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Home My WebLink AboutNorth Star Resort_16000360205000_Shoreland Permits_WHITE - Office GOLDEfUROD - Inspector YELLOW - Owner (after issue) PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER. 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE/RIVER J^SECTION,TWP NAME __^LAKE / RIVER NO,KE/RIVER NAME TWP NO.RANGE / /^jrif 6 3^5 c PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS33 $-3 2. s 0 (zN I , lA-cV F^)ICl-L 2.£>S r V C zQg^^ iv^Vv <2 o\y' S-6CL2.tL.oT~ Y /^AiAc-eL (?0\ro~' Pr GL Z Co 0- LEGAL DESCRIPTION^ / ^ Q qq 0 2.ff ^"CPOO ^ (Z 'f (.0000/ 000 Z 0/-0 Daytime Phone No.Last Name First Initial Mailing Address X ^■^auirf' /- 2 /S'- 7i'V- 2><7Property Owner (^. 0 , & /C I py_______ p vJr , VM ^i 8-1 ^ ' Contractor Name Lie.#pr’ e>ox m jOnkJr MM PROPOSED PROJECT (piease circie the appropriate number) (2 ) Add'n to Dweiling ( 3) ‘Repiacement Dweiiing 6 ) Attached / Detached Garage (9) W.O.A.S. 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'X(1 ) New Dwelling ( 4 ) MPA'S (7 ) Add’n To Non-Dwelling (10) Non-Conf. Replacement (identify) _ (11) Other (identify)______________ •Existing Dwelling to be removed prior to. qm.( 5 ) RCU/Year________ L ((^Storage Structure ( Permit No. OTWMD 'Must have Sewage System Approval from OTWMD Prior to issumg Site Permit. ' Contact RollieMann at 218-864-5533 CHARACTERISTICS OF PROPOSED W.O.aX ^TER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED DWELLING (Mb^ Include Attached Garage) OutsiobsPImension Sq. Ft. Setback to L^e- Setback to Righ^Way Setback to OrdinarX^igh Water Levd Elevation Above Ordin^High WaJ^ Level Setback to Septic Tank Setback to Drainfield___> Setback to Bluff / Total Bedrooms y Maximum Proop^ed Height Roof Chana^ ) Yes ( ) No Basemejiif ( ) Yes ( ) No Walk^t Basement ( ) Yes (side profile required) ( CHARACTERISTICS OF PROPOSED NOI^WELLING Dimension 90 'S/?\.y 7 ^OutsideX DimensioiTFt. X Ft. X /OOP ^^ ft Sq. Ft. Setback to Lotline “h Sq. Ft. \ Setback to Lotlin^ Setback to Right of my. Setback to Ordinary Higfr^er Level __ Elevation Above Ordin^HigrkWater Level 'Setback to Septic Tjyfik__ Swback to Draiyfeld____ ^tback to Bkm________ Maximum Reposed Height ( ) Bo^ouse ( ) (Jazebo **Project/LotlineSi(Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft.** Ft.,Ft.** Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank jfSO )/X\. Setback to Drainfield 4^^ k*^f. Setback to Bluff Maximum Proposed Height W /a Vr. Roof Change (^^ Yes ^ X) Ft.**Ft. Ft.Ft. Ft.Ft. Ft.Ft.Ft. Ft; Ft. Ft. ( ) Screen Porch ( ) Storage StructureBathroom Proposed ( ) Yes (lo Topographical Alteration / Earthmovina tJl □ None -PPr'K r Sbi\* Must include on scale drawing, additional Permit may be required.X’21 Cubic Yards - 299 Cubic Yards*□ 20 Cubic Yards or Less *□ 300 Cubic Yards or More* CHARACTERISTJCSJDF LOT:•3*7 ^/ A-o-/OOP'Bluff ( ) Yes (JV) NoSq. Ft.Lot Area Water Frontage .Ft. Xf ^—77 76>0 ^ // YfO, doo • aImpervious Surface Ratio:i X100 =.%Total Impervious Surface Onsite (FT')Total Lot'Area (FT^)Impervious Surface Ratio TH\S IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land Resource Jjjten^^nt office once the building footings have been constructed. Date:y /-^T//o Signature of Property Owner/Agent for Owner Amf Land & Resourve Management Office yj.sHl toDate: msirir7JH9.bPROJECT(S) TOTAL SQ. FT.PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota r WHITE - Office GOLDENROD - )nspector' YELLOW - Owner (after issue) PINK - Assessor APPLICATION FOR SITE PERMIT \j^LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us SECTION ' TWP NO.^^ ' RANGE - WF PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO,LAKE/RIVER NAME LAKE/RIVER CLASS I X P NAME \ .i I'wX. 9// 36 ^ r ^ \9PARCEL NUMBER (S) r/tKCbL 'zo's .ixf LEGAL DESCRIPTION / ' V/ C f2. /rl nhi Propertf , • A a 'i^r ij L> ,I 1 ) Daytime Phone No. ,■> ' - 7 (') ' /i'll' - ^ 'i/ -Owner /i i"yC iSfril r V ■ y h-.i y' ./ ) ,/1^X(aA\ S/J' Contractor Name Lie.#z£i)/UjV SM.■. t {>j PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MHATR____ (7) Add’n To Non-Dwelling f 8 ) Storage Structure j/’ (9) W.O.A.S. (10 ) Non-Conf, Replacement (identify)___________________________ (11) Other (identify)_________________________________________ •Existing Dwelling to be removed prior to__________________________ ONSITE WATER SUPPLY ( 1) Individuai ( ) Public ( ) None NOTE: MN Ruies Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM(2) Add'n to Dwelling (5) RCU/Year_____ (3) "Replacement Dwelling ;IL ;(6) Attached / Detached Garage ( ;) Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension___ Sq. Ft. - Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Leve[3__ Elevation Above Ordinary High Wate'r Level Setback to Septic Tank \ Setback to Drainfield Setback to Bluff___ Total Bedrooms__: Maximum Proposed Height RoofChan^t )Yes ( ) No 'K Basement ( ) Yes ( ) No \ Walkout Basement ( ) Yes (side profile required) ( CHARACTERISTICS OF PROPOSED NON j)WELUNG Outside XDimension Y- Ft. x / ^ Tt.** Sq.Ft. ^ ^ Setback to Lotline t <00 Ft. & / OQO r!" Setback to Right of Way Sr^ Ttr'lOO ^ ^OO \jf^ Ft.x 3^ /"FtyFt, X -5 Sq. Ft. Setback to Lotline ..____ Setback to Right of Wa^ Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum ptoposed Height ( ) Boathouse ( )Gazebo **Project/Lotllnes/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft.” Ft.”Ft. Ft. Setback to Ordinary High Water LevelFt.Ft. Elevation Above Ordinary High Water Level £yi_Ft. Ft.Ft. Setback to Septic Tank Setback to Drainfield pt Setback to Bluff i- . I i- Ft. \ Ft. Ft;/ Ft.Q /) uFlMaximum Proposed Height Roof Change (• ) Yes (^ ) No^X^ Bathroom Proposed ( ) Yes (X) No^x^ Ft. ( ) Screen Porch ( ) Storage StructureiNo Topographical Alteration / Earthmovlnq □ None * Must include on scale drawing, additional Permit may be required.21 Cubic Yards - 299 Cubic Yards*□ 20 Cubic Yards or Less *□ 300 Cubic Yards or More’ CHARACTERISTICS OF LOT: fOOO'Bluff ( ) Yes (^ NoLot Area. Sq. Ft.Water Frontage _i Ft. 1.Impervious Surface Ratio:xioo =Total Impervious Surface Onsite (FT^)Total Lot Area (FT^)Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances, I understand that it is my responsibility to inform the Land & Resource Management office once the buiiding footings have been constructed. Date: Signature of Property Owner/Agent tor Owner/ Date:±Laryd & Resourie Management Office PERMIT FEE $7 'PROJECT(S) TOTAL SQ.FT.,RECEIPT NO. Comments: Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota '■i\t■■ SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations 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 Ft.. Ft./Ox) S~OT~~ Ft. & Ft.Structure Set Back from Lot Lines Ft.&Ft. Structure Height Ft. Ft. /OT'structure Set Back from Septic Tank Ft. Ft. /or-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:-4 ; 'nr/vi Inspector's Signature Date of Inspection (d Time of Inspection ^/project Approved Date / Initiai ..i— JV Tax Parcel Number(s) I 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, iotlines, road right-of-ways, easements, OHWLs, wells, wetlands, topographic features (i.e. bluffs), and onsite impervious surface calculations.:irc■;oo[-tJi, / d Scale % Impervious Surface Ratio (Must Complete Worksheet On Other Side) \AL'^■t..I...I"1'T i I I \f 3'3 3 I.1....^.. 3If:snII?•*1 fV -t—IV)I II!I...&f 3kl:HicCi Si■jj o'. I t-iii-, I 'I ii. jT, i—I- —! Till I [ i m'aui•»f ■D I ta :: A.eI I ffi ::S r>Ad ssI ...Q I rI...i i.j II r -rs:ILiU_LLiCi m:i- U- ! .■16 *1 <3 ?: m--f I Ir1 lES6&I Iti-..1. mI r rt I I I..L ..i.. a I1tI ' ■ ■f f & ( mi t±±MOi ■EE W-I □I -[.......1..i'■|...I !I..i.i_t-t.- I-! Signature of Pf(5p6r ^ Owns I'l E t —DaT^II (I I BK-0909 I I ..l‘-8q&-346|l870.i .338.596 ...vVIcto Lundoen Co, Print&s .■!.I....-I.I.•... Fergus i alls. NW-IIIi'I *'I .=} r ;IMPERVIOUS SURFACE CALCULATION WORKSHEET:i (Existing and Propos^Hmpervious Surfaces (must be shown on scale drawing):List of Onsite Structure(s): C/0(P Ft2Deck(s): (7C?0 r2Driveway (s): yooPatio(s): W Ft2Sidewalk(s): VOO , FP ■' =*<•Stairway(s): / ;Ft2 »Retaining Wall(s): V. lFt2Landscaping: (Plastic Barrier) Other: £<1 J ..R2 d•: o V 17 7^0TOTAL iMPERViOUS SURFACE:Ft2 O LOT AREA:i o(pb = ' LOT AREA t ^77 .%X100 =;IMPERVIOUS SURFACE RATIOTOTAL IMPERVIOUS SURFACE »i /■'{»' V'- i ; ■* : r. » " V •4;• i.:9 i- 0 { i ^ I ^»i ^ 'f's OTTER TAIL COUNTY Grade & Fill Permit #ns _5S3i ^ %PROPERTY OWNER LAKE NO. S^-3SS~ SEG. ^ TWP. NAME * K LEGAL DESCRIPTION:pT~ C, ^ \Xo>n«A.\v»c Vrt) WvnAWORK AUTFIORIZED T ^^'l'S'Vvvvb J ^r-<iy No vjC v.\ I Lo\l», Vci«ik<V«^y S^«wY>J * CjUYNVrKcAta ' i»>LuV“^^5 NOTE: This card shall be placed in a Conspicuous place not more than 4 feet a^ove 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. i APPLICATION FOR GRADE & FILL PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us smPermit No.PLEASE PRINT OR TYPE ALL INFORMATION SECTIONLAKE/RIVER #LAKE/RIVER NAME LAKE/RIVER CLASS TWP. NO.RANGE TWP NAME ^ ’T^r' La. IC'•e. PARCEL NUMBER(S)PROPERTY (E-911) ADDRESS LEGAL DESCRIPTION Last Name First Initial Mailing Address DAYTIME Phone No. l^arheit^a.Property Owner ^oy STb«4r* Contractor Name ^3 2.3Lie.# I NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. V Received L&R Official DATE PROJECT REQUEST (You may use the grid on back for required scale drawing): DESCRIBE YOUR PROJECT(S): Ipcu Jc/x\4^0 r ^ ^0/c^o' buTjc/>, S/ i\Ciu / ou ~r'~t<D tnrxO V „»'/ ODETAILED INFORMATION: AREA TO BE CUT/EXCAVATED:^^ Yds^^0 Ft. X Ft. X Width PT. - 27 = Length Ave. Depth Yds®WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Length Ave. Depth Ft. X 3 Ft. X m - 27= Yds® Ave. Depth TOTAL EARTHMOVING REQUESTED = /^O Yds® Width AREA TO BE FILLED/LEVELED: Length Width BACKFILL AT FOUNDATION;Ft. Ft. Max. Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes 9,rIMPERVIOUS SURFACE:% (^^IGNATUkfe OF PROPfeftTY OWNERfAGE^ Ftth OWNER BK02/09 RECEIPT NUMBERDATE APPLBCATBON FOR SBTE PERMBT 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 BLUFF ZONEAND YESLOCATION NO SECTION TWP NO.RANGE TWP NAMELAKE/RIVER NAME LAKE/RIVER CLASSLAKE NUMBER S'^boHI(3C.3G(a 5S^Ud?S'd TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS '^NO FIRE NUMBERPARCEL NUMBER (S) AJSC. (/6'’Ooo-3(;, OcxD IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and kip Code (Daytime)First InitialLast Name ISf^i a/ ^(aS 15b'MilProperty Owner 1 Sox IQ./4. Ai/j (o{S^13Q'3mL S'loSdl________________ LName <2^ erx^CL V\Contractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY Individual ( ) Pubiic ( ) None PROPOSED USE ( ) Dweiiing ( ) Non-Dweiling ( ) MH/RV ^''lf)rcc V-f-A ^ ( ) Water Oriented Accessory Structure Tro('«v' ('WOAS) PROPOSED PROJECT ( ) New Structure(s) ( ) Addition(s) (•^ndividuai Permit # Rff>oc I ( ) Collector Permit #. ( )OTLSDYEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWEI^G ( ) Utility Structure CHARACTERISTICS OF DWELLING ()0 Dwelling TrojU r ia ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Ft.x frA ( ) Screen Porch( ) Boathouse ( ) Utility Structun( ) Gazebo( ) Other Outside Dimension .Ft.( ) Other. Outside Dimension Outside Dimension 35" Ft.Ft.&.Ft.Lotline Setbacks .Ft.Ft.xI J>0 Ft.& SO Ft.Lotline Setbacks .Ft.OHWL Setbai ,Ft.&.Ft.Lotline Setb^sI75Bathroonv ( ) Yes ( i/) No / (If Yes / a complying Sewage System Required) Ft.OHWL Setback .Ft.OHWL SetbackTotal Bedrooms Maximum Height /10 ft. (1 story)Maximum Height / 18 Ft. (1 story)Maximum Height / 30 Ft. (2 story) 0^ 3^,oSRi^tLot Area <3 Qc>0 .%,Sq. Ft. Impervious Surface RatioSq. Ft. Impervious Surface 7/Ft. (3’minimum)Ft. Elevation of lowest floor above OHWLWater Frontage z-z^o .%.Ft. Slope of lotStructure setback to right-of-way Ft. (10’minimum) (Sewage System Permit required before installation). Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank 2- 0Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System 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 Ordinance 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 Man^ement oit\^e the building footings have been constructed./ / /^/f 7 7Dated: Signature of Owr /-3l7'?7 2Dated: Land & Resourc^Management Office /3.saoS50-RECEIPT NO.PERMIT FEE $ L-i^OiT-r?-• Comments:7^ C//p J -V i>a.Iy’S5 t S 0 i f / S S Form No. BK — 0496-002 Wv C 281,017 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870 .'*' A iiPPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT ^---^OTTER TAIL COUNTY COURT HOUSE oV Rhone: (218) 739-2271 • FERGUS FALLS, MN 5653/ \NHiTE - Office GOLDENROD - Inspector YELLOW - Owner PINK - Assessor w ■ \\ A ■- /V74^■C... . V Permit No.LEGAL DESCRIPTION V., \ BLUFF ZONEAND,□ YES ,^NOe'^cjiT iLOCATION \ ■ TWP NO.RANGE TWP NAMESECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER ..J 0 L-r\ic,doL| I/34•oG 6 o GS-L 3 9S^ TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS NO FIRE NUMBERPARCEL NUMBER (S) ‘G t-JSL. (I'b'Ooo- 3c, -o?oS- ooo TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeInitialFirstLast Name EProperty Owner •3 ■<*. ^ b (9i IG M Aj AiOTlLiil/C,-P)r>A E3Name j(p ^ E (f Contractor C ,7’ fState Lie. # ONSITE SEWAGE TREATMENT SYSTEM (‘-1 Individual Permit # ( ) Collector Permit #_ ( )OTLSD ONSITE WATER SUPPLY (*^ Individual '^yS I' ( ) Public ( ) None PROPOSED USE ( ) Dwelling ( ) Non-Dwelling ( ) MH/RV ‘T ) f) '. ' . ' Ef f ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ( ) New Structure(s) ( ) Addition(s) rS.s4 -),YEAR 7 K> jr '• CHARACTERISTICS OF NON-DWEL^G ( )Qarage CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING 7( ) Screen Porch( ) Boathouse( ) Utility Structure(/) Dwelling i r ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Fix i , \ c r r ( ) utility Structun( ) Gazebo K ( ) Other Outside Dimension ] .Ft.( ) Other. Outside Dimension •t.x Outside Dimension 3S Ft..Ft.Ft.&Lotline Setbacks Ft..Ft. X So Ft. & 50 Ft.Lotline Setbacks Ft.OHWL Setbar .Ft..Ft.&Lotline Setbj■7S'.Ft.OHWL Setback Bathroorri: ( ) Yes (t/) No / (If Yes / a complying Sewage System Required).Ft.OHWL Setback Total Bedrooms__________________ Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)laximum Height / 18 Ft. (1 story) Lot Area ^ -^<'7 n ^ U S AL~ / &rrci structure setback to right-of-way__________ Structure setback to septic tank_____^_____ .%.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious Surface .Ft. (3’ minimum)Ft. Elevation of lowest floor above OHWLWater Frontage J-^0 .%__________Ft. Slope of lot .Ft.(10’minimum) (Sewage System Permit required before instaliation). Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10'minimum) (Sewage System Permit required before installation). Z21 Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System Zdl 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 Ordinance 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 offic^jorjee the building footings have been constricted. * / :#r /# '■./ yDated; Signature of Owner- // 50^ Dated: Land & Re£ourc^>^nagememotftoe RECEIPT NO.PERMIT FEE $ f ?-ore "7^Comments: 6 ptvt uST'C J.'I7- > ]>/ t\ Form No. BK — 0496-002 281.017 • Victor Lundeert Co , Printers • Fergus Falls, MN • 1-800-346-4870! **'- - » INSPECTION RESULTS Make all measurements and computations Ft.Structure Set Back from Ordinary High Water Level /od'Ft. Ft. Ft.Structure set Back from Top of Bluff Ft.Structure Set Back from Road Right of Way Ft. Ft. & _5£^Ft.,Ft.&Ft.Structure set Back from Lot Lines /o'Ft.Ft.Structure Height to-*-Structure Set Back from Septic Tank Ft. Ft. Ft.Structure Set Back from Absorption System Ft. Elevation Of Lowest Fioor Above Ordinary High Water Level____________________Ft.Ft. %%Land Slope at Building Line i IInspector’s Comments / Sketch:■J A 1 4 ■ ^ -J J i x> V Inspector's Signature Date of Inspection Time of Inspection V' /O ‘ feet/inchwScale: Each grid equals GRID PLOT PLAN SKETCHING FORM S' /19 yy ■Dated: / /S«p/wn/r» Please sketch your lot indicating setbacks from road right-of-way jake and sideyard for each building currently on lot and any proposed structures. T T I / US 2<5 z!-3\3^i1 *0 r'7J si I zz] Z! \ 2.C: ^1^1 Z.G i< 2-Vi^5 I m >' r i / V/? /7 /C- C /^ /O ?7 > T ; : Xr S' Tl ^ :nns'•s -iz.Int c 7j TV nIT.V'<■ c 6 P ^ ^ (T i' 0 ^ ^b MKL-0871-42B aim 10 ..fsa. U..MI. I 1i GRID PLOT PLAN4e»t SKETCHING FORMLScale: _^ct^i:^grid(s) equals feet, t , 19 ‘^7 ■i-nDated: Signature Please sketch your lot indicating setbacks from road right-of-way, take, sideyard and septic tank and drain- field for each building currently on lot and any proposed structures. LPt KS Hd' f ( cU I £■ ^<v V-(-L .P.t r->OV\: f uo0 —o: O 0 Q_I ;■!o rCX- vr-f I 4. T S kifi J_I I3I ; L/,\rir"75 W CV.l IS 0i/t5r ( €'*'<■ -i I j- .1 r1I 281.949 • Victor LundB#n Co, Printers • Fergus Falls, MN • l-BOO-346-4870MKL — 0871 — 029 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW-Owner PINK - Assessor Permit No.LEGAL DESCRIPTION BLUFF ZONEAND□ YESLOCATION TWP NO.RANGE TWP NAMELAKE/RIVER CLASS SECTIONLAKE/RIVER NAMELAKE NUMBER /3^3 ^CO TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS (2^ NO FIRE NUMBERPARCEL NUMBER (S) AJSL (/if, - oao-ji-ozer- ooo TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeFirstInitialLast Name Z/ fit R ^01^ bctvJT/ Npi S'(oSZ2'Property Owner / / ^/cUCc\JI sr ONSITE WtER supply (•^individual ( ) Public ( )None NameContractor State Uc. # ONSITE SEWAGE TREATMENT SYSTEM (t-)^fidividual Permit It_____ ( ) Collector Permit #_____ ( )OTLSD PROPOSED PROJECT ( ) New Structure(s) ( t)^ddition(s) ( )MH/RV____________ PROPOSED USE (‘i^welling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF WOAS ( ) Boathouse ( ) Screen Porch CHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility StructureScr^ ^ 1^ lAciv CHARACTERISTICS OF DWELLING ( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension__________ ( ) Utility Structure( ) Gazebo( ) Other Outside DimensioriyAiici ■2.(0 ( ) Other. Outside Dimension .Ft..Ft.x ✓ O 'C Ft.&/ 0__Ft..Ft..Ft.x Lotline Setbacks .Ft..Ft.x .Ft..Ft.&Lotline Setbacks OHWL Setback Ft..Ft..Ft.&Lotline Setbacks (.Ft.OHWL Setback Bathroom: ( ) Yes (If Yes / a complying Sewage System Required).Ft.OHWL Setback Total Bedrooms__________________ Maximum Height / 30 Ft. (2 story)Maximum Height / 10 ft. (1 story)Maximum Height /18 Ft. (1 story) 37. Acfiesr .%.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area i'/Cc>0 1 .Ft. (3' minimum).Ft. Elevation of lowest floor above OHWLWater Frontage /2^0 .%__________Ft. Slope of lot Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to right-of-way. structure setback to septic tank 2^0Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System ^0 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 Ordinance 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. Dated:ir^iSignatii Dated: Land & Resoui&^nagemant Office 5o RECEIPT NO.PERMIT FEE $ 0/x^Comments:,/ej Form No. BK — 0496-002 281,017 • Victor Lurtdeen Co.. Printers ■ Fergus Fells. MN • 1-800-348-4870 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS. MN 56537 WHITE!-Office GOLOENROD - Inspector YELLOW - Owner*PINK - Assessor I-' /VPermit No.LEGAL DESCRIPTION BLUFF ZONEAND□ YESLOCATION SECTION TWP NO.RANGE TWP NAMEUKE/RIVER CLASSLAKE NUMBER LAKE/RIVER NAME boy/ TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS □ NO FIRE NUMBERPARCEL NUMBER (S) bO- Olob - OOO TELEPHONE NO.IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City, State, and Zip Code (Daytime)InitialFirstLast Name I'-i. 'i r'- g -t go Jb-Property Owner ‘b-'i" '''^b pc N 1 / ■■j-i -t T^ (- (\jb^ r r ■ S /NameContractor bv .a. i''State Lie. #/Si ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit #_____ ( ) Collector Permit #_____ ( )OTLSD ONSITE WATER SUPPLY (-) Individual ( ) Public ( ) None PROPOSED USE Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ( ) New Structure(s) ( (fAddition(s) ( )MH/RV____________ YEAR CHARACTERISTICS OF WOAS ( ) Boathouse ( ) Screen Porch ~ CHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure bcr L' -'-r f ^ |/v /V weA rnr’TlT ^ Ft.x ~ ^ O Ft. CHARACTERISTICS OF DWELLING ( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension__________ I ( ,) Utility Structure( ) Gazebo( ) Other Outside ( ) Other. Outside Dimension Dimension ' FL& /O Ft..Ft.Ft.x Lotline Setbacks .Ft..Ft.x f--2 0 0.',Ft.&.Ft.Lotline Setbacks .Ft.OHWL Setback .Ft..FI.