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HomeMy WebLinkAboutIsle View Resort_39000990350000_Shoreland Permits_APPLICATION FOR SITi PERIRIT LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) 121 W. JUNIUS AVE. SUITE 130, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us WHITE - Office , GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NO.RANGE TWP NAMELAKE/RIVER SECTIONLAKE/RIVER NAMELAKE / RIVER NO. S(mH^ U da /3s- \ I A PROPERTY (E-911) ADDRESS f ' a79 \){^ -7T2u^ -----39oqqq9<^<3 6 9603LEGAL DESCRIPTION v, I /!■5 Q\kU-^ )-lJL4 >^r\Jizir<La Daytime Phone No.Mailing AddressFirst InitialLast Name Qjkvart^ uJProperty Owner A/p 7± S’ei^Contractor Name Lie.# ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY 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 ( 5 ) RCU/Year_____ |?^torage Structure _ 'Existing Dwelling to be removed before. ( 3) ‘Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. ( t Permit No. / 0 0 ( ) OTLSD * This permit is only valid after verification from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. (t ) New Dwelling (4 ) MHA'R (7 ) Add'n To Non-Dwelling (10 ) Other____________ CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside ^ IDimension Ps Ft. x / Sq. Ft. 9 ^ Setback to Lotllne Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield Ft. Setback to Bluff N) A- Ft. ^ Maximum Proposed Height ‘ ~7 Ft. Bathroom Proposed ( )Yes ("^No CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Ft."Ft."Ft. X Ft. X Ft." Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Basement_____ Walkout Basement Total Bedrooms_ Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ 33aFt."Ft.&Ft.&Ft.”Ft."Ft.&Ft."Ft."Ft."Ft.i Ft.y Ft.Ft.Ft. Ft.Ft.^ ^ Ft.Ft.Ft. Ft.Ft.Ft. Ft.NoYes Ft.Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / inspection NoYes ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards’□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: 9d3S3 -Yes _X^'NoBluffFt.Water Frontage.Sq. Ft.Lot Area. ^ go, 3-S3impervious Surface Ratio:X too =.% Impervious Surface RatioTotal Impervious Surface Onsite (FT2)Total Lot Area (R^) 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 & Resouixie M^agement office once the building footings have been constructed. Date: Signature of Property Owner Date: Land & Resource Management OfficeQh RECEIPT NO.PERMIT FEE $PROJECT(S) TOTAL SQ. FT. Comments: 313,012 • Victor Lundeen Co., Printers • Fergus Falls, MinnesotaForm No. BK — 0203-0501 APPLICATION FOR SITE PERMIT / LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) 121 W. JUNIUS AVE. SUITE 130, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us WHITE - Office *GOLDENHOD - Inspector YELLOJW - Owner (after issue) PINK - Assessor EXPIRNo. ^PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER SECTION TWPNO.RANGE TWP NAMELAKE / RIVER NO.LAKE^IVER NAME j}\(Ul£slu.nnr2y PROPERTY (E-911) ADDRESS ,9 //3 79 Vr 9 \ J3t\ PARCEL NUMBER (S) , ■ jlo-h il A<rh Y ^ <? ff t^arfO'/ _^9g>QCQQ<3<3 6?<1Q3 / a ^ c3(su-/^h <S^■r>An 9Q f>^A96r0n LEGAL DESCRIPTION”S r-.A'^A pt (L$ 3 A Ov<L^ Daytime Phone No.Initial Mailing AddressLast Name First cSr-eg-n Uo\)^/T UJ / 9Ot^'Property Owner ¥s7j9f^<l(hc^ A/D ^ j-9rContractor Name Lie.# ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling (5) RCU/Year______ ^S^torage Structure __ 'Existing Dwelling to be removed before. (3) 'Replacement Dwelling (6) Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MH/YR (7 ) Add’n To Non-Dwelling (10) Other ' -( ) Permit No. ( ) OTLSD * TNs permit is oniy valid after veriUcation from the O.T.L.S.D. that a conforming sewage system witt be installed to service this fot contact Rollie Mann at 864-5533. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside , Dimension P’S Ft. x / Sq. Ft. 9 ^ Setback to Lotline CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Outside DimensionFt."Ft. X Ft.” Ft. X Ft" Sq. Ft. Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Water Level ___ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Basement______ Walkout Basement Total Bedrooms__ Sq.Ft Setback to Lotline ____ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff_____ 33^Ft.”Ft.&Ft.&Ft.”Ft.”Ft.&Ft.”Ft.”Setback to Right of Way Setback to Ordinary High Water Level Ft.