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Home My WebLink AboutLake View Condo_46000990980000_Shoreland Permits_i 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 LEGAL Permit No. DESCRIPTION AND pt ^LOCATION LAKE/RIVER NAME SECTIONLAKE NUMBER LAKE/RIVER CLASS TWP NO.RANGE TWP NAME 73/ PARCEL NUMBER (S) . ooa-9f- FIRE OR LAKE ASSOCIATION NUMBER H Ot^3^ IDENTIFICATION: Please Print All Information Last.Name First Initial Mailing Address — No. Street, City and State itP*/ Ary. // KPH Zip Code Telephone No. HeProperty Owner V 3^67/ NameContractor 0003^750State Lie. # PROPOSED PROJECT () New Structure ( ) Addition { ) MH/RV PROPOSED USE ( ) Residential ( Non-Residential RESIDENTIAL USE ( ) One Family Dwelling (X) Multiple Dwelling # of Units ( ^ ) NON-RESIDENTIAL USE CHARACTERISTICS OF PROPOSED (Basement ( Walkout Basement ( Outside Dimension of Structure______ ( X ) Utility Structure ' Ft.() Water Orientated Accessory StructureYEAR Ft.TYPE OF FRAME ) Masonry ( X ) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY ( ) Other Height of Structure. # Of Stories______( ) Public OFFICE USE ONLY ) Individual^ { J/q Shore Impact Zone Sensitive Area ( { ) Public ( ) Individual Permit # (X)OTLSD ft Of Bedrooms ) None ft Of Bathrooms iZiGcmfmuj LOT SIZE AND SETBACKS:5ci3_Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. (String feet. /TilBuilding set back from ordinary high water level is /3fy>3Land height above ordinary high water level at building line is feet. Slope of lot % Building set back from road right-of-way.feet. f>nLot line setback is and feet. /aStructure 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).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. VWlWwi3f\J!Dated: [gnsfufB ol 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 expres' 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. P) Land & Resource Managerrient Off/ce Dated: 30 ./)dPermit Fee $.Receipt No. '^u/n/Zr^/ AP‘y?3' Mj. ________73' LMct-aPi xn> y JV' X s^i'Comments: iMut 3 JjxlY’r^oirrmj 262,316 — VictOT Lundeen Co., Printers, Fergus tarfis, MinAwota d/nd/ 'm No. BK — 0292-002 r 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 Permit No.LEGAL DESCRIPTION ^ AND i LOCATION TWP NAMERANGETWP NO.SECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER cOtiU.Jdi-1iti-O 73/■f373 FIRE OR LAKE ASSOCIATION NUMBER r-3 33- parcel NUMBER (S)u]f U :r - ■ IDENTIFICATION: Please Print All Information Telephone No.Zip CodeMailing Address — No. Street, City and SlateInitialFirstLast Name ______________V 56/( 3^-3 6.Property Owner K*-( 3^67/■7 flUri17L.37Name ■tContractor state Lie. # CHARACTERISTICS OF PROPOSED Basement ( -' ) ^ Walkout Basement ( Outside Dimension of Structure_____ Height of Structure. # Of Stories_____ # Of Bedrooms __ NON-RESIDENTIAL USE ( X ) Garage^ , ( X ) utility Structure ( ) Water Orientated Accessory Structure RESIDENTIAL USEPROPOSED USE (5 ) Residential ( X) PROPOSED PROJECT ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) ( I ) New Structure ( ) Addition ( ) MH/RV Non-Residential Ft.YEAR ■-/ O/)ONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( y ) Wood ( ) Structural Steel ( ) Other Ft.( ) Other Q U-O( ) Public . OFFICE USE ONLY 1 ( Bluff Impact Zone ( Shore Impact Zone (Sensitive Area iX) ff-£y ,.MlMAlIrL I( ) Public ( ) Individual Permit If (X)OTLSD 6/‘/ft Of Bathrooms) None LOT SIZE AND SETBACKS:Ml feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is i-M-/'/3 feet. (String Test)"Building set back from ordinary high water level is Land height above ordinary high water level at building line is %feet. Slope of lot ^ 5r)iO —feet.Building set back from road right-of-way. 72j2_feet.andLot line setback is m.Jeet 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. TH/S IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. \3 7 3Dated: ' ! Signature ol 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 exprest 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. i2)5 - 5)0 -63Dated: Land & Resource Management Office in‘iO(fiSQ./OO Receipt No..Permit Fee $, /3^x ' (J6[/7dd{0 je.M-rJu -55 7Comments:f /imtjl-' c/dgjtB . Jjd A, #■ t/-:;/■ i ru i 5 5)- 3^ X 53' Form No. BK — 0292-002 262,316 — Victor Lundeon Co., Printers, Fergus Fatls, Minnesota 'I :i■J ■f,INSPECTION RESULTS Make all measurements and computations[ ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. /77^Building Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. -AlooBuilding Set Back from Road Right of Way Ft.20 Ft. SH S iBuilding Set Back from Lot Line Set Back Ft. &Ft. Ft. Building Height Ft.Ft. (isBuilding Set Back from Septic Tank Ft.10 Ft ■r •75Building Set Back from Absorption System Ft.20 Ft Elevation Above High Water Level at Building Line Ft.3 Ft. Land Slope at Building Line % Inspector’s Comments: ■ A 4p orrtRTfiiZiSketch: J // 77- k;Ij i 44 I ' M^ S! ----^r ■i (i1 i■1 ^ j Inspector's Signature 8-So ^ "2-7 : oT'I Date of Inspection j <*>_ -------^ 8Tf\Te **'78 Time of inspection n t: *