&Lotline Setbacks Bathroom: ( )Yes (‘-'^No (If Yes / a complying Sewage System Required) .Ft.OHWL Setback .Ft.OHWL Setback. Total Bedrooms___________________ Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story) 3 7 OS' So. Ft. Impervious Surface ^ / ,LC-:b: .%.Sq. Ft. Impervious Surface RatioLot Area .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage Structure setback to right-of-way__i./.%__________Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank ! Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System 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 Ordinance 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. ; -wb» y- JrDated:/v'.' /Signature of Ow0br/-70 '-OC ■ADated: Land & /7asou/da Management OftiOBi i0^ ■:1RECEIPT NO.PERMIT FEE $ jore,/boComments: .>/ Form No. BK — 0496-002 281.017 ■ Victor Lundeon Co.. Printers • Fergus Fells. MN • 1-800-348*4870 P f INSPECTION RESULTS « Make all measurements and computations • V?- i Ft.Structure Set Back from Ordinary High Water Level Ft.aCO Ft.Structure set Back from Top of Bluff Ft.njD .500*-Ft.Structure Set Back from Road Right of Way Ft. Ft. & SO^ Ft.Ft.&Ft.Structure set Back from Lot Lines /o'Ft.Ft.Structure Height Ft. Ft.Structure Set Back from Septic Tank 10^ Ft.Structure Set Back from Absorption System Ft. Elevation Of Lowest Fioor Above Ordinary High Water Level____________________3 f"Ft.Ft. J-ei/cu %%Land Slope at Building Line Inspector’s Comments / Sketch:, f t 2 I *7^ tnspeotor 's Signature s- mi Date of Inspection Time of Inspection Scale: Each grid equals feet/inches GRID PLOT PLAN SKE1 5^19 y / ■ Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each b on lot and any proposed structures. Dated: to f*L- 1^ T y / / Cr~ t trr T 29IV3i X) i' M <;I A 7 Z.L> Z< Z</ 2-3 , Z^ 2,1 2,0 I m 19' (1 /"/r -X. O ✓> /•t // /o f ?• 7 i; ■T' 7^ +-D I /oc. fti r ^II c -4 :i:. ■ ff-v / U I *o -(1 T>-1 t: «Tiv-\ p 5»-42iv> I■Vi <1 wH V>J V -i vJ r--ew- 1rr,UTV■'J t r>fTi lo W.*' >~ (2- / ^ 6- ?r 0 /^(? (2 T L / /^tr 215987© VIC1C.UIMKL-0871-029 Q : GRID PLOT PLAN feet SKETCHING FORM/^ feet, or r=T inch(es) equalsScale: _.grid(s) equals w-'l cl /£?^ J 19Dated: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. \ <>L < > >• V) A> O I sa43 qlL ^ t no. ^\ sI ^ 4>---i9_ Jo‘- -^ V-Xh L-— — ijU j: ilOO'^ k ri"J) o 1 A-y^V »vXP *+V- V' 4- oU 278.42B • Victor LurxtMn Co.. PrinMrt • Ftiyus Falls, MN • 1-80O’34d-487OMKL —0871—029 GRID PLOT PLANfeet SKETCHING FORMinch(es) equals _Scale: S'€T % grid(s) equals feet, or_______ t A ^ 'S~ |~T . 19Dated: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. I AZ-Cf Hi 'i ^S 2‘|asJ i j o’ I I '-SfM '» 4> I i\i S“i7 I s (N^ci^ V \Tl \iLyf Z~'-a' >, -vSC <S* <1) mti IL■^yo-i_ ZO —y '«<l I PM I 278,428 • Victor Lundoan Co., Printers • FeiQus Falls. MN • 1-80O346-4B70MKL —0871 —029 I I ; i . ( \ ■ \i : i i i^—t ! ! ■: mk ; ‘ f »I '{!i ?• ■ Tij 1.- -i Scale: Each grid equals feet/inches GRID PLOT PLAN SKE1 4 lYS'19 yy ■ Please sketch your lot indicating setbacks from road right-of-way flake and sidevard for earh h on lot and any proposed structures. Fropt^Df Dated: X T tUMM*TI \\ \ \; \291£?3\3^ V i ri B <;I l.t/ 2.^1 Z'2- 2,1 \^0 I\\ m \ 11 /(o i'C I*/r rxo "•i I'h fl\ /o I 47 7>•II /ia!%/?fti y . t> f? T, c-i ^ 1 •T1 4^ r> iff-i \«T|v-\■S oIFI I nH -4 s eD .1 wHo>■ c: .ni7^I **•« ?-fvl wU-,V oo ri:H .C'VJ-4 r Vr*Mo l" 1- -4T>r-c-1VO li'*n.-'A 7^1 (“T«p la -.rlrIr i H*:4>'.j1<:11V.TV I V (^-! /1/\\ l\ am Pr </ p{' T L/ \ ; MKL-0871-029 21598 ¥ieroe <io(in eo.. »iii> .; f □• *• (i LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW-Owner PINK - Assessor Permit No.hloirii ‘ytAKLEGAL DESCRIPTION BLUFF ZONEAND □ YES □ NO LOCATION TWP NAMELAKE/RIVER CLASS SECTION TWP NO.RANGELAKE/RIVER NAME i . , ^LAKE NUMBER boK/l-Y!& h TOPOGRAPHICAL ALTERATION □ YES It OF CUBIC YARDS ^K^NO __________ FIRE NUMBERPARCEL NUMBER (S) (OSL (/6 - OOO - 3^ - OZOS" - OOD IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitiaiLast Name iMl/[.Sr^XZ6Property Owner •/ <Y0 3 / ^ gC) U 0.\^^NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM {<^r1n^vidual Permit #_____ ( ) Collector Permit #_____ ( )OTLSD ONSITE WATER SUPPLY (individual ( ) Public ( ) None PROPOSED PROJECT ( ) New Structure(s) (irfAdditionls) ( )MH/RV____________ PROPOSED USE (towelling ( ) Non-Owelling ater Oriented Accessory Structure OAS)X K/ oYEAR CHARACTERISTICS OF WOAS ( >^athouse (/)neen Porch J CHARACTERISTICS OF NON-DWELLING ( ) Utility Structure Sc r ^ L ^0 CHARACTERISTICS OF DWELLING ifU. ^-6c3— ( ) Garage( ) Dwelling (•'f^ddition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension__________ eui'r'k ■V ( ) Utility Stru^re( ) GazebI( ) Other Outside Dimension ^ ^ Ft.4 ( ) Other_____ Outside Dimension_____ 0«C|^ / Lotline Setbacks / Ft.x f~ A|C m //.Ft..Ft.Lotline Setbacks .Ft.&.Ft.x .Ft..Ft.x ^5 /=/■ .Ft..Ft.&Lotline Setbacks .Ft.OHWL Setback S~0 Ft.S'O '\Ft.& Bathroom: ( )Yes (^^No (If Yes / a complying Sewage System Required) .Ft.OHWL Setback r£.Ft.OHWL Sethrfck, Total Bedrooms__________________ Maximum Height / 30 Ft. (2 story)^^axlmum Height / 18 Ft. (1 story)^Mat^um Height / 10 ft. (1 story) 37.Sq. Ft. Impervious Surface RatioI-LA .%.Sq. Ft. Impervious SurfaceLot Area 7 ^y-.Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage /.%__________Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to right-of-way Structure setback to septic tank Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System 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 Ordinance 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 Manageme^ffice once the building footings have been constructed. f iyd. /■zi’ /T&Dated: Signaturo of'2Dated: Land & Resource Management Office 50^lAWDSRECEIPT NO.PERMIT FEE $ Comments: Form No. BK — 0496-002 261.017 • Victor Lundeen Co.. Printers • Fergus Falls. MN • 1-800-346-4870 r 8-8-9L LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW-Owner PINK - Assessor '^tAK Permit No.LEGAL DESCRIPTION BLUFF ZONE □ YES □ NO AND /3LOCATION LAKE/RIVER CLASS SECTION TWP NO. / ;5c& y/ . j____ .. ,,[topographical alteration □ yes # OF CUBIC YARDS ;aa!^No RANGE TWPNAMELAKE NUMBER LAKE/RIVER NAME / ^'1- l:- J. FIRE NUMBERPARCEL NUMBER (S) '0 S L (OO - 36 - ozoy - ooo IDENTIFICATION: Please Print All Information TELEPHONE NO. (Daytime)Mailing Address — No. Street. City, State, and Zip CodeFirst InitialLast Name Zi .4 S i> 0 )C / J--s(>szkProperty Owner i-/-A R- n UjL A^i^t /Z- ( (u g \A.-^t ) l/f ' !NameContractor ; . )U : V"- ^ j>j>^ SS//(]State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit #_____ ( ) Collector Permit #_____ ( )0TLSD PROPOSED USE (.) Dwelling ( ) Non-Dwelling (V^ater Oriented Accessory Structure />OAS) ONSITE WATER SUPPLY (i) Individual ( ) Public ( )None PROPOSED PROJECT ( ) New Structure(s) (Addition(s) ( )MH/RV____________ YEAR CHARACTERISTICS OF WOAS ( ) Boathouse (/^-Screen Porch \ / ( ) Qaze^v ( ) Utility StrucKire CHARACTERISTICS OF NON-DWELLING ( ) Utility Structure ^ -tr^ C v L ^ P CHARACTERISTICS OF DWELLING c/^'rw tyjxZ ( ) Garage( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension__________ ( ) other Outside Dimension i«L_an ( ) Other, Outside Dimension .Ft.x |o Ul nFl.x .Ft. .Ft.Lotline Setbacks .Ft.&.Ft..Ft.x "75 r •hLotline Setbacks .Ft.&.Ft.OHWL Setback .Ft.s- ; '\ft.&-■ry Ft.Lotline Setbacks (Mno.Ft.OHWL Setback Bathroom: ( ) Yes (If Yes / a complying Sewage System Required) 7>v'".Ft.OHWL Setbefek. Total Bedrooms ^tiaximum Height / 18 Ft. (1 stoiy^Maximum Height / 10 ft. (1 story)Maximum Height / 30 Ft. (2 story) 57. ./it'h-LA.Sq. Ft. Impervious Surface Ratio .%.Sq. Ft. Impervious SurfaceLot Area /J-h /OOP .Ft. (3’ minimum)Ft. Elevation of lowest floor above OHWLWater Frontage, /__________Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10'minimum) (Sewage System Permit required before installation). .%Structure setback to right-of-way. Structure setback to septic tank Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System 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 Ordinance 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. 7“./ d" >Dated;/r 7Signature of Own^ 'll-Dated: Land & Resource Management Office 5-022-RECEIPT NO.PERMIT FEE $ Comments:A/ Form No. BK — 0496-002 281.017 • Victor Lundeen Co. Prirrters • Fergut Falls. MN • 1-800-346-4870 \ c — INSPECTION RESULTS Make all measurements and computations Ft.Structure Set Back from Ordinary High Water Level Ft.100 Ft.Structure set Back from Top of Bluff Ft. ^6)Ft.Ft.Structure Set Back from Road Right of Way Ft.&Ft.Ft.Structure set Back from Lot Lines €Ft.Ft.Structure Height 4!o Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Absorption System Elevation Of Lowrest Floor Above Ordinary High Water Level____________________7 Ft.Ft. F!a %%Land Slope at Building Line Inspector’s Comments / Sketch:, 1fI// \T• \I\ \I!I \II /- FT?;r I '7 f / ( ) } T:Tj 4 I]Oo ! m-.A V n ^//r / b ( Inspedor's Signature L ■ ^ \Oaie of Inspectioni Time of Inspection ....■■ /. LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE-Office GOLDENROD - Inspector YELLOW - Owrier PINK - Assessor Cov/ U)'*' ^Permit No.LEGAL DESCRIPTION TWP NO. RANGE TWP NAME BLUFF ZONE □ YES ;^No AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION STA(i-]> 0^/f-(%Hf PARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS ,!)Q^N0 FIRE NUMBER — ac>o -JQ - Oz cPsr ~ O00 AiSL / IDENTIFICATION: Please Print All Information TELEPHONE NO. Initial Mailing Address — No. Street, City, State, and Zip CodeLast Name First (Daytime) Property Owner /-2/S'-7S^-2ft7 TvtuHv _owi£l p. c;,NameContractor ^ )Cgstate Lie. # (((-^PROPOSED USEPROPOSED PROJECT^ (o' (i^New Structure(s) _* ( ) Addition(s) ( )MH/RV_ ONSITE WATER SUPPLY ( ^Individual p u" ( (■^Public ( ) None ONSITE SEWAGE TREATMENT SYSTE (*f1ri^vidual Permit #__ 1 ( ) Coliector Permit #___ ( )Dweiling (i^rJ^on-Dweiiing pC•j-te-o ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF NON-DWELLfNG ( ) Garage CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLIN j^^weiling ( ) Addition to Dweliing ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Utility Structure i 1 \i-< Vn-»-A. ^QvT (lX/-—> ( ) Boathouse ( ) Screen Porch (lather Outside Dimension ( ) Utility Struplure( ) Gazebo Z.0 .Ft.( )Other, Outside Dimension .Ft.x Ft. & SO Ft.Ft.Lotline Setbacks Ft.x .Ft. sv.,7jrLotiine Setbacks .Ft.&OHWL Setback .Ft. &.Ft.Lotiine Setbacks Bathroom: ( )Yes ( ^'■'fNo (If Yes / a complying Sewage System Required)n\at tO(() OHWL Setback .Ft. ~nO OHWL Setbaj .Ft. Totai Bedrooms s^) ll 7 M^lmum Height / 10 ft. (1 story)Maximum Heighf/ 30/Ft.Maximum Height / 18 Ft. (1 story) . 6 ^Sq. Ft. Impervious Surface Sq. Ft. Impervious Surface Ratio .%Lot Area 3(jTSd Ft. (3’minimum).Ft. Elevation of lowest floor above OHWLWater Frontage /Z-<2>__________Ft. Slope of lot .Ft. (10'minimum) (Sewage System Permit required before instafiation). Ft. (20’minimum) (Sewage System Permit required before instailation). .Ft. (10'minimum) (Sewage System Permit required before instailation). .%Structure setback to right-of-way. Structure setback to septic tank _ Dweiiing setback to Soii Absorption System___ Non dweiiing setback to Soil Absorption System 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 Ordinance 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. f'/VDated:VSignatuf0''of Owner />. Dated:.--s Land & Resource Managerrf^t Office ' •«so VPERMIT FEE $RECEIPT NO. 7 .Comments: '-1'T o■'C Form No. BK — 0496-002 281.0)7 • Victor Lundean Co., Priruers • Fergus Falls. MN • 1-800-346-4870 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE - Offica^^ GOLDENROD ■ Inspector YELLOW - Owner PINK - Assessor Gov/ L0+Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES .G^NO LOCATION fjo' TWPNO.LAKE NUMBER LAKE/RIVER CLASS SECTION RANGE^LAKE/RIVER NAME TWP NAME L/A)Ctr b 0^ -4-7 4 i>i- PARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS FIRE NUMBER ;3 - ~ — O00 KS.L I IDENTIFICATION: Please Print All Information TELEPHONE NO. First Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime)Last Name Property Owner iA l<va Otigt/t'l iT'Name ; 'i tContractor i- < 0State Lie. # PROPOSED PROJECT^ ^ USE (»-) New Structure(s) ‘ ( ) Dwelling ( ) Addition(s) > ^ ^ ' (t^fion-Dwelling ONSITE SEWAGE TREATMENT SYSTEjJ* { 3 Individual Permit #___i .1 ( ) Collector Permit # m/q£/U°TLSD ONSITE WATER SUPPLY ( *) Individual (l^ublic ( ) None V'^ U Aa\C IT'V. vw ( ) Water Oriented Accessory Structure (WOAS)( )MH/RV YEAR CHARACTERISTICS OF NON-DWELL|NG ( ) Garage CHARACTERISTICS OF WOAS ( ) Boathouse ( ) Screen Porch / CHARACTERISTICS OF DWELLINpi J>i6welling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension ( guilty Structure > i M ^ \r-4 '^0^ C-Xa—L'( ) Gazebo ( ) Utility Structure(U^ther Outside Dimension S'iz-0 ( ) other. Outside Dimension Ft.x .Ft.:I'7^r~7V Ft.& ‘ 3^ Ft.Lotline Setbacks .R. 75"Lotline Setbacks OHWL Setback .Ft.V Lotline Setbacks &.Ft. ^__Ft.OHWL Setback Bathroom: ( ) Yes (If Yes / a complying Sewage~n0 OHWL Setbaj -Ft.Systeifi ^qtH|^d|.Total Bedrooms Maximum Height / 30^^^imum Height /10 ft. (1 story)story)Maximum Height /18 Ft. (1 story) 0 jr Sq. Ft. Impervious Surface .Sq. Ft.Impervious Surface Ratio %Lot Area 3r .Ft. (3’ minimum)Ft. Elevation of lowest floor above OHWLWater Frontage / __________Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). Ft. (10'minimum) (Sewage System Permit required before installation). .%Structure setback to right-of-way. structure setback to septic tank Dwelling setback to Soil Absorption System Non dwelling setback to Soil Absorption System 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 Ordinance 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. u -I/ (ADated: Signature of Owner 5rC, Dated: Land i Resource ManagerdSnt Office I ^IRECEIPT NO.PERMIT FEE $ Comments: Form No. BK — 0496-002 281.017 • Victor Lundeen Co . Printers • Fergus Felts. MN • 1-800-346-487C f INSPECTION RESULTS Make all measurements and computations - t ; Ft.Ft.Structure Set Back from Ordinary High Water Level /oo’ Ft.Ft.Structure set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way 50-^ Ft.& Si*' Ft.Ft.&Ft.Structure set Back from Lot Lines /o'Ft.Ft.Structure Height 10-^Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Absorption System Elevation Of Lowest Floor Above Ordinary High Water Level____________________3^Ft.Ft. %%Land Slope at Building Line •> I Inspector’s Comments / Sketch: I ' i ■5 ■ i i J c5r<^ y. Vsi ll ltp 1...^. Mr- ! j ■ t r ",. . ... “s b- Inspector's Signature ’ ii Date of Inspection Time of Inspection FT GRID PLOT PLANfeet SKETCHING FORM/___grid(s) equals / 4eeL or .inch(es) equalsScale: / S'!5 19Dated:Signature// Please sketch your lot indicating setbacks from road right-of-way, lak&and sideyard for each building currently on lot and any proposed structures. I O ^ (uo /- ^ — ---------------1 NO4- -^ I 0 (b o-o ^ IM __^ aL aI.<Xj X SJ /H/^ <4/o/V I h—/o ■—' ' ( NNoI I Ns ^ i=> -I VJ 278.428 • Victor Lundeen Co.. Primers • Fergus Falls, MN • 1-800-346-4870MKL — 0671 — 029 Scale: Each grid equals feet/inches GRID PLOT PLAN SKE1 11.S'19 f / ■ Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each b on lot and any proposed structures. Dated:- • 1 ^to pL- T y L/ e- t tr T 29■iC?3\3^ X) Vi M Ss I z< 2-V 2-0 iZ/Z^ iCf( r"/? 11 r< /yrrx.O •r* fh H /o ?/ ? 7 'T' 7^ o r ^ o'V!, <Tjv-\ o;S05J*'4 ?*-4:iv>CN Im i•fi c V c WJ c:-'-I r-1rr,C 7^n.-'i v/1 I ~Xf •XT n NL- P ?- / (/ !May l3 21S987®MKL-0871-029 Vicloe LUNftClH CO.. PKI' f Q ; LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE ■ Office GOLDENROD - Inspector YELLOW-Owner PINK - Assessor Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES □ NO LOCATION TWP NO.RANGE TWP NAMELAKE/RIVER CLASS SECTIONLAKE/RIVER NAME / __ST/fRLAKE NUMBER 36 Y//?6 FIRE NUMBERPARCEL NUMBER (S) - oao - JS- ozox' — ooO A>s<- / IDENTIFICATION; Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name Property Owner 'S' 7oh^SO'NamContractor State Uc. # ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY ( *f(n^vidual ( ) Public ( ) None PROPOSED USE ( ) Dwelling (irf^on-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ( ) New Structure(s) ( ) Addition(s) ( )MH/RV____________ (Pfln^vidual Permit # ( ) Collector Permit #. ( )OTLSDYEAR CHARACTERISTICS OF WOAS ( ) Boatra^se (/f^creen Porch f ( ) Gazebo \ m<Jtility StrugKire Si CHARACTERISTICS OF NON-DWELLING ( ) Garage CHARACTERISTICS OF DWELLING futility Structure( ) Dwelling (^)f^(tjditjon to Dwelling ( ) Basement ( ) Walkout Basement Outside . ^ Dimension I P ( )Other Outside Dimension \Q_.Ft.( ) Other Outside Dimension .Ft. X io Ft..Ft..Ft, &Lotline SetbacksFt. X or10Ft.Ft.&S-DLotline Setbacks .Ft.OHWL Setback SV .Ft.&Lotline Setbacks->r (V)NoFt.OHWL Setback Bathroom: ( ) Yes (If Yes / a complying Sewage System Required).Ft.OHWL SetbackaTotal Bedrooms Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story;Maximum Height /18 Ft. (1 story) T 7 irW Ft.Ft. Maximum depth of lotWater frontageLot Area is (Sq. Ft.)/ .%Ft. Slope of lot.Elevation of low/est floor above OHWL (3 Ft. Min.) z ^Ft.Structure setback to right-of-way /d .Ft. (10'minimum) (Sewage System Permit required before installation). Ft. {20’minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank. zODwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System 'ZO 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 Ordinance 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 & Resour^ Manage^nt ice once the building footings have been constructed. Dated:/er Dated; Land & Resource Management Office noRECEIPT NO.PERMIT FEES Comments: 275.386 • Victor Lundeen Co. Printers • Fergus Falls. MN • 1-800-346-4870Form No. BK — 0295-002 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALU&rfi^fp6§3?^ WHITE-Office GOLDENROD - hspector YELLOW ■ Ownef^ PINK■ Assessor 'I )V?<g//7Permit No.LEGAL DESCRIPTION BLUFF ZONE □ YES □ NO •i.AND LOCATION TWP>IQ^ RANG&-^TVyPAlAMELAKE/RIVER CLASS SECTIONLAKE NUMBER LAKE/RIVER NAME >6 r: \TIRE NUMBERPARCEL NUMBER (S) (9 .99— OOU 9IDENTIFICATION: Please Print All Information TELEPHONE NO.J Mailing Address — No, Street. City, State, aqd Zip C((Daytime)First InitialLast Name . Z-p-—rProperty Owner :/ 'V " *'£_ ;■ ^ /t i'Ar /^ Nam6 1 <* jCjKO--Contractor Mtstate Lie. # •IONSITE SEWAGE TREATMENT SYSTEM (<-) Individual Permit It_____ ( ) Collector Permit #_____ ( )OTLSD ONSITE WATER SUPPLY ('^Individual ( ) Public ( )None PROPOSED USEPROPOSED PROJECT ( ) New Structure(s) ( ) Addition(s) ( )MH/RV____________ ( ) Dwelling (iftlon-Dwelling ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF WOASCHARACTERji; ( ) Garage ( uesTJFTrow ^ utility Structure ELLINGCHARACTERISTICS OF DWELLING (>fScreen Porch( ) Boathouse( ) Dwelling ()(>^A6dltion to Dwelling ( ) Basement ( ) Walkout Basement Outside , Dimension I _____ {t,-)lltility Stru^re s/i( ) Gazebo( ) Other Outside Dimension SL ( ) Other Outside Dimension Lotline Setbacks / O OHWLSetb^k .Ft..Ft. X iO10.Ft..Ft..Ft. X Lotline Setbacks .Ft. & /oLotline Setbacks 10 .Ft..Ft. &,.Ft.OHWL Setback (V) No-Ft.OHWL Setback.Bathroom: ( ) Yes (If Yes / a complying Sewage System Required).Ft. n Maximum Height /10 ft. (1 stoi^.Total Bedrooms Maximum Height / 30 Ft. (2 story)Maximum Height /18 Ft. (1 story) Ft.Ft. Maximum depth of lot - /. Water frontage /Lot Area is (Sq. Ft.) /(Ft. Slope of lot .%Elevation of lowest floor above OHWL (3 Ft. Min.) ■2^Ft.Structure setback to right-of-way. /9 .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank. --7 O Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System. 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 Ordinance 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. / /9y?Dated:ySignature ofy^t9per/K n."x_____Dated; Land & Resource Management Office i:lOIX<cRECEIPT NO.PERMIT FEE $ /\Comments: ~7^ 27S.386 ■ Victor Lundeen Co . Printers • Fergus Fails. MN * )-600*346*4670Form No. BK — 0295-002 INSPECTION RESULTS Make all measurements and computations [l.5 ^ Uo 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 Ft. 0-TFt.50 Ft. & ^ Ft.Structure set Back from Lot Lines Ft.Ft.Structure Height 10 loo^Ft.Ft.Structure Set Back from Septic Tank loo^Ft.Structure Set Back from Absorption System Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________3^Ft.Ft. ml %%Land Slope at Building Line Inspector’s Comments / Sketch:. I i'! ;loiai '-r f)'O' r )2.'