^Ft. Ft.”Ft. Ft.Ft. Elevation Above Ordinary High Water Level Ft, Setback to Drainfield S^O Ft. Setback to Bluff N) A- Ft. Maximum Proposed Height Bathroom Proposed ( ) Yes (^^ No Ft.Ft. Setback to Septic TankFt.Ft. Ft.Ft.Ft. Ft.iZIr.Yes No Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.Yes No ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq ^ None □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: /6,_Yes y NoBluff.Ft.Sq. Ft. Water Frontage S"C 7 f QO,iSi Lot Area.J- 9 .%Impervious Surface Ratio:xioo = Impervious Surface RatioTotai Lot Area (FT^)Totai Impervious Surface Onsite (FT^) 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 building footings have been constructed. •y-v- 0 3 i-Date:T Tty OwnerSignature of i Date: Land S Resource Management Offk^7^./) AQin RECEIPT NO.PERMIT FEE $PROJECT(S) TOTAL SQ. FT., Comments: 313,012 • Victor Lundoen Co., Printers • Fergus Falls, MinnesotaForm No. BK — 0203-0501 SITE PERMIT INSPECTION RESULTS % Inspector must make all measurements and computations loo'^ • 1 ¥ Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way luo Ft. & <17'Ft.Ft.&Ft.Structure Set Back from Lot Lines /Ft.Ft.Structure Height Ft.Ft.■IStructure Set Back from Septic Tank Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. %Land Slope at Building Site % Inspector’s Comments / Sketch: T f|0^ S-V.I c' ui I i tJz. Inspectors SignatureSi Date of Inspection Time of Inspection ^^oject Approved /o 7'0 ? Date/Initial OTTER TAIL COUNTY, MINNESOTA4 ✓ ’O 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 OwnerWhite •Yellow Pink — AssessorGolde/>rod Tnspector Permit No.LEGAL jyflA.1 'k?. n 7/Date.DESCRIPTION AND LOCATION 1 TWP NameLake No. / Lake Name CoD B5 W7RangeSec.TWPLake Classif. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name Owner NameContractor Architect Name. NON-RESID^NTIAL PROPOSED USE: '/rCi/X_____________ RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling ( LH?Iuitiple Dwelling ( ) New Building C> Units ( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $ / % (90 {omit cents) DIMENSIONS: Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ....^................... TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ^Kmdividual siptic Tank, etc. WATER SUPPLY: ( ) Public (L-Kfndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry Frame ( ) Structural Steel ( ) Other — Specify /. ME Baths HEATING: i ) Electric ( ) Coal Other: ( ) Oil( ) Gas ( ) None Type of Roo( a ( ) Unit CHARACTERISTICS; feet.Water frontage is . feet. (Building Line) ...............................feet square feet.Lot Area is...Z£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 (bf- feet.feet — from road or street is feet.feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.)._____________________ and Lg.. .a>..£ 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. IDated.IJ 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. L jLDated Shoreiand l\Mnagement Official State Surcharge $Permit Fee $ Comments: Form No. MKL-0771-002 1S8899 V1CT9* LUBDCtH 4 CO.. PaiHTCM. fEKtua FM.L4. MthH 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 — Ass^i>;or Goldenrod - Inspector t Permit No,,LEGAL Date.DESCRIPTION AND LOCATION TWP NameTWPRangeSec.Lake Classif.Lake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No,Zip No.Mailing Address— No. Street, City and StateFirstInitialLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Units ( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $(omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Yes ( ) No( ) 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: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths HEATING: ( ) Electric ( ) Coal Other: ( ) Oil( ) Gas ( ) None ( ) NoType of Roof: ( ) No ( ) Unit CHARACTERISTICS: feet.square feet.Water frontage is . feet. (Building Line) ...............................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 is........................ Side yard is.................... Building will be located Building will be located feet.feet — from road or street is feet........................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and 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 State Surcharge $.Permit Fee $. Comments; VSSUEPX iFlCA'i ^ HU Form No. MKL-0771-002 ,158899 VICTOR LUNOCEH 4 CO.. RRIMTERS. FEROUS FALLS. 