 //Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. /c?^& Ft.Side Yard &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_____________t-A)'Ft.3____R. Inspector's Comments: 1f T ■ ■ -r, ■ ■ s. r IwpSctorV^SIgnyture I TitleiInspection Dated 19 Agency VICTOR LURMCR • M.. RRIHTIRI. FIRRM rM.kR. MIRH. LScale: Each grid equals feet/mehes GRID PLOT PLAN SKETCHING FORM Dated: Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot any proposed structures. HD 1.1r>pb I 1 ; 1 i;. ^Xl^T'f/yQ- RUl/-y Td> 1AJ Qr- fO G>f)^^9)0 1 R D A 21598 7®MKL-0871-029 VICTOR LUNOCEN CO . PRINTERS. rERCUS FALLS. MINN. DOCK rxcD BAiT HO y p ' ;r- g’j-White - Officei 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 Uc\K^ l2.asoe-lDESCRIPTION AND LOCATION ^ '2— V 1 I2}L_ 111 Sec! TWP <2.0 TWP NameRangeLake No. Lake Classif.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Last Name Mailing Address— No. Street. City and State Zip No.InitialFirst pin^t-1 ^<3 /Y r^ACToA/ ^Owner Sc 1-f^NameContractor 0ArchitectName. TYPE ("'O New Building ( ) Alteration PROVEMENT:IKOENTIAL PROPOSED USE;NON-RESID Specify; t~o O S'TIAL PROPOSED US ex\- , As( ) One Family Dwelling ( ) Multiple Dwelling 4-P iu •Units({vlother I ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: (( ) Pu^ iMndividual Septic Tank, etc. ( ) Yes (Basement:ry 1(Frame ( ) Structural Steel ( ) Other — Specify (Stories above basement: Sq. feet (outside dimension) Bedrooms WATER SUPPLY: ( ) Public Baths wKln^ividual Well Type of Roof; ^,q ^ , ...... square feet. Water frontage is CHARACTERISTICS; Lot Area is feet.Maximum depth of lot feet. 7Building 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. (Building Line) a.±;,feet 4 O.S.O feet — from road right of way is .feet. LO.and feet. ) O .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. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STA TE STA TUES._ _ * '.yK^fgnature of Owner Permit; Permission is hereby granted to the above named applicant to perform the work described in the above statement. This jjermit is granted upon the express condition that the person to whom it is granted, and his agent, employees and worsen 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 Manageirtenf'Officiai \WnDated Permit Fee $. trfrp q \ L Lftwii 0 oj A £ c- YV\ .k . L . r 0Comment I )oo n~S 195676®Form No. MKL-0771-002 VICTOR LIJNOCEN CO.. PRINTERS. FERGUS FALLS. MINN.