/ Inspector's Signal i Date of Inspection Time of Inspection Scale: Each grid equals___l_?feet/inches GRID PLOT PLAN SKETCHING FORM 9si.■■ 7-/?Dated:19 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. ------------------------------------------------- ' ..... 4 r/»(‘ r /U- t: I <....5^ is'- ti 1——4 < I*f- fo'-iJ?V1^ n-2 aT.IO 1 4 ir?-^I'?\V cn- 4 I rI > P (• ifc/b ^ ir 0^ ( f r j 1 1MKL-0871-029 21598 7®VICTOR LUNDCEN CO.. PRINTERS. PCRCUS TALLS. WiNN. iI 4-I1 m. I ;d equals j::-,feet/ihiihei GRID PLOT PLAN SKETCHING FORM I ! Ht I I it"(r I1t4 jJI I •ItI-(19 11-tI I -j—j I 1 / -) I y I j-i . I , j ' -• ! i J j M ^^ea^e skhich Vour/bhndicatihg setbacks frdm 'tdad HghMWay, lak on lot ana any pmpoied struhtuivs. /!1-1 i , , . ] ! , 1 ; I ^'snatun e and iidayat(i tor eaclp building currently 1...4 1 in < i 4 r-:■H\1 i I I 1 ; !-!:414 ._L_ ;!.1IiI:!:iiI I I ‘•*1 I i t- 4 .1IDrii/e1 ‘ (!Ui f I-I t D^nosad ^ QNV1 JT1 -ii 'f ■d... I I I31 18 i304- --1 !'! a II 1661 t 11w;i i !1Ii4I1) .i—i. I *cA ■t +li ft n a ant D1,i4 IiM; ]l\p\1?ll'16 \U.‘2)15 IQJi j i > i I ;i;i iI-r I li. A 4.»4 1 I O'c t *i1iId;in iHI15 13M f'II Y!Cl!o ! ^41;J 44i-i1tt 1!dt>1 i,'1 <1il:ilI I M 'Pi11•1 j 1 1 A4' If ,Of KT X / -I -i >I 4 4-M 4-4 -I ■! t I M 4 ^ ^I-M i ■! ! i ! I ■)I I ! t t I I -t 4 -1414 •( 4 4 (- 4 -t 4 44 4 4 LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE-Office '■> GOLDENHOO - Inspector YELLOW - Owner PINK - Assessor Permit No.LEGAL DESCRIPTION North BLUFF ZONEAND □ YES ^ NO LOCATION TWP NAMESECTIONTWP NO.RANGELAKE/RIVER CLASSLAKE NUMBER LAKE/RIVER NAME (SO I 31^ FIRE NUMBERPARCEL NUMBER (S) /& - coo -JO -OOlOS' ■ 000 TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeInitialFirstLast Name N // 7irS -Property Owner Name Sdhlll 043 'QoS'/YContractor Sreakennrl^e.. />?/0 J'OStzO ONSITE WATER SUPPLY (^tlddfvidual ( ) Public '\A^Va ( ) None State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit i_____ ( ) Collector Permit #_____ ( )OTLSD PROPOSED USE ( ) Dwelling (4)-Won-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ( Vjrfjew Structure(s) ( ) Addition(s) ( )MH/RV_ YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure ([/tOther 5c CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boathouse{ ) Dwelling \ ( ) Addition to Dwellino ( ) Basement \ ( ) Walkout Basemei Outside Dimension .( ) Utility Structure( ) Gazebo Outside Dimension Z4 .Ft.( ) Other. Outside Dimension Ft. X S~0 Ft. & Ft.Ft.Lotline Setbacks .Ft.Ft. X 7iT.Ft.Lotline Setbacks .Ft.OHWL Setback .Ft..Ft. &Lotline Setbacks .Ft.OHWL Setback,Bathroom: ( )Yes ( L^No (If Yes / a complying Sewage System Required).Ft.OHWL Setbacka/j mVTotal Bedrooms Maximum Height /10 ft. (1 story)Maximum Height / 30 Ft. (2 story) Maximum Height /18 Ft. (1 story) O (ftl}3<nrd Ft.Ft. Maximum depth of lot,. Water frontageLot Area is (Sq. Ft.) 7 rr.L .%Ft. Slope of lot.Elevation of lowest floor above OHWL (3 Ft. Min.) 2.0 Ft.Structure setback to right-of-way. 20 Ft. (10'minimum) (Sewage System Permit required before installation). ,Ft. (20’minimum) (Sewage System Permit required before installation). ,Ft. (10'minimum) (Sewage System Permit required before installation). Structure setback to septic tank.2dDwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: 1 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 Ordinance 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 & Resole Management office once the building footings have been constructed. S~/^ ?/ fLiDated: Signati^ / Land& Resource Management Office 6>flXj 1 SD^ Dated: mtosoRECEIPT NO.PERMIT FEE $ fj-___ Comments: 5heJ die —aI 275,306 • Victor Luocieen Co , Prmte^»Fergus Falls. MN • 1-800-346-4870Form No. BK — 0295-002 (f! LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHiTE - Office GOLDENROD'- inspector YELLOW - Owner PINK - Assessor *:» n5^vPermit No.LEGAL DESCRIPTION Nort^BLUFF ZONEAND□ YES NO LOCATION SECTION TWP NO.RANGE TWP NAMELAKE/RIVER CLASSLAKE NUMBER LAKE/RIVER NAMEj 41^ (/4^^Ol)6 0 13 ^ FIRE NUMBERPARCEL NUMBER (S) A, A t i-JC> -o^os- ODd \ • TELEPHONE NO.IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name p A (T ^ j r aJ jProperty Owner : ^ IAa trSc hill ^43 ^ US’/^O/L //NameContractor Sredke nr trig €L. ////O Sd^SAiOState Uc. # ONSITE WATER SUPPLY (>') Individual ( ) Public ( ) None ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit #_____ ( ) Collector Permit #_____ ( )OTLSD PROPOSED USE ( ) Dwelling (,4 Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT (4 New Structure(s) ( ) Addition(s) ( )MH/RV____________ AJitA YEAR CHARACTERISTICS OF WOAS ( ) Boathouse ( ) Screen Porch { ) Gazebo \( ) Utility Structure/* CHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING ( ) Dwelling ( ) Addition to Dwelling ( ) Basement ^ ( ) Walkout Baseme Outside Dimension ( \\i—S 4 c i-t-) other Outside Dimension \ \I,Z4.■4 .Ft.( )Other. Outside Dimension .Ft. X S'SAJ Ft. & ~SX> Ft..Ft.Lotline Setbacks X. Ft. X .FI. Ft. A Ft.7i;57'Lotline Setbacks .Ft.OHWL Setback,.Ft.Lotline Setbacks^.Ft.& 7 5 .Ft.OHWL Setback.Bathroom: ( ) Yes { L-') No (If Yes / a complying Sewage System Required) \7 .Ft.OHWL Setback,->J 0 5Total Bedrooms X /Maximum Height / 30 Ft. (2 stdry)Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story) A GlTd3 dATd Ft.,R. Maximum depth of lot.. Water frontageLot Area is (Sq. Ft.) Elevation of lowest floor above OHWL (3 Ft. Min.)Lj r \ •.%.Ft. Slope of lot. 7 7 Ft.Structure setback to right-of-way. 76^.Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank. 2 'JDwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System./•' yJ 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 Ordinance 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. /7^7 7//Dated:44 7^7 Signature pf'^mer XDated: Lend i Resource Menegement Office U’USoRECEIPT NO. 'PERMIT FEES //.Comments: Lj.- I* ^ ^ CA/f\' ■7 j(5 Form NoTBTC -346-4870fgus Falls. MN • l-l_27&,aa8 • Vtctof U.ntfa*n Co.. PftniM* • INSPECTION RESULTS Make all measurements and computations Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure set Back from Top of Bluff (00 Ft.Ft.Structure Set Back from Road Right of Way 5^_Ft. & 5^ Ft.Ft.Ft. &Structure set Back from Lot Lines ■«r Ft.Ft.Structure Height <^-\o Ft.Ft.Structure Set Back from Septic Tank SO^Ft.Ft.Structure Set Back from Absorption System Eievation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. P/A %%Land Slope at Building Line Inspector’s Comments / Sketch:, pli II Datew InspacBon llhhi.V i fifl-iia I i,n iiiidirrHiirtiitflrittiliii /O ' feet/inchesScale: Each grid equals GRID PLOT PLAN SKE1 ■s- / ? y / ^7 / 19. yy ■ Please sketch your lot indicating setbacks from road right-of-way, lake and sideyafd for each b on lot and any proposed structures. Ftp />L~ r V ^ ^ _______ Dated: t t \ t-293\5^ V)V\-i I t-') t< a</ 2-3/z'i 2,/2.(3 £ tT( /r /VI? (1 /(’r rr.O M. vr /o y 'S’ 1 0^7- TO /=ir.Io VO r TO'^I 1> Vr.V r- ft T, c-i ^ V-A •T1 ?.Lp: \ - -o I . -p f)Cp’ -)|o5i -4st r■>s.11rrfWClH't-C .n\ C-J tx ■V Tc vJ7Jf>-1 n 1mCTVn:-'J v\Iv\)Vv Mi o»h vJ\n ~Q Vo <■1 !> ?-/ 1/ (T ■■ •MHvrr Pr 0 /^(' Ty L / IT 215987^ vicToi i.uiMKt-0871-0:29 f a: Scale: Fach grid equals feet/inches GRID PLOT PLAN SKETCHING FORM . »■ /IrrJ19i^.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. Q - Ic+LoiatN c Eath. ^rid ^cjjuals J, ~(vcrf. ^o'> ------] X >e s r 10'1^ !|rS%Porc-lv w ^'xic' Por.(lH (scremh > \ N > E-1 3^' 1 §^J- 5b'Trailer f i T 'a i 2 ^•%aI V -cDO \ ^TE)^ /-ake:I 21598 7®MKL-0871-029 VICTOa LUNftCCM CO.. PHIHTCR8. rCReu* rM.Lt. HINH. LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE - Office GOLDENRbO - Inspector YELLOW - Owner PINK - Assessor /36'7/Permit No.LEGAL DESCRIPTION BLUFF ZONEAND□ YES gNOLOCATION TWP NAMESECTIONTWP NO.RANGELAKE/RIVERLAKE/RIVER NAMELAKE NUMBER // FIRE NUMBERPARCEL NUMBER (S) — (POO — d a OS' — (OCKP TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime) Mailing Address — No. Street, City, Slate, and Zip Code, , ,I IS’OyC (ft 7S^-2/i7 „6rA4Ar) I^;03 U)g&t lOfh-Cedar Falls First InitialLast Name Property Owner smLkmoj- X6UL)A S>CIp)3state Uc. # ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (Lffnclivldual ( ) Public ( ) None PROPOSED USEPROPOSED PROJECT New Stmcture(s), ^ (j^ddition(s) { ) MH/RV____________ ( ) Dwelling (i-fd^-Dwelling ( ) Water Oriented Accessory Structure (WOAS) (^^Individual Permit # 0£&- ( ) Collector Permit #. ( )OTLSDYEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLI^ ( ) Garage (Z--)lJtiiity Structure CHARACTERISTICS OF DWELLING { ) Screen Porch( ) Boathouse( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension________A ( ) Utility Structure( ) Gazebo( ) Other Outside Dimension Ft. X Ft. ^0 FI. & Ft. ( )Other. Outside Dimension.Ft. X .Ft.Lotline Setbacks .Ft..Ft. X ■zO.Ft. &.Ft.Lotline Setbacks .Ft.OHWL Setback .Ft..Ft. &Lotline SetbacI‘^nTFt.OHWLSetbi Bathroom: ( ) Yes (If Yes / a complying Sewage System Required).Ft.OHWl^tback Total BWrooms__________________ U^lmum Height / 30 Ft. (2 story)t^8 FLj|f'^^Y^Maximum Height /10 ft. (1 story)Maximum Heigh '^Ic 6^ ACV^.Ft.Ft. Maximum depth of lot. Water frontageLot Area is (Sq. Ft.) /.%Ft. Slope of lot.Elevation of lowest floor above OHWL (3 Ft. Min.) z ^Ft.Structure setback to right-of-way. /A .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System. zozO 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 Ordinance 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 & Resour^ Management olV^ once the building footings have been constructed. 6 / 7 /Dated: Signatym of Owner Dated: Land & Resource Management Office$ RECEIPT NO.PERMIT FEE $ Comments: ^7 Pises' O/^ ^ nss of p j S// c.-r^ . Or<L. 6oats . Au 7-os Form No. BK — 0295-002 275.386 * ViClor LunOeen Co. Printers • Fergus Falls. MN * 1-800-3A6-4B70 WH/TE - Office GOLDENROD Inspector YELLOW - Owner . PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 i Permit No.LEGAL DESCRIPTION \ BLUFF ZONEAND □ YES JKl NOLOCATION TWP NAMETWP NO.RANQELAKE/RtVER CLASS SECTIONLAKE/RIVER NAMEUKE NUMBER ‘/7rA-'^-/56(S 05'6 >?■/ FIRE NUMBERPARCEL NUMBER (S)18ooo — j£, - o 'z-o^ — a aa AJS'L.1 TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeInitialFirstLast Name Ot sT,7S&-2n~r/Property Owner ? i9/)3 lUfSt /Ofh-CddT fai'iG^Name j_ -\ Q i\ V/^-3miokmoContractor /- C"X(AX)(^ 5o(o )3State Uc. # ONSITE SEWAGE TREATMENT SYSTEM (^Individual Permit # ( ) Collector Permit #_ ( )OTLSD ONSITE WATER SUPPLY (■') Individual ( ) Public ( ) None PROPOSED USEPROPOSED PROJECT New Structure(s) (,' )Addition(s) I'' <? (7 ( )MH/RV____________ ( ) Dwelling (L-) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) UYi'. YEAH CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage (.>) Utility Structure CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boathouse( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement ^ Outside Dimension ( ) Utility Structun( ) Gazebo{ ) Other Outside Dimension ^ ^ Ft. X /^ Ft. S o Ft. & ^0 Ft. ( ) Other, Outside Dimension.Ft..Ft. X Lotline Setbacks .Ft. X .Ft. -j n Z L/.Ft. &.Ft.Lotline Setbacks OHWLSe^C. Total bedrooms__________________ Maximum Height / 30 Ft. (2 story) .Ft.OHWL Setback .Ft.Lotline Setbai .Ft.& ( "' )No.Ft.Bathroom: , (, ) Yes (If Yes / a complying Sewage System Required).Ft.OHWUSetback Maximum Height /10 ft. (1 story)Maximum Heighr/ 18 Ft. story) f- / c^Td/ /' 0 hi. Water frontage Elevation of lowest floor above OHWL (3 Ft. Min.) .Ft..Ft. Maximum depth of lotLot Area is (Sq. Ft.) /z..%.Ft. Slope of lot. 2 Ft.Structure setback to right-of-way. /.Ft. (10'minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank./ 2 0Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System.20 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 Ordinance 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. /Dated: 7 7 S/gnatt/re ot Owner /aS-^ /i /Dated: Land & Resource Management Office$ / (^(^o5SD-OO RECEIPT NO.PERMIT FEE $ /o ' S/=*/fcg lFre , Comments: OT<L Csy^cuC;P(J^Cr/cS . 7!><AA/S . A u TO i % Form No. BK — 0295-002 275.366 • Victor Lundeen Co.. Printeri • Fergus Fails. MN • 1-800-346-4870 INSPECTION RESULTS Make all measurements and computations loot-Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Structure set Back from Top of Bluff Ft. loo Ft.Ft.Structure Set Back from Road Right of Way Ft.Ft. &Ft. &Ft.Structure set Back from Lot Lines \0'Ft.Ft.Structure Height 50-+'Ft.Ft.Structure Set Back from Septic Tank 50^Ft.Structure Set Back from Absorption System Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft.3 %%Land Slope at Building Line Inspector’s Comments / Sketch:, z :! (f Signature Date of Inspection Tune of Inspection ... f/ \ jfid equals /O ^feet/inches GRID PLOT PLAN SKETCHING FORM I !I !i:'f'/sV/I: iri 19>•/X Signature tease sketch your tot indicating setbacks from road right-of-way, lake and sideyard for each building currently on fotand any proposed structures, i ';I ;1 ;I I ! 1 1 I I !;!I I\I : ■ ' r I I I : i ___( ! II C..__(JC?!?>:Prr— I i ■ISID ; Drii/e 1»I -?Jino^s3y *8 aN\n •I 31(31 301 I ;; > ym; i ;!PF i t Q J '1 xn' 21 j 10MH li& D H g) IIi t IC7X6XIpin ■23(-I3.:i i I I ( :;ICH ;1 Ifj'1 ITJ1^1 I&lU Nin15 131CH ,X:r>oc1/m(ir :( 8q IpIIII( ;10 1i I z\1 S' UOut Ditr ■ ;I I I :;t/' A Loll I i : 1 0H\i o «CP ,4?ITotjf'iL; 'I r1 5^ :Mail I I :, ! ' I ! b ' i; i ■; I I 1 I ,;I ;• I 1IILot At i I i;Eleva: I uT8§I1:iI i !10-1 I I . : I I I ' I 1 1 Struct* I !* iI I irB . ■ ' ! !D 'Structi; I ■ i ■ Dwelliii I II Non d\ ;I O) I ■■ f&I I!I ; ! ,II I i i • I : ; 1 !ij» ! -1^1' i 1i Ii M j i , ! I *' -if-...|-!I ,i i !!^ lEJi ,TH/SI: I ' Agreei 1 | | andaci i i i : a part < Permit I ;tP1 P,I )I 1g V>I I —>1(■ 111 6*i I I3: EI t M It UJI1i tr ! *I I II • I 1!1 -3 I I I i j : i !■ ! I ! >II1;n>1 •)conditic i I i i I j Minnes ’ ! : : ; i I II ' ! ;e ' • ' ; c <I II I I O)<1 I '1 I ! •iO'I undei III!'b:I 1I*t)I : ;!!u • ' 1 I I 1 : I ! j.f * ' ' ‘ ■ I i i i'|;I o U)0>IIDated;1 i-HI oI iI : • t ,jC.;I 1^1 I I1t ;;I I ! i ' ^ 'o IIDated: J I 1 ! -j | : * M , ^liltai ligill l®!I;I tr, 1 ;i IPERMIT :I Ii■ i 1996■| I I i JUNI 1!brii;€.^ Commet ;I I—I.'.-! r- ! 1 • :i i I r t iI I I I I I I I ! i I I I I ILAND & resource 8714-02^ :2IS987@ vieio.iui irti ‘VI ! 9-W» WV*»T*»0>«#Vli Form No. Scale:. Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM Dated:19 f / Signature Please sketch your lot indicating setbacks from road right^f-way, lake and sideyard for each building currently on lot and any proposed structures. . K Tfoi ler Space *)8 In +ra/ler ftjrK /io 0) 2 ^ V-0) p O .jao »—-a CP cr*<0 21598 7©MKL-0871-029 VICTOH LUNOeCN C0-. PMiHTeRt. rCROUS fALLS. VINN. LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITS PERMITWHITE ■ OfficS^ GOLDENROD • Inspector YELLOW - Owner PINK - Assessor jPermit No.LEGAL DESCRIPTION (3l BLUFF ZONEANDpJo/ZTH R^SO>i)□ YES □ NO LOCATION TWP NO.RANGE TWP NAMESECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER 13L HI34,GOsma.FIRE NUMBERPARCEL NUMBER (S) - 060 - 34 ' 0^0 ^ - OOO /V34 / TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeFirst InitialLast Name P 7St9 - 2,117\Property Owner S'i.SAS' NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (j-'flndividijal ( ) Public S^STCtt) ( ) None PROPOSED PROJECT (J/jrT3Tw Slructure(s) ( ) Addition(s) ( ) MH/RV____________ PROPOSED USE ( ) Dwelling (^'f^n-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ( ) Individual Permit #______________ ( f<fCollector Permit # ^ j ^ YEAR ( )OTLSD CHARACTERISTICS OF WOAS ( ) uSathouse ( ) Sergidn Porch 4| ( ) Gazeb CHARACTERISTICS OF NON-DWELLING (i<^rtJWity Structure CHARACTERISTICS OF DWELLING ( ) Garage( ) Dwelling ( ) Addition to dwelling ( ) Basement \ > ( ) Walkout Basera^ Outside / Dimension /_____ Itility Structure(( ) Other Outside Dimension eUK.jo;/JS - <g' * y /<£> Lotline Setbacks ^ ^_____Ft. & Ft. ( ) Other. Outside DimensionX Ft.Ft. X .Ft.FhLotline Setbacks Ft.OHWL Setback .Ft..Ft. &Lolline Set^cks (.Ft.OHWL/etback Bathroom: ( ) Yes (If Yes / a complying Sewage System Required)FI.OHWI^etback Totjfl Bedrooms__________________ Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 stopMaximum Height /18 Ft. (1 story) ^0^ /'ffu'X enro .Ft.Ft. Maximum depth of lot. Water frontageLot Area is (Sq. Ft.) 3 BK %Ft. Slope of lotElevation of lowest floor above OHWL (3 Ft. Min.) 2.0 Ft.Structure setback to right-of-way. xo Ft. (10'minimum) (Sewage System Permit required before installation). Ft. (20’minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank. Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System,z 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 Ordinance 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 Manai office once the building footings have been constructed. 7 Dated:ftrft r\YSignature of Owner ^ Land & Resource Management Office ; 5/Dated:im 1 I99b I^6,00 RECEIPT NO.PERMIT FEE $LAND & RESQURGSpr Be J^£mY>\fEp Ftu>m LBT Time, TM Comments: Form No. BK — 0295-002 275.386 • Victor Lundeen Co., Printers • Fergus Fails. MN • l-SOO-GAS-rlSTO LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT -^..ucNROD - Inspector YELLOW^ Owner PINK - A.At % mGL Ayb^TH.^C R£Sor[r Permit No.LEGAL > DESCRIPTION BLUFF ZONEAND □ YES □ NO LOCATION TWP NO. Y rangeSECTION TWP NAMELAKE/RIVER NAME LAKE/RIVER CLASSLAKE NUMBER Hi13 LSir. 3SS 3<LG.D Ooan FIRE NUMBERPARCEL NUMBER (S) jlo '' 060 - 3L~ 0^0 ^ - OOO rs/sL ! TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, Slate, and Zip CodeFirst InitialLast Name 7y^)Y)£S P T^ry '■ 'in 7Property Owner NameContractor State Uc. # ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (<^ndividual () Public s^sreir) -( ) None PROPOSED PROJECT gxfNew Structure(s) ( ) Additlon(s) ( )MH/RV____________ PROPOSED USE ( ) Dwelling (HTflon-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ( ) Individual Permit #_________ (i'fSollector Permit # ^ j YEAR ( )OTLSD characteristics of dwelling CHARACTERISTICS OF WOAS ( ) Screen Porch CHARACTERISTICS OF NON-DWELLING (K'fljtility Structure.\( ) Boathouse ( )Gaze\ ( ) Garage( ) Dwelling^ ( ) Addition to Duelling ( ) Basement \ j ( ) Walkout Basemut Outside / Dimension /_____ \ (Itility Structure( ) Other Outside Dimension Lotline Setbacks 0^ X Ft. Ft.& ( ) Other Outside Dimension.Ft..Ft.t. X Ft.Ft. X Lotline Se^cks OHW^tback .FI..Ft.OHWL Setback .Ft..Ft.&Lotline Setbacks .Ft.Bathroom; ( ) Yes (If Yes / a complying Sewage System Required).Ft.OHW/Setback Tojai Bedrooms__________________ Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 stoiMaximum Height / 18 Ft. (1 story) w 3 .fir)30 .Ft.,n. Maximum depth of lot.. Water frontageLot Area is (Sq. Ft.) z3.Ft. Slope of lot.Elevation of lowest floor above OHWL (3 Ft. Min.) Z- 0 Ft.Structure setback to right-of-way. .Ft. (10'minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10'minimum) (Sewage System Permit required before installation). Structure setback to septic tank. toDwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System,Z 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 Ordinance 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. 1^/ v-Jz /Dated: “Z C y//Signature of Ownfr Dated: Land & Resource Management Office ^6,00 RECEIPT NO.PERMIT FEE $ Comments: CJ 4 TrPrnu:>T^ L>i /IL —y ++ 7>V-:Sf’ IS CCynY'/ei) ,Form No. BK — 0295-002 276.386 * Victor Lt.nd««n Co.. Printers • Fergus Fails. MN * t-600-346-4S70 INSPECTION RESULTS Make all measurements and computations ioo Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure set Back from Top of Bluff 4 Ft.Ft.Structure Set Back from Road Right of Way ^0 Ft.Ft. & ;Ft. Ft. &Structure set Back from Lot Lines /Ft.Ft.Structure Height 10 Ft.Ft.Structure Set Back from Septic Tank -r'Ft.Ft.Structure Set Back from Absorption System Elevation Of Lowest Floor Above Ordinary High Water Level____________________3-Ft.Ft. % %Land Slope at Building Line Inspector’s Comments / Sketch:. / / / ( \c i 4\ \ /C /6 o ^/tMrf I1i IIII1/I 7• I ! I ;4 ' /3 t \ Inspedor'a Sigimium Dale ot InsptcHon Tune of Inspection i >id equals feet/inches GRID PLOT PLAN SKETChUWG FORM •I' 1977 /Signature lease sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. ' I ■1 I 1 ' ( ! 1\ \I »i \1 ♦I / / M ^ JJC'LZI Dnu'e 5jnos3H ^ aN\n 32.f3130 V66I I 111n ajjjj U £7 16iip 252^7 .. i-------rt (t.t ;T)15 15 H 13In V) *•o • >c1/rh I/* :!>8q ii>1%II 1lO1 7^ - V a & ;2'•/35 1 I r~/T (f^i !Ii!i ! T % €srfr-X0it'1 Mi,I I !I\I1! 5-7.u> i___If QI 1 ;ss.O);ord- jrmit!I ; Bd.)i 1 o IE]Pi oI ;I O!OI I :co|i^ i H y' N ! ■ ! I ; i! i i press isota.