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 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. fr frcuInspector's Comments:r.i>\ ^ (u. c^ ^ g;X. /> Inspector's Signature Title Inspection Dated Cj ~ i^ ''t 19 Agency VICTOR lUHOeCH t M., RRINTCRt. rCRSUS rM.1.0. HtHN. r lalo View Resort R 5, Box 519 pelican Rapids m 56572Shore Line Managament Fergus palle, MN Gentlemenj Please note attached photo and drawing of proposed addition to cabin § 4* The proposed addition would have same footing* roof line and same type of end that cabin § 4 has now with same type of siding and construction. The addition includes two bedrooms attached to cabin jf 4 as shown in the drawing. I submit the enclosed for your consideration and approval and request a permit for this addition. We would like to start construction as soon as possible and have it ready for rent in May.I Thank you for your consideration. Yours truly. R. W. Hager, Manager - PH epos CD AOi>ir,} r }2^'k~ftIL ■*7F7F=7T €I'’-■t' ^v7-e ^ ^!t VI I /~iV 'll4 /e / 9 I iet C.;.f[JLf 0\, >^ J'r*h. 33s Jfo /■ ~ vfcbI,IM-*•X »><o' <Zc.cSt T •irr C6^-S^7 ti^iW/%^r>/-?A'"'1 (2f-y<y ?■ %.(5<^C o P\\ I r 4J Ooe- fr—^fc-7»»rtte^ Ay'/>c' A—Y f White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY /C79Permit No..LEGAL cXJZ.. / /Date.DESCRIPTION AND LOCATION Cc- -7^7 Lake No. Lake Name " TWP NameLake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. (y C.A y j! S s?r?v7 c ^ ^ cOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: One Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE: ^ (Af New Building ^Specify:. ( ) Alteration Units ( ) Other ( )Other Size ESTIMATED COST OF IMPROVEMENT $ C (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry Od Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ^ Yes ( ) No Stories above basement: ....... Sq. feet (outside dimension) .... Bedrooms ( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central / .dfr^.:Z /Baths HEATING: 00 Electric ( ) Gas ( ) Coal Other: Y" ^ Type of Roof:(X) No < ) Oil No ( ) None ( ) Unit CHARACTERISTICS: Vo O -F-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 t! feet. 9^0 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. X—/IX' ^Ignatu/e of Owner described in the above statern^^. This permit is granted upon the ? yDated.■tif Permission is hereby granted to the above named applicant to perform the workPermit: 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. ft--------------xyrCc V /in y Shoreland Management Official Dated State Surcharge S "PPermit Fee $ 7r aomments: -7 No. MKL-0771-002 ^ vtcfw uMfMtM « w.. pcnaua tm-l*. m«imi.158899 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 r*/Permit No„LEGAL Date.DESCRIPTION AND LOCATION 7-v 7 ZJiV' Lake Classif.Sec.Lake No.Lake Name TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial IVIailing Address— No. Street, City and State Zip No.Tel. No. Owner NameContractor Architect Name TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: /^ ( ) New Building ( ) Alteration ( ) Other______ ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ / '(omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry (.a) 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: {v ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. / ; ''"y Baths../ HEATING: (•V ) Electric ( ) Coal Other; Type of Roof: ,( ■) No ( ) Gas ( ) None ( ) Oil'■It- ( ') No/ y - . •( ) 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 Surcfiarge $. "T-k'Comments:__1 NOT CALLFH Ff 4-.20-»77 Form No. MKL-0771-002 .158899 Viera* uinaciii a ee..m*«. riiiAui INSPECTOR'S CHECK LIST Make all measurements and computations MINIMUMShall Be 4- Sq. Ft,ACTUAL IS 1 Sq. Ft.Sq. FtLot 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 Rear Yard Ft.Ft. 10 Ft.Occupied Building to Septic Tank Ft. 20 Ft.Occupied Building to Absorption System Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency vicre* ujNCCCii » c« . wmtiki. rt»avi fau.*. MniH. S’- ^ / - ok. C. —2j >6»" ^Aj£j£»px.<s3d CU.-J2--<!'^ ^ <#lc^Ct</ jQw^ — ^ -Aj_ AJ><iuJ~^ p,AA^ ..<au.ja^Ck@>Jui/ jl<i/'«'5^^^ C-ey>^ JZILj9 , O'VVN , Q^^/o^ey%. -S l3tT^ ^''yj'C'-^ity^ /^ 3 /3^ 70 ««;- Pt ^ Loi i ^ ^ At ^ (U£i^ S£^y ^7Sa>4> 3^sr'>Vh.'