------------!, !j---^• ,t I3 ;t I O) I 'i 1;1 1 crcrI i M i I , i I , ( I 11 . 3 ■:>-3 ; •*rt>I I i i I1 I <j :::i®I ' ' ic*I I .UiI :1 r,i;i I O'' p^ I « I ■* -' !! II-o *- o111 ■ . ! I : , i I ;/t r>OJ 4' ! ! I JC.I D t o!!<y 7^I !;i ■I I 1!l 1 Q 1 1995 land & RESOURCE JUN (bri7E V 46-4B70 \ \)871 029 uses'?©vtctoN luaoCEN e«.. reiMTtnt. rcii«u9 r«Lui. hihn, \pVip ”f^ y CT7 i\i S' Scal^ Each grid equals feet/i»eties GRID PLOT PLAN SKETCHING FORM r-31Dated:19 Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard f^each building currently on lot and any proposed structures. Ho' -I 14-—H’ t ■a- - 1TvAI -4 1ci(- \ c >I'Aj i'55' 4^ ' ^V <i%J ^ i K?s >d J u aVi ^ih'*5.e i;.'H v» k ViJ 1 ^ 'St < ^ s ■ ^ «ao I \I<3 * )I I --JU 3-'4r i 0 i ® I I If E i T JUN ?1 1995 J *^ND & RESOURCE [ MKL-0871-029 21598 7@ VICTOR LUNOECN CO.. PRINTERS. FERGUS PAULS. UINN. LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE ■ Office•7 GOLDENROD - Inspector YELLOW - Owner PINK - Assessor * u Permit No.LEGAL DESCRIPTION <ZL i\)^ATh BLUFF ZONEAND □ YES □ NO LOCATION SECTION TWP NO.RANGELAKE NUMBER LAKE/RIVER NAME LAKeRIVER CLASS TWP NAME (p 9(156i^D > PARCEL NUMBER (S)FIRE NUMBER -OOO -S(o— 02:^0 r — ooo /S/9C / IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)Last Name First Initiai pn)C h£rrMh.s%s^'nfS-v/7mfTProperty Owner 'iSA 0^ 2_^/Sr?MV/4NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM (A)^f^3ividual Permit ONSITE WATER SUPPLY CtiT' PROPOSED PROJECT (V1^ Structure(s) (■vf^ddition(s) ( )MH/RV____________ PROPOSED USE ( ij-Swelling (^jJWh-Dwelling ( ) Water Oriented Accessory Structure (WOAS) (>)iifdividual ;r ( ) Public ( ) None ( ) Collector Permit #. ( )OTLSDYEAR CHARACTERISTICS OF WOAS (if€creen^rch ( ) Uti)i(y Structure CHARACTERISTICS OF NON-DWELLING (P'fUWity Structure * CHARACTERISTICS OF DWELLING ( ) Boathouse(il)^welling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Garage (^her ^/nrn £iJT-$ ( ) Gazebo Outside Dimension ( ) Other Outside Dimension Ft. X .Ft. Ft. X Ft. & Ft.Lotline Setbacks Ft. X Ft.7^ ".Ft.Lotline Setbacks Ft. &Ft.jriP R.OHWL Setback ^s ra Ft. &Lotline Setbi2£Bathroom; ( ) Yes ( i^Uo (If Yes / a complying Sewage System Required) .Ft.OHWL Setback, Ft.OHWL S/back Total Bedrooms__________________ Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story) ^ OQO ^'■^ter frontage j- c nrO Ft.Ft. Maximum depth of lotLot Area is (Sq. Ft.) /“5 Ft. Slope of lot .%Elevation of lowest floor above OHWL (3 Ft. Min.) 2. CP Ft.Structure setback to right-of-way. Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank. Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System %o 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 Ordinance 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 l^nagement^ice once the building footing;'e been constructed. /A-il S /U/jS' Dated: S\gna\UTB of Ownsr' A ^ J Dated: Land & Resource Management Office Co, 00 RECEIPT NO.PERMIT FEE $ ^2^4^ iF jy-e jCnsTia/o fus£T'iaj6oo Is FiCCm SiTt THC S'^CljO SrPtCdiT A2H2CH A/c/nci//rO TRiS ~ iS , Comments: Form No. BK — 0295-002 275,386 • Victor Lunoeen Co., Printers • Fergus Falls. MN • l-S00'3A6-4870 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office ^^D£/VrtOD - Inspector Y^OW-Owner PINK - Assessor )Permit No.LEGAL DESCRIPTION <51 NaATJl smn BLUFF ZONEAND □ YES □ NO LOCATION i TWP NAMETWP NO.RANGESECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER iM-t ]> 0r .4 ^^ •/V//56icO FIRE NUMBERPARCEL NUMBER (S) -ooo - S(c— o~2. or — ooo I TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeRrstInitialLast Name / (r :Property Owner A /) Ay AON'NameContractor State Uc. # ONSITE SEWAGE TREATMENT SYSTEM _ ^ (t-) Individual Permit ( ) Collector Permit #___ ( )OTLSD ONSITE WATER SUPPLY (^) Individual ( ) Public ( ) None PROPOSED USE (1) Dwelling "i • (^),+fon-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT (V) New Structure(s) Addition(s) ( )MWRV____________ ( C'A Ofi- I YEAR CHARACTERISTICS OF WOAS ( ) Boathouse (-^) Screen Porch CHARACTERISTICS OF NON-DWELLING (♦''fljtility Structure ^ CHARACTERISTICS OF DWELLING ^ i\S^ 1 \ \] ; r . \-^ V--( ) Garage(4) Dwelling ( ) Addition to Dwelling ( ) Basement \H^her Cj>mro ( ) utility Structure( ) Gazebo Outside Dimension s^C( ) Walkout Basement Outside Dimension Lotline Setbacks ( )Other, Outside Dimension Ft. X .Ft. 2__R. 2^ R.Ft..Ft. &Lotline Setbacks Ft. X .Ft. 7^.Ft..Ft. &St> F,.Ft.OHWL Setback,sv ,Ft,&Lotline Setbams7£Bathroom: ( ) Yes (i«^No (If Yes / a complying Sewage System Required) .Ft.OHWL Setback. Ft.OHWL Setback Total Bedrooms__________________ Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story) Z OQO 37'^ /^.'^ter frontage -f' i flfU oT^.Ft.Ft. Maximum depth of lotLot Area is (Sq. Ft.) /'5 /.%.Ft. Slope of lot.Elevation of lowest floor above OHWL (3 Ft. Min.) Z Ft.Structure setback to right-of-way. .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20'minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System. Z d 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 Ordinance 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 constructeil///)/z r —--Dated:////Signatun of Owner5 /iL/iS' CO . 00 /3.Dated: Land & Resource Management Oflice RECEIPT NO.PERMIT FEE $ OKASComments: IS FAom SlTC ThC C' 'X' S’ (rG rye I -JVIS p/r,y,n,T /-> ,^ !^>C -y S , ny. ytO U >SL Cxi Form No. BK 0295-002 275.386 * Victor Lcndaen Co . Printers • Fergus Fells. MN • 1-800-346-4870 INSPECTION RESULTS Make all measurements and computations : 100^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 IPO Ft.FLFt.Ft. &Structure set Back from Lot Lines Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank r Ft.Structure Set Back from Absorption System Ft.2^ Elevation Of Lowest Floor Above Ordinary High Water Level____________________3^Ft.Ft. %Land Slope at Building Line % Inspector’s Comments / Sketch:. f( 1 »l^^ispeclor’s Signature i^1^1/ir f Damof Inspection 40 y. Tme of IrapecHon Scale: Each grid equals feat/inches GRID PLOT PLAN SKETCHING FORM/O S'19 y-/ ■Dated;Signtturt Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures FroPl- PT // VC"tTT /T 1 I PP! L^e' 1!2<y zk313^! 7^ >-i It-G t< I I Z(2^0 m >/(? / /V/?■X C ; G/c 7/^ //'T' > r ■s Ii5 ''V- TO'^1 oX/r■n f -> ?: V, *n ?>1J \K >^ -■ £ V> csr.1"^ID -7^51 c -A■o 7:1 c 7^a.r o rr. »# P ?^ / 1/ ?r^ pe i^T y L / K^b' 21S987@MKL-0871-029 . /; Seals: Each grid equals feet/ijjcbes'GRID PLOT PLAN SKETCHING FORM 19 ‘^ rDated;7 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. i /Vo i o_ I I V j (_ <u IIM vil 'I(A 10a. -V ck> . vPO1o.. yOC VIn o! -O 0 vT^ \r;1- 0 -sT Propo3?^l I ± 1—1 j 1 i 21S98 7@MKL-0871-029 VICTOO LUNDCCN CO.. PRINTERS. PERCUS r;>LLS. UINN. UllkiJ-FLooH^ l(J '\ej~^ I <■'; • Tr«»-^ t~ (. ( ro^\B4 T7 ^)C^-(? V/ O-*''ViVi ^oof VoOr<k. o doo^Clii'A .,/ &.* vi.V«V \ //^V _■ >>/-4 5W TK\V 4 <>JA.I \ < S- ‘i'=> ^^^'''■*-r I' lo Spu'.’'‘^-\ C-i’Uti pa-^lo*/' -fo /c-«ep 'A5«t- ^^o*A. ^ A.4-G r{ 'V Va(/t"oO I ev^ :j“ W (7( ^4.Oo ;Tt JLXC, A 3o »'■» Me j U,\VI »»<po/<-M f-^I 'Coftfcei®. fi^ock.5 /kjJOLy ^T<^<cc>.tr o ^AO ^ tfWvv^^ -vji I l?)Ucl<ifila^LGUclcC'ro^'^ V >tA-J ''6a (vr '•r\XH;gfiVJJAy ^C<'«4>>'^c^te/'^Cr-t<r' r vj > ((I ^(tr<-‘—^ j) f e !? p?■/^■uo rv ' /' 0*^->iC''^// " V //£_ S'«^' /“o o5. SW'^ TrcA- O c o-~k- vV'jcc'fs ^r ar <■ o*~i e'or Po f cIa.SL Pr Lr 0 'T—. ^ ^K.4 \ ^c.r<t''P)\u<-^t)U‘''^GWL S* \>!^ V«-' 5QO^ 4‘'*y ^ o ^ « ^ !£ (JV> ^0 ^oo»' . ^ A 0®“"'• V T•>j \I”^//c." r ^/<«, • \ + 4''^^ «ori-f“- bf C; 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 — Oiyne/- ’ PINK — Assessor LEGAL Permit No.O v/' DESCRIPTION AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME £>oru^!3Cp V/36.a-D PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. r~h i (L-h 3Xy Bd>xProperty Owner a. rcr~^ )(ml /?f / Bex ■~50X^Name 0^3 ptonritContractor / <5 \>o /I . /VOf S^&BState Lie. # PROPOSED PROJECT PROPOSED USE ( yX") Residential ( ) Non-Residential RESIDENTIAL USE ( i/fOne Family Dwelling ( ) Multiple Dwelling # of Units ( ) NON-RESIDENTIAL USE ( ) Garage { ) Utility Structure CHARACTERISTICS OF PROPOSED ( ) New Structure ( \X) Addition ( ) MH/RV Basement ( ) Walkout Basement ( ) Outside Dimension of Structure_____ Height of Structure / 0 Ft. # Of Stories ft Of Bedrooms ^ S y (Lq Ft() Water Orientated Accessory Structwe ( toother YEAR /TYPE OF FRAME ( ) Masonry ( \/) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY /{ ) Public ( 'Z') Individual ( ) None OFFICE USE ONLY ( ft/) Bluff Impact Zone ((T / ) Shore Impact Zone ( / ) Sensitive Area ( ) Public ( Individual Permit #_ ( ) OTLSD # Of Bathrooms LOT SIZE AND SETBACKS: Lot Area is square feet, Water frontage is feet. Maximum depth of lot feet. X51Building set back from ordinary high water level is feet. (String Test) 3Land height above ordinary high water level at building line is feet. Slope of lot % Building set back from road right-of-way.feet. <3^ 30 30Lot line setback is and feet. 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).Structure will be located THIS tS 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 accord ing to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted application. I also understand that this permit is valid for a period of six (6) months >(I understand that it is my responsibility to inform the Land fir Resource Management^fice once the bt^^ng footings have been constructed.) irewith shall become a part of this permit Dated: /Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the wdtk 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 & Resource Management Office Permit Fee $ 30 Receipt No. /1 ^ ^ o/C-Orc XL ______9 ____________________________E-i IH WComments: D li/o />7/Y^ /-x/M99t & LAND R RFSQURCE ! Form No. BK — 0292-002 270.500 • Victor Lundeen Co Printers • Fergus Falls, MN • 1-800-346-4870 »» « APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WW7E — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor LEGAL O Permit No. DESCRIPTION h!AND LOCATION »* LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME £>ora^V/3C. PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER • -4 i-------2—<li-I \. IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. <:5^r ,(Li Lox ygg fhA/ SL^JISProperty Owner 5 4 Y~j>a. r \£lu>ooJ. Cl (mH Ri I Box<>-oO QionKNameContractor / 1*5 fc>r? /I ^ fWState Lie. # iPROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure CHARACTERISTICS OF PROPOSED ,5 ;( ) New Structure ( :/) Addition ( ) MH/RV ) Residential ) Non-Residential (( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) Basement ( ) Walkout Basement ( Outside Dimension of Structure______ () Height of Structure ^ 0 Ft. # Of Stories Ft.YEAR /TYPE OF FRAME { ) Masonry ( L ' )Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY ( • ) Other /{ ) Public ( ) Individual ( ) None OFFICE USE ONLY ( .q/) Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area ( ) Public ( ^ Individual Permit #_ ( ) OTLSD # Of Bedrooms # Of Bathrooms f ( LOT SIZE AND SETBACKS: -i wac?Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. 7-SrBuilding set back from ordinary high water level Is feet. (String Test) 3Land height above ordinary high water level at building line is feet. Slope of lot % ..Building set back from road right-of-way.feet. i3^ 30 30Lot line setback is and feet. /OStructure 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. 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 accord ing 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 (I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed.) J' ■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. £ -3-7VDated: Land & Rasource Management Officea-050-Receipt No. ^ ^ ^ YPermit Fee $. OK Drc /-UOtiComments: If J o,4-Cf/fid OzdJMX.^ Form No. BK — 0292-002 270.500 • Victor Lundeen Co Printers • Fergus Falls. MN • VBOO-346-4870 INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Building Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. Building Set Back from Road Right of Way Ft.20 Ft. & '4-S'O Ft. Ft.Building Set Back from Lot Lines /O Ft. Ft.Building Height 10 FtBuilding Set Back from Septic Tank Ft. Building Set Back from Absorption System 20 FtFt.y-2,0 Elevation Above High Water Level at Building Line ^ 3 3 Ft.Ft. 0^1Land Slope at Building Line % Inspector's Comments/Sketch:, I r *■ ' Inspector's Signature Date of inspection %Time of Inspection Lyr. ■ Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM 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. / FtoFi-9-TV t t r 293\ -A*0 7fTO -i r2-7 2L.6. Z< 2- V 2^ i 2.2 2./-2^0 7^ £vn (T/ H !2 11 /G//r /Vr oZL. o t9 «o«^i // /o y ^ 1 4.V)TV 7* !- :u/1 ^oc: TO roVr- n ^ € ‘ «r\ v\ ■n ■ Tn/ \ i iTe \X " -0 . > -oC o I-I -4 sX•C Irn <5k o7^w-C c V.J no=\-Ao 2 , I/O vJ7^ T c~^ r'9^n-, TV xj<T.cv/n Vjt^ or' r>tr<to og E g i W BD ■■■'■ julv 1 1994 P p' / 1/ E i 6 II W gland & RESOURCE D i-'pro pG {2Ty rc^f*f kdi 3^ /i hui'ldi'^f LAND & RESOURCE 215987^^ VICTOK LUHDCCM M.. PNiHTCMt. rCHSUf fitktS. WNN.MKL-0871-029 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 — Ownej PINK — Assessor /279/)LEGAL Permit No. DESCRIPTION AND LOCATION C Sf> LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME ^ 6 \> c M-(56G l>V/ PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER ^JSL (~ O ZDS' - OQO/Q - Ooo IDENTIFICATION; Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. ?c-X /fgf.Gi>e^r ?<Property Owner y u'nm VLln(»r)L NameContractor ^ XcState Lie. # PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE MON^ESIDENTIAL USE ( ) Garage { ) Utility Structure CHARACTERISTICS OF PROPOSED ( ) New Structure ( 1^) Addition ( ) MH/RV ( Residential ( ) Non-Residential ( One Family Dwelling ( ) Multiple Dwelling # of Units ( ) Basement ( ) Walkout Basement ( ) Outside Dimension of Structure______ Height of Structure 10 Ft. # Of Stories () Water Orientated Accessory Structure lOX^Ft.YEAR TYPE OF FRAME ( ) Masonry ( Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY Sc( ) Other /( ) Public ( F'') Individual ( ) None OFFICE USE ONLY f) Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area ( ) Public ( Individual Permit #_ ( ) OTLSD (If Of Bedrooms ■19-(# Of Bathrooms1-C-( LOT SIZE AND SETBACKS: /^(Jt/ (WO7, 0Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. Building set back from ordinary high water level is feet. (String Test) /Land height above ordinary high water level at building line is feet. Slope of lot % zdBuilding set back from road right-of-way..feet. sO5"dLot line setback is and feet. V(jZ>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).Structure will be located 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 accord ing 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 (I understand that it is my responsibility to inform the Land & Resource nagement office^d^^the building footings have been constructed.) S' /2-Y 7 YDated: Signature ^'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. ^-3-Dated: Land & Resource Management OfficeCh<l^0Permit Fee $.Receipt No_ (DjC-or^Comments: SUxnrF-7 0 H T Form No. BK — 0292-002 2 7O;SOd - Vicl0ftVnaevn'Co Primers - Fergus Fells. MN • 1-BOO-346-46 70 4 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WMITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor LEGAL Permit No. DESCRIPTION AND . %LOCATION (5p '56^a. cJL- LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME \> t^A->G V/>6 ! ^' A PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER ,V S L I'GO - - o zor - ooo IDENTIFICATION; Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. i_: lie- jProperty Owner hj)iMXA Vo nut.NameContractor t-State Lie. #. '-'■ T- PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON'-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure ( ) Other ’' ' CHARACTERISTICS OF PROPOSED )0^ 30 c/^ IPYXIy fi ^ ( X) Residential ( ) Non-Residential ( ) New Structure ( i^) Addition ( ) MH/RV ( One Family Dwelling ( ) Multiple Dwelling # of Units ( ) Basement ( ) Walkout Basement ( ) Outside Dimension i of Structure___________ Height of Structure # Of Stories YEAR TYPE OF FRAME ( ) Masonry ( Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY Ft. /{ ) Public ( ) Individual ( ) None OFFICE USE ONLY ( /) Bluff Impact Zone ( ' ) Shore Impact Zone ( ) Sensitive Area ( ) Public ( . ) Individual Permit #_ ( ) OTLSD If Of Bedrooms i# Of Bathrooms LOT SIZE AND SETBACKS: cn)y (/dVjLot Area is square feet. Water frontage is.feet. Maximum depth of lot feet. Building set back from ordinary high water level is Land height above ordinary high water level at building line is feet. (String Test) 5 / - J)feet. Slope of lot % (JBuilding set back from road right-of-way.feet. Lot line setback is and feet. VStructure 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. 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. 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 accord ing 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 ' (I understand that it is my responsibility to inform the Land £r Resource Management office oiic^the building footings have been constructed.) i ? Y^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. ^I j <g- 7>-/ Dated: Land & Resource Management Office0- c/^0Permit Fee $.Receipt No. OlC-or^Comments: ■* Form No. BK — 0292-002 2 70.500 • Victor Lufide«n Co Printers • Fergus Fails. MN • t-800-346-4870 T ! INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Building Set Back from High Water Level Ft. Ft. iyi/ Ft.Building Set Back from Top of Bluff 30 Ft. ^ 10^ Ft.Building Set Back from Road Right of Way 20 Ft. Ft &Ft. Ft.Building Set Back from Lot Lines Ft.Building Height Ft. 4- zoBuilding Set Back from Septic Tank Ft.10 Ft + 'LOBuilding Set Back from Absorption System 20 FtFt. Elevation Above High Water Level at Building Line 3 Ft.Ft.r o~lLand Slope at Building Line % Inspector's Comments/Sketch:_ 4 K Ccvlst^>■ ft I I V L \0\ Inspector's Signature Date of Inspection\ < Time of Inspection IJk I;'10 / ON STiR LAKE < BOX 188 • DENT, MINNESOTA 56528 TEL 218-758-2117 SKq,4cK 40' -8-~ )0'- I : I? ? -/- II- c c«s-LCcV.OiIVOco X.S3 ?1?e-C 1 'U z \ I\ R’oposicl Screened PorcK Oo 'Trx:u'|fr 5jO0ee E^berls ftrK Sec Seated druioin^jS -for Sci IjdcXS ^or 5pa(?e ^ 3b. ^ 3b •'(> ft Winter Jim and Barbara Ebert 14830 Shields Lake Trail Faribault, MN 55021 Tel: 507-332-8865 Jo^Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHJWG FORM I ly.sr/2Dated:19 A ^ ^ ^ ' Signature rlease sketch your lot Indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. I)I »i i Pn ^ Driu'C 1I-t : LC'dnosaH ^ QN\n;■ j. i-za313130 +nrV661 1i i- r!f a -I+t'lil aiLil o L X6 23 21 21 10217 ■--t- IaI°0 O' ■EN16I15n13 VIi:i osr -iLA m S>Bq baII110 ~pT\ ^ R i"H 3 i.I5 o t e:r li iin i/d \r-ri-t/' I 1 -+0fO-=i i :>o3 Oj Jo -S Of ;t:C31 oO'«■ Ha (Pi m;- E 3 C"UJ cr • t --cr o ->->rb J: ri.:cSZ3c*Uj C/>i'■8 r> UlI.Ul : * 4-1'-0O'O' 'T!--* -r■JoO’7^ 4X. 'V bri7E MKL-0871-029 21598 7®VICTOR LUMBCCM C0-. MIMTCRt. rCROUI r*LC«. MINN. 0 4 i2'Y"y "..’cT'/ to 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 IA/^5Permit No.LEGAL DESCRIPTION AND LOCATION RANGE TWP NAMESECTIONTWP NO.LAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER S r/tp' U(^(^/u HIG\>/viflrTU / G FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) i N S.L / IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and StateFirstInitialLast Name £Wig-r Lll_Property Owner v>c /o / , IM 7St'2fl7 ^ ei /-NameContractor State Lie. # CHARACTERISTICS OF PROPOSEDNON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure RESIDENTIAL USE ( I'-'fOne Family Dwelling ( ) Multiple Dwelling # of Units ( ) PROPOSED USE ( ) Residential ( t^^rSon-Residential PROPOSED PROJECT Basement ( ) Walkout Basement ( Outside Dimension of Structure______ ( ) New Structure ( i-^Addition ( ) MH/RV ) pt Ft. ) Water Orientated( Accessory Structure A ( Other S YEAR ONSITE WATER SUPPLY ( ) Public ( f-^lndividual ( ) None ONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( L/'f^ood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories_____/OFFICE USE ONLY ) Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area ( ) Public ( ^-^ndividual Permit #_ ( ) OTLSD (# Of Bedrooms / fcrc L(# Of Bathrooms _ 5c y-'f PC«( LOT SIZE AND SETBACKS:S79 feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is feet. (String Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is 6 /- sfeet. Slope of lot % -?