^Y 3i>^^ :::] ■ WARRANTY DEED THIS INDENTURE, Made this //, day of 1974 , between RICHARD L. TAVIS and MARY TAVIS, his Wife, of the County of Champaign and State of Illinois; GORDON TAVIS, a Single Man, of the County of Stearns and State of Minnesota; LOUAYNE M. 0'DAY and PATRICK L. O’DAY, her Husband, of the County of Cass and State of North Dakota; RONALD J. TAVIS and MARILYN TAVIS, his Wife, of the County of Marion and State of Indiana, parties of the first part, and CHARLES M. YOUNG and GRACE H. YOUNG, of the County of Otter Tail and State of Minnesota, parties of the second part. WITNESSETH, That the said parties of the first part, in consideration of the sum of ONE DOLLAR, to them in hand paid by said parties of the second part, the receipt whereof is hereby acknowledged, do liereby Grant, Bargain, Sell, and Convey unto the said parties of the second part as joint tenants and not as tenants in common, their assigns, the survivor of said parties, and the heirs and assigns of the survivor. Forever, all the tract or parcel of land lying and being in the County of Otter Tail and State of Minnesota described as follows, to-wlt; Lot One (1), South Lida Shores, and all that part of Government Lot Four (4), Section Nine (9), Township One Hundred Thirty-Five (135) North, Range Forty-Tv/o (42) West, Otter Tail County, Minnesota, described as follows : Beginning at a point located oh the southerly shore of South Lake Lida and near the South edge of a Creek flowing into said South Lake Lida, said point of beginning being located by measuring W. 401 ft. and S. 47°10’ W. 100 Ft. and S, 52°19’ W. 127 Ft. from the N.E. corner \ / of said Govt. Lot 4, 42 W. , Section 9, Township 135 N., Range from thence beginning and running S. 32°11’ E. along a line near the Southerly edge of said creek a distance of 207 ft.; thence running S. 51°41' W. a distance of 308 ft.; thence running N. 45 44' W. a distance of 245,5 ft.to the shore of said South Lake Lida; thence running N. 62°24' E. a distance of 192 ft. and N. 52° 19'E. a distance of 173 ft. along the shore of said South Lake Lida to the Point of beginning and containing 1.7 acres.more or less, to gether with the perpetual right-of- way and easement for the joint use of an access roadway as now constructed and running from the public road, located along the East line of said Govt. Lot 4 to a point located on the Southeasterly boundary line of the above described tract of land, said access roadv:ay being located in Govt. Lot 4, Section 9, Twp. 135 N., Range 42 W. and described as follows: Beginning at a point 856 ft. So. of the N.E. corner of said Govt. Lot 4, thence beginning and describing a center line of a strip of land sixteen and five-tenths ft. in width and running North 70°2' W., a distance of 261 ft.; thence N. 61°2' of 90 ft.; thence N. 35°58' W.W . , a distance a distance of 418 ft., to a point located on the said Southeasterly boundary line of the above described tract of land, said point of termination being located 120 ft. Southwesterly measured along the Southeasterly boundary line from the N.E. corner of the above described tract of land. TO HAVE AND TO HOLD THE SAME, Together with all the heredita­ ments and appurtenances thereunto belonging or in anywise appertaining, to the said parties of the second part, their assigns, the survivor of said parties, and the heirs and assigns of the survivor. Forever, the said parties of the second part taking as joint tenants and not as tenants in common. BOOKlIi^PAGEJ • V BOOKJl— PAGE-^ And the said parties of the first part, for their heirs, executors and administrators do covenant with the said parties of the second part, their assigns, the survivor of said parties, and the heirs and assigns of the survivor, that they are well seized in fee of the lands and premises aforesaid and have good right to sell and convey the saiie in manner and form aforesaid, and that the same are free from all incumbrances, And the above bargained and granted lands and premises, in the quiet and peaceable possession of the said parties of the secoTid part, their assigns, the survivor of said parties, and the heirs and assigns of the survivor, against all persons lawfully claiming or to claim the v/hole or any part thereof, subject to incumbrances, if any, hereinbefore mentioned, the said parties of the first part will Warrant and Defend. IN TESTIMONY WHEREOF, The said parties of the first part have hereunto set their hands the day and year first above written. IN THE PRESENCE OF: RrCTHARD L. TAVIS v. GORDON TAVIS PATRL.CK L. O’DAY • y ronaLd j . ^Vis- cxot>-SMARILV'N TAVX^ STATE OF ILLINOIS ) ) ss . COUNTY OF CHAMPAIGN) , 1974n-tL day of tary Public, within and for said County and State, personally appear­ ed RICHARD L. TAVIS and MARY TAVIS, his Wife, to me known to be the person(s) described in, and who executed the f or ego±ng--'i.ns t^r-^um^nt, and acknowledged that Jthej^ executed the same. ...... On this P-, before me, a No- 1 "Notary Public^ My Commission Expires : (NOTARIAL SEAL).. \ -2- r ■rr I