/(/ / /e JeetrBuilding set back from road right-of-way 3 CTO 9CO feet.andLot line setback is .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 ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS/SET FORTH IN^HAPTER 16, MINNESOTASTATE STATUTES. Dated:V TSignature </'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 if 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. ___ /v J XDated:LanSi^Resounx Management Office Receipt No_Permit Fee $. Comments: Form No. BK — 0292-002 262,316 — Victor Lundoen Co.. Printers, Fergus Falls, Minnesota 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 Hot% (^€Sert‘Permit No.LEGAL DESCRIPTION AND LOCATION TWP NAMESECTIONTWP NO.RANGELAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER /J-C HI <pi N p (tT U ^ FIRE OR LAKE ASSOCIATION NUMBER S.L i PARCEL NUMBER (S) IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and StateFirst InitialLast Name p.>r: B£ ^7Property Owner 9 c M / , i\i 96S22 7S^' 2l\7 S' et /-NameContractor State Lie. # CHARACTERISTICS OF PROPOSEDNON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure RESIDENTIAL USE ( t-^"bne Family Dwelling ( ) Multiple Dwelling # of Units ( ) PROPOSED USEPROPOSED PROJECT Basement ( ) Walkout Basement ( Outside Dimension of Structure_______ ( ) Residential ( 4,,--f^on-Residential ( ) New Structure ( L-'O'Addition ( ) MH/RV ) Ft.YEAR Ft.7^} '/ (ONSITE WATER SUPPLY ( ) Public ( ^ Individual ( ) None ONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME Height of Structure. It Of Stories______ ( W) Other ■■S/() Masonry OFFICE USE ONLY ) Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area ( ) Public ( l-^lndividual Permit #_ ( ) OTLSD ( M'Wood ( ) Structural Steel ( ) Other (# Of Bedrooms # Of Bathrooms / <> _ / ; | > C i," (> ^ (i'o 7 CAa S( ( 1LOT SIZE AND SETBACKS: .■> ■ ->"r*> • ' ■'-J feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is feet. (String Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is_______ ->/(/ j-sfeet. Slope of lot % .Teet:Building set back from road right-of-way 3 CD OJ-P900 feet.andLot line setback is iw .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 9^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, MINNESOT\STATE STATUTES./A/f '•y-t' .6//7 /:2l/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 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. ' / J Lana&Re^urce Management Offics Dated: Permit Fee $.Receipt No.. / {\! t/irS:/ /NCComments: y -1. \*' > t Form No. BK ~ 0292-002 262,316 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota r- /' • INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. Building Set Back from High Water Level Ft. Ft. Building Set Back from Top of Bluff Ft.30 Ft. Building Set Back from Road Right of Way 20 Ft.Ft. Tll2lBuilding Set Back from Lot Line Set Back Ft. &Ft. Ft. Building Height Ft. Ft. 10^Building Set Back from Septic Tank 10 FtFt. Building Set Back from Absorption System Ft.20 Ft Elevation Above High Water Level at Building Line 3 Ft.Ft. Land Slope at Building Line o/o Ai/ QICInspector's Comments: LSketch: ,-it'\ 'at O u O d 4h fjfr ^ i O P I ■i i! ■/. '•. > y-H'Vyf¥-Inspector’s Signature Dare of Inspection Time of Inspection i Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM Dated:19 Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building curren^ on lot and any proposed structures. \A \ •o Ls. ^ I“N. P(T^ Y*6 ci Oecfi TAftii*''" oi'^0\si t S'<3 MKL-0871-029 21598 7®VlCtOe LUNOCEN CO.. PRtNTENa. rCRSUS FALLS. yiNN. OTTER TAIL COUNTY DEPT. OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH COURT HOUSE FERGUS FALLS, MN 56537 218-739-2271 PLAN REVIEW RECORD (ip/ f(j} / ^ Date Business NameOwner AddressAddress Type of Business /^Q N/A;Date: Permits applied for (township, city, county) Shoreland Management approval Department of Natural Resources approval Pollution Control Agency approval Plans & specifications in writing MDH approval for plumbing MDH approval for swimming pools State Fire Marshal approval The plan has been reviewed for the standards of the: Food, Beverage Ordinance Lodging Ordinance Recreational Camping Area, Mobile Home Park Ordinance The plan is approved as submitted:No The following items must be corrected to meet the Standards: « * /YIluU ^ %-y /GPuLy>p..AyncJLy» f-7/ App/usunjL h/j/ ^jlLAprriijt yh 'U'LAj) y)X'J7 ^7/ OwnerDate Public Health Sanitarian Date nSiC May 0 4 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office ' GOLDENROD — Inspector YELLOW — Owner PINK — Assessor 1993 //779Permit No.LEGAL DESCRIPTION AND LOCATION 0.0,0^ TWP NAMETWP NO.RANGESECTIONLAKBRIVER CLASSLAKE/RIVER NAMELAKE NUMBER FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) JG -OOO-3(o - OX O^-dOO /I^Sl-l IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and StateFirstInitialLast Name j 4- 3arJx)Lro^. /3d)X Property Owner Ha! * Cfair-^S;i5 /'i/.NameContractor XP/fiState Lie. # CHARACTERISTICS OF PROPOSEDNON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure RESIDENTIAL USEPROPOSED USE ( ) Residential ( Non-Residential PROPOSED PROJECT lAJiBasementFamily,>Owelling( <>0 New Structure ( ) Addition ( ) MH/RV ( ) Mulfjpl^Dwelling /e Walkout Basement Outside Dimension of Structure_____)of Units (YEAR OFFICE USE ONLY^P//; p*' O* Stories Bluff Impact Zone (yi)0) Shore Impact Zone (/OO Sensitive Area ONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM ( ) Public ( ^) Individual artl Permit *_jML ( ) OTLSD TYPE OF FRAME ( ) Masonry ( ) Wood ( ) Structural Steel (^) Other Height of Structure ( ) Public (J^) Individual ( ) None If Of Bedrooms ft Of Bathrooms LOT SIZE AND SETBACKS: feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is \GZ3_feet. (String Test)Building set back from ordinary high water level is %feet. Slope of lotLand height above ordinary high water level at building line is £20 .feet.Building set back from road right-of-way. SO SO feet.andLot line setback is .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 200Structure 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 FORT HAP/ER 16, MINNE^TA STATE STATUTES. / lMDated: Signapre Permit: Permissibn is h^eby 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. of Owner S-5-9JDated: Land & Resource Management Office Receipt No_Permit Fee L>fj /Air/'<i'RJaiir-e. p£ -5 e/ CL eComments: /O K iU O.m • Form No. BK — 0292-002 262,316 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota APPLICATION FOR SITE PERMIT1 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE ■ ^Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 Permit No.Lei H /Jsrih Resor'i' LEGAL DESCRIPTION AND LOCATION !if i TWP NO.RANGE TWP NAMELAKBRIVER CLASS SECTIONLAKE/RIVER NAMELAKE NUMBER ? / 34 ■OorcK^<2^0. r i-vA i(^V/344^5C.-3S5 FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) JG -0CO-3Q - OXOS'-a<30 IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and StateFirst InitialLast Name Rnx JL7 Djrn-i. mW 3C>S1 g /^.T)e>.ri . .3n>w<g. 4- BarJxi^a.Property Owner 5^.5 eti- /jot. y4. /i/NameContractor f'ctraO .^6 7$M/astate Lie. # yCHARACTERISTICS OJNON-RESIDENTIAL USE ) Garage ) Utility Structure ) Water Orientated V, \ Accessory Structure OFFICE USE ONL^-f f/(Jd ) Bluff Impact Zone (y(JO) Shore Impact Zone (jQO) Sensitive Area RESIDENTIAL USEPROPOSED USE ( ) Residential ( y) Non-Residential PROPOSED PROJECT (a/4,(Basement( ) One Family^welling ( ) Multj^l^l^welling Units ( ) ( X ) New Structure ( ) Addition ( ) MH/RV Walkout Basemerv Outside Dimension of Structure_____2 \ Ft.YEAR Height of Structure 7SONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( ) Wood ( ) Structural Steel (y ) Other Ft. # Of Stories( ) Public ) Individual ( ) None lO ( ) Public (^) Individual Permit #_ ( ) OTLSD ■1ft Of Bedrooms J# Of Bathrooms LOT SIZE AND SETBACKS: feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is as:feet. (String Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is Building set back from road right-of-way. OS %feet. Slope of lot ao .feet. SO feet.andLot line setback is _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 tor a period of six (6) months. ' / THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH KfOHAPJER 16, MINNEXTA STATE STATUTES. ■ ■u'.l/.-,—L:~ i r i&L fyL (Cc_->■Dated: Signature of Owner Permit: Permissl6n is hefeby 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. ^-5^93Dated: Land & Resource Management Officetf^O3D 3DReceipt No.Permit Fee $.1j Jj?Q i=»\J //«./^O.Ja ! f tOtaComments: p jir~l^Ji j .pi py,UlJLA-Ll ----(/jl^ •J f- i Form No. BK ~ 0292-002 262,316 — Victor Lundeen Co.. Printers, Fergus Fails, MinnesotaI ' 4t. INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. T S'Building Set Back frorh High Water Level ' Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. Ft.U/ABuilding Set Back from Road Right of Way 20 Ft. Ft. &Building Set Back from Lot Line Set Back Ft. Building Height Ft. Ft. r t-Building Set Back from Septic Tank 10 Ft~ 3^0'^Building Set Back from Absorption System 20 Ft 5 Elevation Above High Water Level at Building Line 3 3 Ft.Ft. Land Slope at Building Line % Inspector's Comments: 7r=. >Sketch: ^Cre^ PcTc (+ (J-X3Y Pa7(*^/^<*cKA -f- Inspector's Siphature Dgti of Inspection h>.riTime otprispection Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM ' Dated:19 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. trn- . i i;;! r« I ■4. rU! A t-'^jSK\ Ltic viVt’-u/: ^t I ^ S;Je I.INN^ ro7 7 r-^7 s r^. 'i O 'y»•<51 \.1\V -----lO------I \ ■> >s t j I!I t i<Jto ^-T -1 !,]-if t-••t 4-: M ■Lr!i i.r III . :.! i-i-1I I !-l ■ ■r t !T!|-4 r o!I I i Xr\14 !I oiU-iiJ f UJ crc<0 Dnt-o :POJ C\J . ■ 1 j MKL-0871-029 215987@ VICTOR LUNOECN CO . PRIHTCRt. PERCU8 FALLS. WINN. U> Ji. 1lillJIL, iUUUi'^ 1 I Site Permit ns 13.973 LiOCSltlOnS Lake No^I_ Sec. 3i> Twp7.96 Range 7/ Twp. Name Para, ________________________Crs 1/ l~t "h V___________ ___________________/^ar'hL cS-At*” -Sp Owner’s Name ^gjMe^ ^rha.ru. £b^-h lake l8SUed_c:|a££Z-5l9Ji, To S. n<n_____ Work Authorized ^y/A-dj*.. NOTE: This card must be placed in a conspicuous place not more than 6 feet above grode on the premises on which work is to be done, and must be maintained there until completion of such work. Notify Shoreland Management Administration office when building footings have been completed. ■ ft OTTER TAIL COUNTY, MINNESOTA Board of County CommissionersShoreland Management Official FOItM MKL-030279-0i ^ a m.. >»iwnt». rtttui r4.11,2S7.07B Hi -jr. Crj ' ''Oiji.ciJU''■.>r ■ • r. '% ,fiarhlo 'Ooa^APn 2 7 (993SA- C/c^ "u ;? \ t II/ o / llr> ^(tX-tX^ru^c! xX<.^ 4: s^ o U. .c: r T^-ft./ Ld JiAxJ '^ce^ ^ "£i<ji^ _ <X-yx^<d UxUJ ^^LtC^~. Ctdd..X..A.^ ~~ 6-y\(jLA.AJ-^V'- f xxj ^^XJ^L<_(jd' ^-iit.t^ ^(U. Lx./’ o~t4^ ■i fL^Ltd' L<jlC-( VOt--t ~tlij2^ c6d-6-XXU ^U'<Llci.Li^■L^W-L/^ - 0'k_ Ltjdl/ 'd~ dtxtj^XA_^lM\JL.Ai-J O-'TUz^rXL. 'tdca^ A^c:^t;^xX l^x-OL..-yL:t ^ dcf yl^ y<L^a.xuy Xdt 't^uLy )do—^^<d^- etJ- ddtAXta - '^'taXcx p^jC£^ fQjt.^c^LtT'Z'l. ^~d.^c-^CLe-y f/o>c^ — J^rt r\ /f Ij Pk - - /- 7^/. ^S'J? ~ f/^ -7 ^<--<L<Ld PP'Ltt ^ y~<Ay X^-xX CX--tA_ 0^1 Ad.a^d- V/co-M-xid~" 7iCy>y<-yO-X-ifTt.'-T^i atr^ oZ ‘P a^XiX’. lyZ ' LhXjiX j7. Q , t\yJL iX-eL'llt' dtnx-'^/Ty ■—i~V~~tf-y APPLICATION POR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE —'Office GOLDiNROD — Inspector YELLOW — Owner PINK — Assessor //96 7Permit No.LEGAL DESCRIPTION AND LOCATION LAKE NUMBER RANGE TWP NAME XDc9 SECTION TWP NO.LAKE/RIVER CLASSLAKE/RIVER NAME Star L<k-U(l V/3^/3C&P FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) /C -Y9DD-3C OS.05-Qe£>/l/SL I IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and SlateInitialFirstLast Name PO /47Property Owner Ara^ A/./7. Contractor Name ^ 7VS>/5^A Af yState Lie. # CHARACTERISTICS OF PROPOSEDLhrlLi^ Basemerff NON-RESIDENTIAL USE ( ) Garage ( ^ ) Utility Structure { ) Water Orientated Accessory Structure RESIDENTIAL USEPROPOSED USEPROP^SED^ROJECJ ( y^) New StriJeture /■ ( ) MH/RV ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) Residential Walkout Basement Outside Dimension of Structure______ Non-Residential Ft Ft. YEAR ONSITE WATER SUPPLY ( ) Public ' ( ) Individual { ) None ONSITE SEWAGE DISPOSAL SYST pfi. rV^fc- ( /Public ( ) Individual Permit #__ ( ) OTLSD TYPE OF FRAME ( ) Masonry (^-) Wood ( ) Structural Steel ( ) Other Height of Structure # Of Stories______ ( ) Other OFFICE USE ONLY ( ) Bluff Impact Zone ( ) Shore Impact Zone ( ) Sensitive Area # Of Bedrooms # Of Bathrooms LOT SIZE AND SETBACKS: ^cC>feet.feet. Maximum depth of lotLot Area is square feet. Water frontage is ^00 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 .tMt.Building set back from road right-of-way. X0n feet.andLot line setback is gerp .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 sar)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, MINNESOT^ - ______/-Z/7^/ ! Signature^ 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. STATE STATUTES. Dated: Land & Resource Management Office Receipt No,.Permit Fee $. Of Comments: 3^ .'i Form No. BK — 0292-002 262,316 — Victor Lundeen Co.. Printers, Fergus Falls. Minnesota r APPLICATION FOR SITE PERMIT WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 LEGAL DESCRIPTION AND LOCATION TWP NAMERANGESECTIONTWP NO.LAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER ;!sa V //3^■I FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) /c -00D-3C, -oa.05-oo^?/t/SL I 1 IDENTIFICATION: Please Print All Information Telephone No. 'Zip CodeMailing Address — No. Street, City and StateInitialFirstLast Name ; PO /4-7_________jProperty Owner 1 •1 0-Pa 3/-/T)IContractor Name :!•ya>/a/,State Lie. It CHARACTERISTICS OF PROPOSED L r IfA '' '-t '■>, /■ Basement 'J Walkout Basement^^^^ Outside Dimension of Structure______ NON-RESIDENTIAL USE ( ) Garage ()C ) Utility Structure ( ) Water Orientated ’’ Accessory Structure RESIDENTIAL USEPROPOSED USE ''I’(^) PROPOSED PROJECT ' ./« ( ) New Structure (f (J-aA ( ) MH/RV i( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) ' Residential Non-Residential/ Ft i 5^^ R. J1YEAR ONSITE WATER SUPPLY 1^ /< t ' <s { ) Public ( ) Individual ( ) None ONSITE SEWAGE DISPOSAL SYSTEM ( ) Public ( ) Individual Permit #_ ( ) OTLSD TYPE OF FRAME ( ) Masonry (yl, ) Wood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories______ ( ) Other/1 OFFICE USE ONLY ( ) Bluff Impdct Zone ( ) Shore Impact Zone ( ) Sensitive Area J # Of Bedrooms i # Of Bathrooms j ALOT SIZE AND SETBACKS: S'o feet.feet. Maximum depth of lotsquare feet. Water frontage is aoq Lot Area is feet. (String Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is /S %feet. Slope of lot Vy jfwt.Building set back from road right-of-way. X0U feet.andLot line setback Is .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 ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. i /Dated:1—irSignature of Owner Permit: Permission is hereby granted to the above named appilcant to perform the work described in the above statement. This permit is granted upon the expresi rj 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. 1 f ^ 3 i 1'Dated: Land a Resource Management Office j ^Receipt No.Permit Fee $. A/iArt/ A ■-i ■1Comments: /-/yf! ■€.a (/e/ /f U/-/ / >-y 262,316 — Victor Lundeen Co., Printers. Fergus Falls, MinnesotaForm No. BK — 0292>002 ■f * INSPECTION RESULTS Make all measurements and computations L MINIMUM C Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. IBuilding Set Back from High Water Level Ft.Ft. S>/ABuilding Set Back from Top of Bluff Ft.30 Ft. Building Set Back from Road Right of Way 20 Ft.Ft.too Ft &Building Set Back from Lot Line Set Back Ft.Ft. Ft.Building Height Ft. to' ion 10 FtBuilding Set Back from Septic Tank Ft. loo'^Building Set Back from Absorption System 20 FtFt. Elevation Above High Water Level at Building Line 3 3 Ft.Ft. _—4and Slope at Buikfmg -Line__% Inspector's Comments: ii Sketchxj. V I I Inspector s Signature Date of Inspection Time of Inspection Scale:, Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM r/jDated:19 Signature ^iters'for each buil^ngtQurrently §■ /ife ^ incrj Please sketch your lot indicating setbacks from road right-of-way, take and sid> on lot and any proposed structures. / ij^^£Ah U’h #Jo ! Cu/^A&A't' ______So’^/oo'! I u \ \ ' ^ f V1 N i O X O UJ -I E c< Oi iDh-POJ(NJ <§ MKL-0871-029 21S98 7@ VICTO# LUNDCCN CO., PetNTt«8. PEPSUS FALLS. UiNN. ■/;• •'.’i I OTTER TAIL COUNTY DEPT. OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH COURT HOUSE FERGUS FALLS, MN 56537 218-739-2271 « PLAN REVIEW RECORD Date :^7^yeBusiness NameOwner Addresst^^,^^Address A A 0 ^ 7! O CH3£^j££J3J£_l>LIAL 7uType of Business U±_ o ^ c l<7^ ]{U ///^(r N/A:Date: Permits applied for (township, city, county) Shoreland Management approval Department of Natural Resources approval Pollution Control Agency approval Plans 8e specifications in writing MDH approval for plumbing MDH approval for swimming pools State Fire Marshal approval ; 1The plan has been reviewed for the standards of the: Food, Beverage Ordinance Lodging Ordinance : i‘.Recreational Camping Area, Mobile Home Park Ordinance The plan is approved as submitted:No C'o S' / o c*a^cT O The following items must be -coiiecLud to meet the Standards: A /- / cr C /- /O /^cF(F~ ' ^ S 7~c L yd yL A y\yC 3 tiT cr// dr / V /\/ / /u / /y' / /-t- e /j .1 1Date ^ c A 3 Public Health Sanitarian Date > APPLICATION FOR SITE PERMIT SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor !hLEGALPermit No. &L H- ~7lMd)DESCRIPTION AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP RANGE TWP NAME |3 V/GX>N 0 r(W u'e c p FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) 5 t- p j# Olios’-o^ IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City and Stale Zip Code Telephone No.First InitialLast Name '^■0- '^0% iifk'Property Owner Zrs-If/J 3 r L pNameContractor State Lie. # CHARACTERISTICS OF PROPOSED nNON-RESIDENTIAL ( ) Garage ( ) UtilitwBfructure ( ) Water Orientated/Accessory Structure ) Other RESIDENTIAL USE ( u-f^e Family Dwelling ( ) Multiple Dwelling # of Units ( ) PROPOSED PROJECT PROPOSED USE ( ^..'f^esidential ( ) Non-Residential Basement ( ) Walkout Basement ( Outside Dimension of Structure______ ( ) New Structure ( t-'^fAddition^CJP ( ) Other 1(1^ ) Ft S' Ft.ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY ( ) Public ( L'-'flndividual ( ) None TYPE OF FRAME ( ) Masonry ( U-fWood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories______LOFFICE USE ON^ Bluff ImpadZone( ) Public ( t-d^dividual Permit #_ ( ) OTLSD ft Of Bedrooms Ot fore Impact Zone ) Sensitive Area # Of Bathrooms LOT SIZE AND SETBACKS: rm-j feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is c3--- feet. (String Test)Building set back from ordinary high water level is 6 %feet. Slope of lotLand height above ordinary high water level at building line is feet.Building set back from road right-of-way. ^.cW feet.andLot line setback is 3. (TO .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 GrTJ}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 FORTR-i XflAf^l■R 16, MINN^OTA STATE STATUTES. Vi3Dated:if Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work desc/ib^ 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 coryorm in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Y i3' ^3Dated; Land & Resource Management Office Permit Fee $^ Receipt No. f 0^^I / ^ ^ [jjAy flmtctf I2i^ id^ ^ . 7) f) Comment Form No. BK — 0292-002 262,356 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota SHORELAND MANAGEMENT — COUNTY OF OTTER TAILWHITE — Office COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT GOLDENROD — Inspector YELLOW — Owner PINK — Assessor n Permit No.LEGAL &LH 'TU'ii^ jTa'yDESCRIPTION AND ■1LOCATIONz. U- TWPSECTION TWP NAMELAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS RANGE I } t V / N 0 riWlwc if 'd U R-/f5?G' i>s (-3n FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) - OA>o^ - OM/G-/ IDENTIFICATION: Please Print All Information Mailing Address — No, Street, City and State Zip Code Telephone No.First InitialLast Name rProperty Owner jS-k-lUj : e L FNameContractor State Lie. # NON-RESIDENTIAL USE ( ) Garage ( ) Utility SUucture ( ) Water Orientated "Accessory Structure ) Other CHARACTERISTICS OF PROPOSEDRESIDENTIAL USEPROPOSED USE ( ^^Residential ( ) Non-Residential PROPOSED PROJECT ( U^One Family Dwelling ( ) Multiple Dwelling # of Units ( ) Basement ( ) Walkout Basement ( Outside Dimension of Structure_______i ( ) New Structure ( t"') Addition ( ) Other , • '{0 • V^v • .\p V ONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( > )Wood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories______L( ) Public ( t--) Individual ( ) None , OFFICE USE ONl,y-^ ( /VS Bluff Impact Zone ( N V Shore Impact Zone Sensitive Area ( ) Public ( t^lndividual Permit #_ ( ) OTLSD It Of Bedrooms oi # Of Bathrooms LOT SIZE AND SETBACKS:s-d feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is feet. (String Test)Building set back from ordinary high water level is feet. Slope of lot %Land height above ordinary high water level at building line is feet.Building set back from road right-of-way. -*K feet.andLot line setback is 's (fO .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 ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. ■A 7Dated://Signature of Owner Permit: Permission Is hereby granted to the above named applicant to perform the work descrfEi^ 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. / X 5Dated: Land & Resource Management Office Receipt No. / L ' / .'i / ! _______Permit Fee $.L t !' o C> G. -g y P Q V [7 ilmtCU M El ,3n/ c/YA Pf /f f. ^ . (/ rcComments!_Q.i/f- /l/lPy (J/i 4^ mx)t - I, s: Form No. BK — 0292-002 262,358 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota WT"' - " ■••it .. ^ ;.17,,;-v , ,r* INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. S'Building Set Back from High Water Level Ft.Ft. 30 Ft.Building Set Back from Top of Bluff Ft. 20 Ft.Building Set Back from Road Right of Way Ft. iQcy'^Building Set Back from Lot Line Set Back Ft.Ft. &Ft. Ft.Ft.Building Height 7 o cBuilding Set Back from Septic Tank 10 FtFt. 1 20 FtBuilding Set Back from Absorption System Elevation Above High Water Level at Building Line Ft.■t’ Cy' C 3 3 Ft. -Ft. o/oLand Slope at Building Line Inspector's Comments: / lAiLc Sketch: ‘P'T^\a A.\ ~8^\^ \j I1^1 /O VVArO J </ Inspector's Signature 7- 7-f3 Date of Inspection /rjs Time of Inspection ! , I i i Vai : !O i 'El!-JV.li-' ' -N.!.!N » rf « ^ >fc . N■;ooi‘d NcL-i STO p.£^ -6^: -O ?CK|^ i 'ij i |A j fAI O (L ^ i i*-iS ?^Cf^T'kiMi/eP^o-/. '^-0'a S<>yo/l>i -J4T/#rJ__L / P V;/ /*1-V Ici_.-r'9-□•i."afi<;w HOUSE’ 5«’|>Tlt3—C3 a r-FiCL'\ r^-o^/ LtT /H 0 M £■ Ho«£ i Q_ ;« J ; 0 'ki Q f L L- ’ i TtAC-fc'^C CiiSewye i-i rr crfrf/®i S’/towf/?,; (Jfc P >7. S' /fc(TtS' —j T^tJ'Cpo^ i-.yeIT /i/f 'jL ^ /'/fr' I ‘T- cr / r/-/> -6^)Cr^['ff^^ T^C^\'h(r~ ^yrS'f c )^ (? to ^ S6>"££n-^[-Tr) Ri -5^\—')Q \Jp-S'1 1 ■) i }o^V3 K) 1^ r eft>\DI < \6(Jrt>\~T -C . o^ O & Iroo ■l i. r 4 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 -f- WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor D9^//Permit No.Lo'i' VLEGAL DESCRIPTION AND LOCATION RANGE TWP NAMETWP NO,SECTIONLAKE/RIVER CLASSLAKBRIVER NAMELAKE NUMBER CfC>P/4 H\ 15 (i fOr.-TV tv'fcS/ST,4 A-eD FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) /JSl/f IL -ooO-o:i0 5 -(SBO IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and StateFirst InitialLast Name B.,> v:Property Owner tV/V )vi .P-I SC^'&jr$-2H7iSj-f f'LC i)- ____________^ 3 7 / AJ M(A' NameContractor State Lie. # CHARACTERISTICS OF PROPOSEDNON-RESIDENTIAL USE ( ) Garage ( ) UtilWy^ructure ( ) WjrfeKorientated ^ces^ry Structure ( /) Other RESIDENTIAL USEPROPOSED USEPROPOSED PROJECT plTV^ct^Basement (6^) Walkout Basement Outside DImensi of Structure___ ( ^) One Family Dwelling ( ) Multiple Dwelling If of Units ( ) ( Residential( ) New Structure , ( 7L ) Addition Tc ( ) MH/RV ) Non-Residential Ukv- (, y^i_jL2LFt. S Ft. YEAR ONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( ) Wood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories______I( ) Public ( ) Individual ( ) None OFFICE USE ONLY {/^) Bluff Impact Zone (yi/^ Shore Impact Zone (/I/O Sensitive Area ( ) Public ( ) Individual Permit #_ ( ) OTLSD # Of Bedrooms If Of Bathrooms . 0 LOT SIZE AND SETBACKS: 7^ dcfT^S'O feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is y ifTJ feet. (String Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is Building set back from road right-of-way_____________________ /%feet. Slope of lot rooo .feet. /o feet.andLot line setback is .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 ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET 'TH IN CHAPTER 16, MINNESOTA STATE STATUTES. V/3i-/f?Dated:^ ' 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. - ?3Dated: Land & Resource Management Office \pgi-H-S-4Permit Fee $Receipt No,. Comments: Form No. BK — 0292-002 262,316 — Victor Lundoen Co., Printers, Fergus Falls. Minnesota 0'^r^ vl.1APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 1WH/rE — Off/ce GOLDENROD — Inspector YELLOW — Owner PINK — Assessor fy-Sck<L.ri-I1 Permit No.Co\/ L-i- ^UGAL DESCRIPTION IAND 1LOCATION ’ TWP NAMETWP NO.RANGESECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER ■i cooe-zi,(U/rTV Vo6o7 boMS74l^ ^4/^GDC 3 1 FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) rOSL/f IL-ooo-sc -oio^s -ooa ■k \IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and StateFirst Initial 1Last Name /ff6Wi-TProperty Owner Dc ijT", M.SC%72 7T$-2H7/ Mf ■»l*t rNameContractor 3 7 T > 1^ 'State Lie. It CHARACTERISTICS OF PROPOSED Basement ) Walkout Basement jz(7)) Outside Dimension ,, of Striietiim / o Ft. Ft. NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) water. Orientated RESIDENTIAL USEPROPOSED USEPROPOSED PROJECT ( X ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) ( yL) Residential( ) New Structure ( > ) Addition ( ) MH/RV ('rv-fk (tt) Non-Residential1 T ••Accessary Struct 4 Other ureYEAR ONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM ( ) Public ^^iv/aTiO, ( ) Individual Permit #_ ( ) OTLSD TYPE OF FRAME ( ) Masonry ( X ) Wood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories______ (/L( ) Public ( ) Individual ( ) None OFFICE USE ONLY iy7^) Bluff Impact Zone (jJ^ Shore Impact Zone Sensitive Area ■ s: \It Of Bedrooms # Of Bathrooms 0 t^<A vI7^77"vv~* LOT SIZE AND SETBACKS: 2- (T'^ ■] SO feet.feet. Meiximum depth of lotsquare feet. Water frontage isLot Area is y m feet. (String Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is Building set back from road right-of-way ,__^z %feet. Slope of lot _ ^OOQ feet. /o feet.andLot line setback Is .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 ’7(TOStructure 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. /-, VX-V/rj .c.Dated:1Signature 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 j 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. 1 J ' 93 IiDated: Land & Resource Management Office 50-^\(F^ ‘■IReceipt No_Permit Fee $. Comments: <1 -A Form No. BK — 0292-002 262,316 — VictCK Lundeen Co., Printers, Fergus Falls, Minnesota ■ r! •••j vqww fw.-Ti-^j’iT.' "T^-. s. _ :. INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. i 20 Ft.Building Set Back from Road Right of Way Ft. .’r Ft.Building Set Back from Lot Line Set Back Ft.Ft. Ft.Building Height Ft. iBuilding Set Back from Septic Tank 10 FtFt. 1 20 FtBuilding Set Back from Absorption System Ft. Elevation AboveHigh Water Level at Building Line 3 Ft.Ft. Land Slope at Building Line % Inspector’s Comments: $7/ie.Sketch:t So' T % '\/ ' Oc<r^ 0at I \ ; inspector's Signature 7- 7-93 bate of inspection //■':bo Time of Inspection y»t OTTER TAIL COUNTY DEPT. OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH COURT HOUSE FERGUS FALLS, MN 56537 218-739-2271 w ' 'fti' * -r .V.' -• r %■#' ■i'f f PLAN REVIEW RECORD ,!♦» ' 'i Date 1yihuu^ji^OvmerC Business Name AddressAddress s Type of Business N/A;Date: Permits applied for (township, city, county) Shoreland Management approval Department of Natural Resources approval Pollution Control Agency approval Plans & specifications in writing MDH approval for plumbing MDH approval for swimming pools State Fire Marshal approval The plan has been reviewed for the standards of the: Food, Beverage Ordinance Lodging Ordinance Recreational Camping Area, Mobile Home Park Ordinance The plan is approved as submitted:No The following items must be corrected to meet the Standards: 1 ? /!k\OwnerDate ^/35/9 3 M ! A AUPublic Health Sanitarian Date ■ITTH 1 a k.• .Jl Scai^: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM Dated;19 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. 1 37 -■C"-'I § \ /S'"s !/O -T'4 IJi^-3 '2- 4-JVIC5, V ' 2 ___N \i/I ^\> CJ(•7 -w-o -J \> — 70 ^ iI ^_/C^''I o /!:n-------.Its —ItA—n—li;sl'V'if f--i 1. - Yo ' Pi: I s (C H / eVv--P ( P' / r- i oI I o;uJ Xc<D o r-Q■HI CM (N MKL-0871-029 21S98 7@ VICTOH LUNOeCN CO . PKINTCKS. ftRCua FALLS. yiNN. 5TrVR ■ tv rvrr«"’ ncr-!^lJ i ^ R — U/f/-L S; alil^«si I 'JT'i ;fsj i -/^« 'Jt.>fc |Qo N‘u X'd IcKj STORff'O>1)|V\(/oX3r;5<rl^7|-??j3y/ ydl^/j•Vl C/^AW £3 U.T 5 ? !i 1-^ i'^V- 2T| i ‘'^1 Liii l-^ >■—I oC ■i. h-S«v>7.7(- I /‘ V \ rQ_. Dcuaf5«-|tTii.1 3—C3■V:|Honit Lif H 0 M iflajiP \- '>'ii rtA&t'SISewija t-i pf 9rftT/a tO 1I i ^/tOWI;^ 0(; P >7 S' /l-c .-'t > ----—I T-^ ^ I L' vtP T (71 An-7 5 I frR L-AVLt UyfZ-L "s cL STO Hf 35<l) 0^13^13^1c/Hv^51o wet< 3.TKAii/eji s f/fCfS"OL /“ ir- !> Q ^ ttrV\I0__\■\ -r\ a •Ci0.f t<^ w House" •—j |~*^ 5<s’pTl6. Woi(ie i popF/cH LJf M 0 M D_ g);•». r/» fJFr \fSA Li r,-/'-(a/IJ t U-‘Zo.|S| \jj t L^ tTAGf^ 5ew<ue_t.iFr 9fft-T/d(0\ p 37 /ftrt'S' eov(// / [ tr u- > ■■ SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROD — InspectorYELLOW — liwner PINK — Assessor I Permit No..LEGAL DESCRIPTION AND LOCATION LaU- Q D DJ6 t^6 /J. y/^6 TWP NameTWPRangeSec.Lake Claasif.Lake No. Lake Name IDENTIFICATION; Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialLast Name Owne \M t vA - .^6 Tsy'-zi >7f PNameContractor ^J 0 NjCArchitectName. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling ( ) Multiple Dwelling Other ( ) New Building ( ) Alteration Units S'ciZeci^v>Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL^^ ( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (7<) Individual Well PRINCIPAL TYPE OF FRAME: (*<1noBasement; ( ) Yes Stories above basement; Sq. feet (outside dimennon) ....... Bedrooms ...... Ba^s ^ S paCiT ^ (( (j Tityf-i^cf. ( ) Masonry (^) Wood Frame ( ) Structural Steel ( ) Other — Specify /t -S'c 0/V«2 CHARACTERISTICS: , •^oOu feet.Maximum depth of lot feet.square feet. Water frontage is Building set back from high water mark is Land height above high water mark at building line is Lot Area is /:^.oA feet. (Building Line) ..... feet .fertr— from road right ofBuilding set back from State highway right of way Side yard is Structure will be located .Z.^..^..a .............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 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 propos^ project. y__, A'S'.Dated. Signature of Owne/ 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. Q Dated Shoreland Management Official/L?0779'^.00Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LliNDGEN CO.. PRiNTI-RS. FERGUS FALLS. MINN. ‘M. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITi - Ofticr GOLDENROD — Inspector YELLOW - ’Owner PINK — Assessor Permit No„LEGAL Q /DESCRIPTION AND (j) r 5 LOCATION i 4t/(-i i / z ^c I'N^6 3f^5 6 -ijr-jJ,yjuo^r Range TWP NameTWPSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Pleaee Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name i ko\L7')7) h IOwner '' ; ' h I- '-j T W : 1/ i.* ^ e (- hNameContractor vj 0 K.-1ArchitectName. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling I ) Multiple Dwelling (\i Other ( ) New Building ( ) Alteration {'') Other Units ..7f 7.- ■, 1 STv-'.' ^Ti' V ^Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:..V 'jl ^Basement: ( ) Yes ( <-f No Stories above basement: ....... Sq. feet (outside dimension) .... ciVu' op r\ci '^ 0 v-T ( ) Public (^1 Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( 4 Individual Well ( ) Masonry ( ~) Wood Frame ( ) Structural Steel ( ) Other — Specify / Baths - 5 ^aCL~ *^ /( Bedrooms .... oA'* ? ■ > n Vi CHARACTERISTICS: ^ o0(J <rofeet. Maximum depth of lot feet. (Building Line) .......................................................feet - from road right of feet.Water frontage is ad... square feet. Building set back from high water mark is. Land height above high water mark at building line is Lot Area is I ^■feet.Building set back from State highway right of way.......... Side yard 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 ja.d..Q.Had.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 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. s- / VDated. 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 C>}unty, Minnesota. This permit may be revoked at any time upon violation of said ordinances. n's-5a\Dated Permit Fee $ 'd) i Shoreland Management Official/ 00-779Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. F8ROU8 FALLS. MINN.J ’ i INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4 MINIMUM Shall Be Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. 5DoBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. iTGBuilding Set Back from Street or Road Ft.40 Ft. LO & Ft.Side Yard &Ft. Rear Yard Ft.Ft. I'Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________3 Ft.3 Ft. ij^S IInspector's Comments: iOIB 5 7" V I f>«t>ecfor$ S ighature Title Inspection Dated 19 Agency viciM uwMCii • M.. MditcM. ria«v» nuj. am. t:'.eA.^ . K f-r ^o/ji ft i{///9-/T/fC/kj€> ^cfieEHir'B /<:> ^ X /^/\ 0 pAi 4>'/4/31( E//i^ VI v^ —//KV 311 "t B'c^ C 5' ^ 'D ^<k/io/y^ s1 {) XNiI/!}\ >7i;^.c/; /->■ ■ i'lx It tXr X//Vs8eif''k- XX^cXL TX/^xeti^I ^ ; kJIX X X <o «i OTTER TAIL COUNTY DEPT. OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH COURT HOUSE FERGUS FALLS, MN 56537 218-739-2271 PLAN REVIEW RECORD Date ^ hvdz^ '/s Ahj! AzV}tJ-Buslness NameOwner AddressAddress Ahu'iJ' , /Tin /r)+J P . . PlAtnJ'Type of Business N/A:Date: Permits applied for (township, city, county) Shoreland Management approval Department of Natural Resources approval Pollution Control Agency approval Plans & specifications in writing MDH approval for plumbing MDH approval for swimming pools State Fire Marshal approval The plan has been reviewed for the standards of the: ____ Food, Beverage Ordinance ____ Lodging Ordinance \y/^Recreational Camping Area, Mobile Home Park Ordinance The plan is approved as submitted:Yes No The following items must be corrected to meet the Standards: A ArA OPr)j>yA ( , yfipj- <ju/c po/d! /D X/S /D^^^JLlpJ' A Ci-rtA SJCAuy yUj J'yrryttlclj il/ymdjt y)J>y) Jpjt&oOwnerDate7 Public Health Sanitarian Date SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROD -» InspectorYELtoW - Owner. PINK - Assessor 33^ Permit No„LEGAL DESCRIPTION AND LOCATION (S b ^6 \u y/7~/h?g4' ST4 R- Lake Name i2.Sec.TWP NameTWPRangeLake Classif.Lake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name /filOwner 7/)/lymjpJNameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: (^T^ne Family Dwelling TYPE OF IMPROVEMENT: ( ) New Building Alteration Units( ) Multiple Dwelling ( )Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( Stories above basement: Sq. feet (outside^mension) .... Bedrooms ......L^................ I ( ) Public f\jL^ (*y4. Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (^) Individual Well ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify /(p4. CHARACTERISTICS: s'oa d feet.Maximum depth of lotWater frontage issquare feet.Lot Area is 3C7T7 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.... feet / /z- tM - h j Z.M(.feet — from road right of way is /o m ..............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). andSide yard is 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 «hall hgnnme 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 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 J I must contact my township in order to determine whether or not any additional permits are required by the mwnship for my prosed project. >/ y/W9/'/Dated. ^^nature of Owneijf^ 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. /9 -V-z3>5 - 9 /Dated Shoreland Management Official30,00^2^^Permit Fee $.Receipt No. -yComments: ^'7^ Form No. MKL-0286-019 229971@ VICTOR LUNDCEN CO.. PRINTERS. FERGUS FALLS. MINN. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROD -j^spector YELL0H>- Owner’ PINK — Assessor *’ V Permit No.LEGAL aDESCRIPTION(^^d CC' 33^AND LOCATION T"\N,IV t--I 74J^_SlLdj5:i\ 1 j Sec.TWP NameTWPRangeLake Name Lake Classif.Lake No, IDENTIFICATION: Pleaee Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name / /; ■>/ .Zli/'U-zrf!rOwner cJ jiC-L f ?/ n ///•/-r- r)iC JNameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE: V. ' RESIDENTIAL PROPOSED USE: ( , ) One Family Dwelling ( ) Multiple Dwelling TYPE OF IMPROVEMENT:C A : ASpecify:tSMM)( ) New Building ( 1 Alteration h^LsJAUnits ( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:t •V ( ) Yes ( It'NoBasement: Stories above basement: ......... Sq. feet (outside dimension)...... Bedrooms ( ) Public ( 4 Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ') Individual Well I ) Masonry ( 'TWood Frame ( ) Structural Steel ( ) Other — Specify Baths CHARACTERISTICS: ^'crrJs'oo 0 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..... and feet if . 'A r .feet.!/feet — from road right of way is V.............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). Side yard is 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 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. 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./7 //Dated Shoreland Management Official30,00Permit Fee $.Receipt No. Comments:• 1 V Z------ 13^ UX.LO 777 OTTl Form No. MKL-0286-019 229971® VICTOR CUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. ■nr. ........NTW^T— y— —-.,-. - ,,, - -T f I I . ■«. ,.>¥ • -'• -• -' 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. OKBuilding Set Back from High Water Mark Ft.Ft. /t/zf"Building Set Back from State Highway Ft.-BB' Ft. i'ZO Ft.Building Set Back from Street or Road -2^0 4&- Ft. O Ft./O & ZD Ft.Side Yard Ft.Rear Yard Ft. \!^/____^Occupied Building to Septic Tank 10 Ft. Occupied Building to Absorption System Ft. 20 Ft. Elevation at Building Line above High Water Mark_____________-1-3 Ft. 3 Ft. ^____/g? ^^T) M f)T(Od^ 777_______________ Inspector's Comments: V5Xj?/ Co^^f^y (rdp-f) (pXA. ^y/v D-tc-k tv / rh./1/o"r .A' e> Inspector's Signature Title Inspection Dated 19 Agency VICTOK LUHOfCn t M •r I I Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM4 ^~~XO ^ IDated:19 Signature Please sketch your lot indicating setbacks from road right-of-way, l^e and sidavard fnr nanh huildinp mrrpntlw. on lot and any proposed structures. t 1 1 ( 4f 4 I j fifi ’t I'l I ; #3-I-H ! Hii .1 JT ^ A/ V m! o 41 <1 !o rt ■'1 1 t4 r i4 ?N1 \y 21598 7®MKL-0871-029 VtCTOK ^.UNOetN CO . ^RINTEKS. rCRCUS FALLS. UINN. \U OTTER TAIL COUNTY DEPT. OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH COURT HOUSE FERGUS FALLS, MN 56537 218-739-2271 PLAN REVIEW RECORD Owner: , ,. , - ^^ -rEstablishment Name; ^ Address:Address: Legal Description;Lake:* ___Lodging, # Units MH, # Sites___^ Food, Beverage RCA, # Sites__ License Type N/A;Date:f'i: 2 C 5 V [i O Z 7, 1991 WfvD t. Permits Applied for (township, city, county) Department of Natural Resources approval Plans and Specifications in writing Plumbing, MDH approval Swimming pool, MDH approval State Fire Marshall approval Sewage disposal system, approval CHARACTERISTICS: __square feet. Building set back from high water mark is feet. Water frontage is feet. Maximum Lot Depth feet. feet.Lot A.rea is Depth to groundwater Building set back from road or highway right of way is Side yard set back is feet. and feet.y") COMMENTS: The plan submitted meets the standards of the Otter Tail County Ordinance. ^ 'Environmental Health Sanitarian Date Office Owner Pink — Assessor GolCfenrod - . Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Vt 9:? 7?V<7/2TH STBiS Resa/zl Permit No..LEGAL DESCRIPTION AND 3LOCATION W;tr57 ^ c>^4-c TWP NameTWPSec.RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Zip No.Tel. No.InitialLast-Name-__First 35 ^ -Owner :7 o 2-j i_ r~iK ,Wo'Fr ? o ^r / NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling ( ) Other Specify:,( ) New Building ( ) Alteration Other /^d ; o-VUnits T ^ A / / r g.Size ESTIMATED COST OF IMPROVEMENT! DIMENSIONS:TYPE OF SEWAGE DISPOSAL: () Public Cl^ Individual Septic Tank, etc. i ^il J WATER SUPPLY: ^ ( ) Public Individual Well PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes p() No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry ()Ci Wood Frame ( ) Structural Steel ( ) Other — Specify if a 6 ^33 1^.0.Baths ...^..0....... CHARACTERISTICS:5-^St)Water frontage is feet.Maximum depth of lot feet.square feet.Lot Area is ‘{Ad.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 sr feet z3 OOCP feet.feet — from road right of way is /6 feet.and VOO .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).a>odStructure 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/.<; /.»; A RITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTFR 1f! ^'T'\TE STATUTES. 11 understand that I have been granted a site permit in accordance with,the requirements of the Shorelai^ Managemenj Ordinance of Ott^ Tail County. I understand 11 must contact my township in order to determine whether or not any additional permits are require(Iject, It.Dated, 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. ^ -/f- rfDated Shoreland Management Official 36 ,COPermit Fee $.Receipt No. Comments; Form No. MKL-0286-019 229971® VICrOH LUNDEEN C.O.. PRiNTKRS, FERGUS FALLS. MINN. 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 H. \ /Permit No..LEGAL DESCRIPTION AND 4'LOCATION ' m TWP NameRangeSec.TWPLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name F,: ■ j. .Owner V NameContractor TI 'll<7d 1 V Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: Specify:( ) New Building ( ) Alteration ( ) One Family Dwelling IUnits( ) Multiple Dwelling ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( ) No Stories above basement: .......f. Sq. feet (outside dimension)..... Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify na j V'Baths ( ) Individual Well 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 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 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 ISA SUE PERMIT ONL Y AND DOES NOT CONSTITUTE AMUlWINjGPERMJTASSET FORTUINC.HAPTEJI M^MLMNESOTA^STAXEMAIUTES. ____ i 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 j ! I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. -------1 ----------------------------------------------------------------------------------------------------------------------------------------------------- ■i 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. 5 7 -•/Comments: Form No. MKL-0286-019 229971® VICTOR LUNOEEN CO., PRINTERS. FEROUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUM Shall Be 4,Sq. Ft. 0,0^ OOPLot Area (Square feet)Sq. Ft.Sq. Ft. tlfzSdfTT- Ft.IdoWater Frontage Ft. 7^7^Building Set Back from High Water Mark Ft.Ft. tsldhl^ ItJ Ft.Building Set Back from State Highway 50 Ft. ^ Ft.4-7.7Building Set Back from Street or Road Ft. & f d Ft.Side Yard <3^Rear Yard Ft.Ft. I^es^iz-r i~Occupied Building to Septic Tank ki Ft.10 Ft. Occupied Building to Absorption System 20 Ft. Elevation at Building Line above High Water Mark_____________3 Ft.3 Ft. Inspector's Comments: 10 X 7'^ Inspector's Signature Title ^ c? ^ 19Inspection Dated Agency -X- VICTOM UlMSCCa 4 M . MIItTtM, rC»«US FALkl. feet/inches GRID PLOT PLAN SKETCHING FORMScale: Each grid equals (?, W. / c/■ / 9 19 ^ 9 ■Dated j 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. T\ ft r- —1^ 0 poS e.d I Po AC L I -Jt ilo , 1 tOQ «—/2 A I -n ^— t of 2- S' r r1 o X H I rrO e 21598 7®MKL-0871-029 VICTOR LUNDECM CO.. PttlNTCRS. ftRCUS TAluS. UIMN. White — Office Yellow — Owaer Pbik — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT imBBEfiT '5 WKTH- sT»ie Re^/tT Permit No,.LEGAL —-----------------------------------'OOQ.A- DESCRIPTION AND LOCATION ^ O^A-g- LA-\j.e Co b TWP NameTWPRangeSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All information Tel. No.Zip No.Mailing Address— No. Street. City and State________First f InitialLast Name -7<a| —>22^3235^Kj-X3 v^s^T\^ow ^ t) ^ N.O.Owner ^ )5<a>rv I \»I V NanneContractor Architect Name. I _______ / M 'Trl\N ^ — NON-RESIDENTIAL PROPOSED URESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT: 10(Uf^teration ^ hJSpecify;( ) One Family Dwelling ( ) Multiple Dwelling (Other ( ) New Building Units fbRcHOther ESTIMATED COST OF IMPROVEMENTS *^^0 Size I DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank, etc. WATER SUPPLY; ( ) Public Individual Well PRINCIPAL TYPE OF FRAME:(^€60 EX sicrefy\Basement: ( I Yes ^ No Stories above basement; Sq. feet (outside dimension) Bedrooms I ) Masonry (•^ Wood Frame ( ) Structural Steel ( ) Other — Specify Baths CHARACTERISTICS: /.^0.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 4^...feet yt/va 2.feet — from road right of way is ISBb/.t^fand.....ai...?/: .......i.O0.. 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 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 piart 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. Il 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 Y must contact my township in order to determine whether or not any additional permits are required by the township for my proposed pppj^. Dated. SlgnaMre 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. /3 /Dated Shoreland Management Official Mil30f oo Receipt No.Permit Fee $. ^ I- ‘jHO- - SXLi ~Comments: Form No. MKL-0286-019 229971@ VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. White, - Office Yellow — Ojjiner Pinl^ — AssessorGoldenrod SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ) Inspector LT^ £/36kT '3 3 .-7K N c f- T : :''1V Permit No.IjLEGAL -Ir (IDESCRIPTION rAND i i LOCATION W„ _JIL TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print AM Information Tel. No,Mailing Address— No. Street, City and State Zip No.InitialFirstLast Name -7 .5. I -Vs VFS'ls . N'.O.\~,C Y», (Owner (>,■•. V"> fix S 1 , iNameContractor Architect Name.1 INON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building (■- ) Alteration Units ? ( ) Other ( ) Other Size T ESTIMATED COST OF IMPROVEMENT $ ‘- jC Cj 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 ( ) 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 /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 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. jms 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. 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 )4 iPermit Fee $.Receipt No.T (kimments: Form No. MKL-0286-019 229971(g) VICTOR lUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. I •.'V •• V INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS i 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 H-tgh-WalerJ^rk_____________Ft.3 Ft. \ Inspector's Comments: joy i ^ Inspector s Signature Title Inspection Dated AO19 Agency vicToM uiaocCH • eo . miHtii *feet/inchesScale: Each grid equals GRID PLOT PLAN SKETCHING FORM •719^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. *iCiCi r i:to’1 ; II O.-c.-i-I rf*f«rWV. II ^I3r^^>Iy \ \Ni T : T-t- aU.-1 1 ] i 4 4i.:I -f - -t i t 1 TlfTTi 'T n4- -r 1 fi -f +4- + T—^ r T 1- t f ^fi-e7 I JSsa- -i •sI ■ + - I—rT t + fI.- T i ■4 - r- t t i4 I" I 21598 7®MKL-0871-029 VICTOn LUNDEEN CO.. PKINTCtS. fEKfiUS fALLS. WINN. White — Office Yellow — Owner Pink — Assessor Goldenrod ~ Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 1Z^ -1T1\ — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No..LEGAL DESCRIPTION AND LOCATION (36 { Ue^'T X>o'^/hS(o >TA'^ VA4-^ C b TWP NameSec.TWP RangeLake Classif.Lake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street, City and StateInitialLast Name First uU A/iWr\Owner + i £NameContractor Architect Name. NON-RESIDENTIAL PROPOSED US 11 0 TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE: s Specify:_I ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Units I D lAw aOther( ) Other Size ESTIMATED COST OF IMPROVEMENtIs DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank, etc. WATER SUPPLY; ( ) Public Individual Well PRINCIPAL TYPE OF FRAME; Basement: ( ) Yes No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry (^ Wood Frame ( ) Structural Steel ( ) Other — Specify ■zYO .,->.Baths.....J. [ cJ\rc CHARACTERISTICS: ^(nrd s~o 5~0feet.Maximum depth of lot feet.Water frontage issquare feet.Lot Area is W..M2. /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 Wet.■fea — from road right of way is /o rr 3 ^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 £Q.a 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 pi let. ,■7 J^f‘LDated. ^^g'nature 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 OfficialQnotH)Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 22997I@ VICTOR LUNOEEN CO.. PRINTERS, FERGUS FALLS. MINN. SHORELAND MANAGeI^ENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT White - Office Yellow — OwnerPink — Assessor Goldenrod — Inspector Permit No..LEGAL DESCRIPTION I . /AND 'TLOCATION ■7 ,'7 : TWP NameTWPRangeLake Classif.Sec.Liake 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: ■ VSpecify:( ) One Family Dwelling( ) New Building ( ) Alteration Units( ) Multiple Dwelling J , ■■ ( } Other Size( ) Other ESTIMATED COST OF IMPROVEMENTS DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( -) No( ) Public (- ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other - Specify Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths ' 'j / ' K. CHARACTERISTICS: >' •SIDMaximum depth of lot feet.feet.square feet. Water frontage is Building set back from high water mark is...................r. 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 I / ... .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). .faot.laflt — from road right of way is 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 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. 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 Official090.// CPermit Fee $.Receipt No. Comments; Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRiNTf-RS. FERGUS FALLS. MINN. Ti. I I: AVV INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X MINIMUM Shall Be 4,Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. rh-Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. g^£>o'rBuilding Set Back from Street or Road 40 Ft.Ft. Ft.Side Yard &Ft. okRear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Zd^Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________ 4~3 Ft.3 Ft. /Inspector's Comments: ctor'^igni1 m I nspector’ignature Title Inspection Dated 19^^ Agency VICTOR U/HCEIH 4 CO . RRlHTItC. MHOVO FM.1.0. MINH. feet/inchesScale: Each grid equals GRID PLOT PLAN SKETCHING FORM S3L.Dated:19 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.VC?'w* r -r- A £ II I/C ■> I f 1 Ii II ISo 1 * <^1 0 (\o:I V ! t\ y is-o'>lI I ( A 2 i L S'j !iS?Lc) "T6ce/ 4**'<55I I I -------— 21598 7@MKL-0871-029 VICTOR LUNOEEN CO.. PRINTERS. FERGUS F*l.t3. T' T nt MWhite - Office Yellow — Owner Pink — Assessor Goldenrod — ftispector ^ received SEP 01 1988 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT , •/ ^ /O Permit No,_____S tO <Ji (5pA<LC) I LEGAL DESCRIPTION AND LOCATION sj)c(ZA^-Z> 3h /3^ //SfAFL TWP NameSec.TWP RangeLake Ciassif.Lake NameLake No. IDENTIFICATION: Please Print Ail information Zip No.Tel. No.Mailing Address— No. Street, City and StateFirstInitialLast Name No/zn^Owner ■7^ NameContractor Architect Name. NON-RESIDENTIAL PROPOS^ USE;RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT;t Specify;.( ) One Family Dwelling ( ) Multiple Dwelling jX) Other ( ) New Building ( ) Alteration Units (^KlZ(X) other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS;TYPE OF SEWAGE DISPOSAL; '^) Public ( ) Individual Septic Tank, etc. WATER SUPPLY; Public ( ) Individual Well PRINCIPAL TYPE OF FRAME; ( )Yes No Stories above basement; Basement:( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify ...IoC m.Sq. feet (outside d^i^nsion) Bedrooms .........nzi-i/i Baths... CHARACTERISTICS: Maximum depth of lot....^.....Z6CO 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.... Lot Area is 15..feet. (Building Line) J...feet .JZ>.■feet.feet — from road right of way is 0.m.............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). andSide yard is m.Structure will be located ao..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 PE RMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. lunty. I understandI understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of>Otter Tail I must contact my township in order to determine whether or not any additional permits are required by the township for my pr ised prof!0 oy ti^ Signature of O^ner Dated. IS permit is granted upon the-*•Permission is hereby granted to the above named applicant to perform the work described in the abovePermit; 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. r\ AjDated Shoreland Management Official Permit Fee $.Receipt No. Comments: gyr ft) Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. White — Office Yellow — Owner Pink — Assessor Goldenrod ^ iYisoector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56531 APPLICATION FOR SITE PERMIJi—^ 'm -A Permit No„LEGAL I/ci /DESCRIPTION rAND --.-i .LOCATION O TWP NameSec.TWP RangeLake No.Lake Claasif.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name /J /V[tfO, M-k/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 ( ' ) Other Size ESTIMATED 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 ( ) Other - Specify ■* ■ Baths CHARACTERISTICS: feet.feet.Maximum depth of lotWater frontage is 7.5.. square feet. Building set back from high water mark is. Land height above high water mark at building line is Lot Area is feet. (Building Line) feet ..an..i'.............feet.feet — from road right of way isBuilding set back from State highway right of way , ■-...J.U ............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..Side yard is ■ IStructure 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 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 ■ V f Permission is hereby granted to the above named applicant to perform the work described in the above statement. This perrfiit 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: Form No. MKL-0286-019 229971® VICTOR LUNDECN CO.. PRiNTKRS. FERGUS PALLS. MINN. *! ; 0.y j- V'INSPECTOR'S CHECK LIST Make all measurements and computationsI ACTUAL IS ^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 Conmenti C Abi :t / z ZtetKi Ai/r Inspector's Signature Title Inspection Dated w jSi^cv rV1CT0K UINOCCH * CO . ! -/Scale: Each grid equals / -feet/inches GRID PLOT PLAN SKETCHING FORM 251.Dated:19 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. / / 01 1383 a RESOURCE \ vb:o t / 1^ t X3/ V \ y \aI3 V car -i 215987®MKL-0871-029 VICTOR LUNOEEN CO . PRINTER*. PER6U* PALL*. UINN. White — OfficeYellow Pink AssessoV G<>ldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE r Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Owner ccO’^" t.'-'Permit No..LEGAL Pt Gl^HDESCRIPTION AND LOCATION (> 6^T/f R- LMf TWP NameTWPRangeSec.Lake Classif.Lake NameLake No, IDENTIFICATION: Please Print Ail Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name s5c>iiill . 7^0 nalei ^ .Kii MOwnerI Dahpfd-Stays'Oirv t NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE: ^ (Y) One Family Dwelling ^ TYPE OF IMPROVEMENT://JV 3.0 Sc rg.e n ^ci porok Specify:.< ) New Building ( ) Alteration O^) Other Units( ) Multiple Dwelling ( )Other Size IESTIMATED COST OF IMPROVEMENT $ DIMENSIONS: Basement: ( ) Yes (^) No Stories above basement; ..... Sq. feet (outside dimension) ... Bedrooms .............................. TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Public ( ' I Individual Septic Tank, etc. WATER SUPPLY; ( ) Public ( ) Individual Well ( I Masonry J^) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths CHARACTERISTICS; feet. . feet. (Building Line) .Ed-2. Oirz)feet.Maximum depth of lotWater frontage issquare feet.Lot Area is Building set back from high water mark is. Land height above high water mark at building line is ,s:.feet Z.d'IP...feet.feet — from road right of way isBuilding set back from State highway right of way Side yard is Structure will be located 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 n/W Y ^ND nnFR NDT CONSTITUTE A BUILDING PERMIT AS SET FQPTN IN rNAPJER 16. MINNESOTA STA TE STA TUTES. j 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 I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed^roject.,V J---- 77f 1‘isn /Dated. in the above statement. This permit is granted upon thePermission is hereby granted to the above named applicant to perform the work describedPermit: 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. fs>S' - 0^-Dated Shoreland Management Official Permit Fee $.Receipt No. I c/r ■**- /ZComments;roilA W |> A I Form No. MKL-0286-019 229971(g) VICTOR LUNDECN CO., PRINTERS. FERGUS FALLS. MINN. 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 PERMITA Permit No„V LEGAL Vfh~ i l-'C-’\ i LDESCRIPTION AND s i\ G. i\ t >13£LOCATION TWP NameTWPRangeLake Classif.Sec.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialLast Name First Owner NameContractor Architect Name, NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.(, ) One Family Dwelling ( ) Multiple Dwelling ( ) Other ( ) New Building ( ) Alteration I Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL: ( )Yes (/) No( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: I ) Public ( ) Individual Well Basement:( ) Masonry (' ) Wood Frame ( ) Structural Steel ( ) Other — Specify ;T Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. '...Lii1 Baths CHARACTERISTICS: ,...,........‘feet! ' Maximum depth of lot feet. (Building Line) ............................feet feet. ^Water frontage issquare 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 ..................... Structure will be located .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 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. 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;z "r■A.- I- T Form No. MKL-0286-019 229971@ VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN.A «,jy *4Ji INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS jr MINIMUM Shall Be 4.Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. i- Building Set Back from High Water Mark 7 s"-Ft.Ft. Building Set Back from State Highway Ft.50 Ft. /-hS'6a /o hoo Ft.Building Set Back from Street or Road 40 Ft. /o+& Ft.Side Yard &Ft. 0I<Rear Yard Ft.Ft. 0^Occupied Building to Septic Tank Ft.10 Ft. OkOccupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: I -P- 3T Kavf- -l-~\^ OOYyecA^I4a r J ~l~k tpe OkV\■V-oC,CXv^O Y 4 .y- , '4•' < f ' < \S "'7^ 67^ l>«p ___ Inspector's Signature Title Inspection Dated If-19 Agency VICTOR uiHOcea t eo . rrihtcr*. rcRouo rm.lo. hihn. I 6 feelfi^nch^GRID PLOT PLAN SKETCHING FORM* . Scale: Each grid equals cJuJ£jlDated:1.19 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. at-<S) \lyccOV'^^' 0^' AScr>eev\€,cl pOrol\\z' X^O' \i j 1 \ o\ 1 y/ L 7[\ /of I 1 .11L^~r c^^)' - r . i 1 U i NJ ..,,-.1,-1 : i4iA£ U I t4 1 4I ^-]T tJ 21598 7®MKL-0871-029 VICTOPt LUNDCEN CO.. PBUPTEHS. FERCU8 FALUS, MINN. White - Office Yeiiow — 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 Permit No,,LEGAL DESCRIPTION AND (Lc^i?’c /6LOCATION 36 V/C6 3S’ST ST.4F LAi-^^ o\no~^ TWP NameTWPRangeSec.Lake Classif.Lake No,Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel, No,Mailing Address— No. Street. City and StateInitialFirstLast Name iq'A-3 Awe. S.U).LODi AOwner Name A D V\PContractor Name ITNOyT-PArchitect NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: ^K,^One Family Dwelling ( ) Multiple Dwelling TYPE OF IMPROVEMENT: Specify:.( ) New Building '(^Ss.Alteration ESTIMATED COST OF IMPROVEMENT $ Units ( ) Other Size DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( /iT^ublic ( ) Individual Septic Tank, etc. WATER SUPPLY:(tr^ublic ( ) Individual Well PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. No( ) Masonry (VT Wood Frame ( ) Structural Steel ( ) Other — Specify Baths CHARACTERISTICS: -z^COO feet.Maximum depth of lotfeet.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.... Lot Area is feet. (Building Line) feet s<>.feet.feet — from road right of way is fO .............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). Side yard is and 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 STA TE 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 fpr my proposed prdect. // 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. . 7^9-8-?ADated Slt^rel^nd Management Of^ial~ Permit Fee $ 3 ^75 <7^6"Receipt No. iZV JoMJLComments:IS OK «;. L Form No. MKL-0286-019 229971(g) VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN.A White - Office Yellow — Owner Pink — Assessor Goldenrod — Inroector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT V.* XS% i Permit NqLEGAL DESCRIPTION AND LOCATION TWP NameRangeTWPLake Classif.Sec.Lake NameLake No, IDENTIFICATION; Please Print All Information Tel. No-Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner Name {'Contractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT; t ) One Family Dwelling ( ) Multiple Dwelling ( ) Other Specify:.I ) New Building 'f -) Alteration Units ( FOther Size ESTIMATED 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 (v-) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths CHARACTERISTICS: Maximum depth of lot feet.feet.square feet.Water frontage isLot 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 / u 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. 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: Form No. MKL-0286-019 229971@ VICTOR LIJNOEEN CO.. PRINTERS. FERGUS PALLS. MINN. / 1: ^ ■0 ■ \ ' '-'t' .V -X %. I'v ■' INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 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: Vd f inspector'^Signature\ Vvs Title Inspection Dated vx- \-19 Agency VICTOR UtHOCCH C CO RRIRTCRI. PCRCU6 PM.I.R. X C' >■ «!?> / \ H'< X I ilik- T 1 •y \ 5-fc'U 1^oT T I N I J___SA I IK- I I, V■v- WhIH Office Yellow — Owner Pink — Attestor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT miLoTS 6^Permit No„LEGAL DESCRIPTION AND LOCATION Stoo^ ^ r\ /U> 41 h>o r<x_^ TWP NameTWPRangeSac.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and State^^|hialLast Name First y 4^jH-VX7yvDCL>Owner ) u /I ^+ NameContractor 1 Architect Name."~T7c50V^ NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:/)C^U^^^O^ne Family Dwelling ( ) Multiple Dwelling ( )Other Specify:.( ) New Buiiding ( ) Alteration Units /’ore( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS: Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Individual Septic Tank, etc. ( ) Masonry (UFWSbd Frame ( ) Structural Steel ( ) Other — Specify WATER SUPPLY: ( ) Public ( ) Individual Well Baths CHARACTERISTICS: '3 '1 LpGO F- sro Z.0Maximum depth of lotfeet.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 STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail CouiUY^ understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed pyo\ec^>''yj/ >5 - r7Dated. Signature^ in the above statement. This permit is granted upon the Owner Permission is hereby granted to the above named applicant to perform the work describedPermit: 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. HiDatedSalShoreland Management/i/7^30'“’Permit Fee $Receipt No. Comments: c yV Form No. MJ^L-0286-019 229971® VICTOR LUNDECN CO.. PRINTERS. FERGUS FALLS. MINN. White — OfficeYellowy^ Pink ^ t Goldenrod — ln.;oector SHORELANO MANAGEMENT - COUNTY OF OTTER TAI COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 5( APPLICATION FOR SITE PERMIT Owner Astenor 7 I .)i^ i It No.<- >,LEGAL DESCRIPTION AND ! LOCATION TWP NameSec.TWP RangeLake Clanif.Lake NameLake No, IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialLast Name First Owner NameContractor Architect Name. NON-RESIOENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT; Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration A' ^Units J ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: I ) 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 ( ) Other — Specify Baths CHARACTERISTICS:\I' 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......................... and Lot Area is feet. (Building Line)l:.1. 71:feet ■■■.. tfeet>' 'V feet — from road right of way is>.r. .....J.....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). Side yard is 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 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. 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. /.yDated Shoreland Management Official Permit Fee $.Receipt No. Comments: I Form No. MKL-0286-019 229971® VICTOR LUNOEEN CO.. PRINTERS, PEROUS PALLS. MINN- -'P f i : .-a . ' (- !i; INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUMShall Be i 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 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 [ yv\ Title Inspection Dated \-19 Agency VICTO* kUMDCIM 4 CO.. MIHTtl i feet/inchesScale: Each grid equals GRID PLOT PLAN SK^OHING FORM 19Dated: Signature Please sketcl/your lot indicating setbacks from road right-of-way, iaKe and sideyard for each building currently on lot and any proposed structures. \O I T 1- I ! ^ : !L 21598 7®MKL-0871-029 VICTOR LUNOEEN CO . PRINTERS. FERSUS FAI.I.S, WINN - Offic* « — Own* ■ — Anstto ^denrod — SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT .■*p*ctor ^07/Permit No»LEGAL DESCRIPTION AND 5\<*r ^P:xiry^rti\)er Pgrlfl ^ LOCATION La ke l>0r4-Ih.til TWP NameLake Clatsif.Sac.RangeLake NameLake No. IDENTIFICATION: Pleaae Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialLast Name First T V^CiC. U K lfY)lLLS,ir)b)xreppOwner NameContractor Architect Name.tyr o I yi--------------------^ NON-RESIOENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:ifc.. s Specify( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Units SizeC>^ Other <r\(>0 Other ESTIMATED COST OF IMPROVEMENt|$ DIMENSIONS: Basement: ( ) Yes No Stories above basement: Sq. feet (outside dimension) Bedrooms ......Jz...FX. TYPE OF SEWAGE DISPOSAL: (X) Public I ) Individual Septic Tank, etc. WATER SUPPLY: IX) Public ( ) Individual Well PRINCIPAL TYPE OF FRAME: ( ) Masonry (><) Wood Frame I ) Structural Steel ( ) Other — Specify I .dn5. .^ABaths CHARACTERISTICS: ...iQ......5.Q..... feet.Maximum depth of lot.feet.square feet. Water frontage is Building set back from high water mark is Land height above high water mark at building line is Lot Area is /\2rO feet. (Building Line)H'feet AtOlltkr.UQ.•feet.... feet — from road right of way isBuilding set back from State highway right of way ...i.Q.................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). Side yard is ... and 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 sits 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. V -'5-II •if')Dated. Signature of Owner / Permission is hereby granted to the above named applicant to perform the work described in the above s^tei :. This permit^granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Shoreland Mana^mertt Official ^ - Y?X' Dated /coPermit Fee $_t Receipt No. Comments: Form No. MKL-0286-019 229971® VICTOR LUNOEEN CO.. PRINTERS. FERQUB PALLS. MINN. Office OwnerWhite -Yellow Pink — Assessor ^ GoldenroeC Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT \> 1 IPermit No^iLEGAL 1DESCRIPTION L,)-\AND r.'if . ) ^V- ^ 'f' >/' , i V 'LOCATION 3/'c TWP NameTWPRangeSac.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. 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( )Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS;TYPE OF SEWAGE DISPOSAL;PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( 4 ' No Stories above basement: Sq. feet (outside dimension) Bedrooms ............................. ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ;) Public ( ) Individual Well ( ) Masonry ( .) Wood Frame ( ) Structural Steel ( ) Other — Specify .........:«•........ Baths CHARACTERISTICS: Lot Area is ...........ilv.!il... square feet. Building set back from high water mark is. feet.Maximum depth of lot,feet.Water frontage is feet. (Building Line) i feetLand 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 — 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.1 Dated Shoreland Management Official Permit Fee $,Receipt No. Comments: : Form No. MKL-0286-019 229971@ VICTOR UUNDCEN CO.. PRINTERS. FERGUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUM Shall Be Sq. Ft. Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft. Ft. 1^-Building Set Back from High Water Mark X Ft.Ft. Building Set Back from State Highway 50 Ft.Ft. +-I 600Building Set Back from Street or Road 40 Ft.Ft. '0^ Ft.Side Yard &Ft. OKRear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. IOccupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________3 Ft.3 Ft. 4^ 4\ O' c tv Ca C ^ v-A- -Vy 11,Inspector's Comments:Vo yg-VJ c ') \ —K..*' C r- Inspector's Signature I'.* Title Inspection Dated 19 Agency VICTOD UJHOCCN » M . MlNTCtl. Hi ■ ^ Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM 19Dated: / IU ' 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. A I\ \ ■2p’-------*-------K V s i Q J O Jlr>h hoJoJ d' Lo \ so' Y- SO* 215987® VICTOa LUNDECN CO.. POINTERS. FEOSUS FALLS.MKL-0871-029 White - Office Yellow — Owner Pink — Attestor * 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 MLOCATION 3 ?< S4or Ce/j) Lake ClMlf. //;: /'?& V/ TWP NameTWPRangeSec.Lake NameLake No. IPENTIFICATiON; Please Print All Information Tei. No.Zip No.Mailing Address— No. Street, City and StateInitialFirstLast Name /nvjjAnaj(j£/^L)n^(S£;gOwner Fm-c-,0 ^ M l 2NameContractor Architect Name. RESIDENTIAL PROPOSED U^<?C3p RESIDENTIAL PROPOSED USE:NONTYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Units iX^cfPfneA )A cIpcK SizeOtherOther ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS;TYPE OF SEWAGE DISPOSAL; lytf Public ( ) Individual Septic Tank, etc. WATER SUPPLY: (^ Public I ) Individual Well PRINCIPAL TYPE OF FRAME; ( ) Yes <)( No Stories above basement: Sq. feet (outside dimension) Bedrooms ....... Basement:( ) Masonry Wood Frame ( ) Structural Steel ( ) Other - Specify / Baths. CHARACTERISTICS; .s:.Q.feet.feet.Maximum depth of lotWater frontage is.. square feet.Lot Area is ..../ d<o 'feet. (Building Line)Building set back from high water mark is. Land height above high water mark at building line is -Fa COi^ /'s .............................................feet. feet r r? feet — from road right of way isBuilding set back from State highway right of way Side yard is Structure will be located ............feet. ^ feet from septic tank (Sewage System Permit must be obtain^ before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). mi/o 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 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 theaownship for my proposed project. V- ^7- f 7Dated. is granted upon the workmeir'shall conform in all respects to the ordinances of Otter Tail Permission is hereby granted to the above named applicant to perform the worPermit: express condition that the person to whom it is granted, and his agent, employees and County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. SKoreland Mana^ment <r-F-?7Dated Official 30.OOPermit Fee $.Receipt No. YcA.jr.JiComments: t Form No. MKL-0286-019 229971® VICTOR LUNDEEN CO.. PRINTERS. FERGUS PALLS. MINN. rWhite - Office Yellow — Owner Pink — /iftessor Goldenrc ' ^gjlnepector 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 TWP NomeTWPRangeLake Claeelf.Sec.Lake No. Lake Name IDENTIFICATION: Please Print All Information Tel, No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner NanieContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) New Building ( ) Alteration I ) One Family Dwelling ( ) Multiple Dwelling Units (rt( )Other ( ) Other Size ESTIMATED 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 isLot 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 6:t.feet.feet — from road right of way 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).^ rStructure 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 uFx>n violation of said ordinances. Dated Shoreland Management Officialt- Permit Fee $.Receipt No. Comments:. Form No. MKL-0286-019 229971@ VICTOR LUNDECN CO,. PRINTERS, FERGUS FALLS. MINN. 1 m INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4 MINIMUM Shall Be Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. rBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 50 Ft.Ft. -hI Oo6Building Set Back from Street or Road Ft.40 Ft. ) 0Side Yard & M Ft.&Ft. yVRear 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. I I HovjInspector's Comments: Inspector's Signature Title Inspection Dated 19*^1 Agency VICTOD CUaBCCll t e«.. MlHTCI GRID PLOT PLAN SKETCHING FORM'Scale: Each grid equals fSEt/inches 9719Dated:Signature/Please sketch your lot indicating setbacks from road right-of^ay, lake and sideyard for each building currently on lot and any proposed structures. ^ ^ -t:. • ' 7^00 •T' ■ Q et »w \j > c O ^ Q-,(L/ nS ^ 'W JO' V U 7?V X T-m p'. . I “t ■ -T -1 L ;i^: ' - ;•!iwg-vra 215987®VICrOA LUNOEEN CO . PRINTERS. FERSUS FALLS. HINN.MKL-0871-029 f "Tii OfficeWhite Yellovy — Qwner Pink — A^sesso ^ Goldenrod I ntpector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMITP Permit No„LEGAL DESCRIPTION AND LOCATION rfe STAR LfKKC '^6C0> TWP NameTWPRangeLake Claaalf.Sec.Lake No,Lake Name IDENTIFICATION: Please Print All Information Tel. No-Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name 3(5/ /6> b ^kT, jMiJ2cTai/wC3^TSlz^TOwner) Name Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: lx£CP roc PElcvoQ ' ifj <(1.0 Of Co OfjO^__________ Specify:( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Units (V<^her OtC<f H/TOtherQ^Cl^ Size % * %T-~2^I IESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ,,#Cb,ic ^ (ndividual Septic Tank, etc. _ WATER SUPPLY: ( ) Public (yi^ndividual Well PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry(Vf^od Frame ( ) Structural Steel ( ) Other — Specify ••faaaa WM: Baths ..O....a CHARACTERISTICS: 26sQ Maximum depth of lot feet.Water frontage issquare feet.Lot Area is .. .7.^.feet. (Building Line)Building set back from high water mark is Land height above high water mark at building line is.......TTZ.. Building set back from State highway right of way.......... Side yard is .............1.0........... and Structure will be located feet QJ>...feet.feet — from road right of way is IP .............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). IP 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 proj^cL^ Wf -y Dated. Sigpafure 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. /3.Dated Shoreland Management Official5-lL£.ZO-OOPermit Fee $.Receipt No. Comments; Form No. MKL-0286-019 229971@ VICTOR UJNOECN CO.. PRINTERS. FEROUS PALLS. MINN. Whit* - Office Yellow — Owner Pink — Assessor Goldenrod Inspector SHORELANO MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT on Permit No.LEGAL (on e^id ^ K^X DESCRIPTION AND LOCATION TWP NameTWPRangeLake Classif.Sec.Lake NameLake No. IDENTIFICATION: Pleaee Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialLast Name First Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE;TYPE DFIMPROVEMENT; Specify:,I ) One Family Dwelling ( ) Multiple Dwelling < ) New Building ( ) Alteration Units ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( J Public I Lf Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( 1 Individual Well PRINCIPAL TYPE OF FRAME: I Basement: ( ) Yes ( '^ No ,—■ Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify inn:.Baths CHARACTERISTICS: feet.Maximum depth of lotsquare 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 feet.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 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 sits 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: Form No. MKL-0286-019 229971® VICTOR LUNDEEN CO.. PRINTERS. FEROUB FALLS. MINN. ./ i INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUM Shall Be Sq. Ft Lot Area (Square feet)Sq. Ft Sq. Ft. /0<r^---- Ft Ft Water Frontage Ft. Building Set Back from High Water Mark Ft. Building Set Back from State Highway 50 Ft.Ft. /uABuilding Set Back from Street or Road 40 Ft.Ft. <7 O____& < Ft.Side Yard &Ft. Rear Yard Ft. Ft. cpk.Occupied Building to Septic Tank 10 Ft.Ft. 4/4Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________*3 -Ft.3 Ft. Inspector's Comments: u/tc I Ot nspector's Signat^e Title Inspection Dated 19 Agency @ VICTO* UIHOCCH t CO . MIHTtHt. rCMOUO r«.k0. HtMM. s.|r Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM Dated,19 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. Ro^05 Oot i^oaPS, LoCfijfp (JU lTtliA> CAfhpO^OiWJ? A)o 7//^Q/ 7l<AfF 1C. OeA APP'Pc^i/watFO'jjc> rfLAitXH -HCT/CC'AffltoA-00^ I 1 V CP W\V 15 A Locat^j? ltd A ^(V\p6Roa/Jp IT b /JOT OUJAi<(P fio."'' REaitF’p of^ vSi^A'ScwjAL 6A51S- r4I t + ;.4.1 i \ ] t 215987® VICTO* tUNDECN CO.. PHIMTERS. FCRCUS FALLS. yiNN.MKL-0871-029 White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELANO MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT S^/99}3^'-7.0%— rfK f Permit No.,LEGAL DESCRIPTION ?z 3^S Lo-ILi Ci>L> <y / AND LOCATION Ooro\ TWP NameTWPRangeLake No. Lake Classif.Sec.Lake Name IDENTIFICATtON: Please Print AH Information Zip No.Tel. No.Last Name Mailing Address— No. Street. City and StateFirstInitial p. SirAr- ^2 _______________‘hpnij ^///qyu2.Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: u c7{ New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling i)(i Other /^V/r4 Specify: Units I( ) Other ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIOI ( I Masonry ^^Wood Frame ( I Structural Steel I I Other — Specify ('ubiic ) Yes ( ) No Stories above basement: ....... Sq. feet (outside dihtgnsion)..... Bedrooms Basement: Individual Septic Tank, etc. WATER SUPPLY: Public ( ) Individual Well Baths Type of Roof: CHARACTERISTICS: 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 feet.Lot Area is Maximum depth of lot feet. feet. (Building Line) 3±.feet feet — from road right of way is •feet. /aand feet.,;^^P’....ZOfeetfrom septic tank (Sewage System Permit must be obtained before installation). Structure will be located 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. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUES.Sl5*^ture of Own^ Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is earned 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,.-^ 'Shoreland Management Official Dated Permit Fee $. Comments: 19S676® VICTOR LUNOGEN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL<0771-002 White - Office Yeilow — 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 4t Permit No.,LEGAL r;IDESCRIPTION /if //IAND ■ < LOCATION Lake No.TWP NameLake Ciassif.Sec,TWP RangeLake Name 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 $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( 1 Public ( ) Individual Well Basement: ( ) Yes ( ) No Stories above basement; Sq. feet (outside dimension) Bedrooms Baths Type of Roof:J CHARACTERISTICS: 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.Maximum depth of lot feet. feet. (Building Line) 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 herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUES.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 $. Comments: NOT CALLED. 195676@ VICTOR LUNOECN CO.. PRINTERS, FERGUS FALLS. MINN.Form No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS jr 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 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 VICTOR UIHOCtH t C« . RtlMTtt Use DescriptioaSpecial Use ( )Individual File ( ) Name of Applicant: Subdivision File ( )Subdivision Name. Address;Stat^ St. & No.CityMiddle Zip No.Phono No. Legal Descji^don ^ - J ^i V/ , Twp.Ranpo Twp NameClanif.Lake or River Name Sec.L^ko No. O BUILDING permits"VARIANCES ON BUILniNfi PFRMITS Date NotifiedHearing Date Hearing JudgementPurpose■ Results Appl. DateDateDate InspectedNO. m. \ .1 0 SEWAGE system PERMITS IVARIANCES ON SEWAGE SYSTEM PERMITS Appi. Date Hearing Date Hearing JudgementDatePurposeDate Inspected Results Date NotifiedNO. ! J 1 © SPECIAL USE PERMITS ? Application Date COMMENTS SECTION;Hearing Date Notice Mailed i J 1 i Accompanying Documents Filed in Cjbinet No. 1 NOTE: O and 0 See enclosed Inspectors Copy of Permit Application. , © See enclosed Special Use Permit Application.«.^.19?1SS •I■ u»M((a 4 t*.. MiaifM. rtMai White - Office ■vYollow — 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 PERMITA U- ^S'L.Permit No..LEGAL l(\ P\ ju?^vvdi"DESCRIPTION AND LOCATION Lake No.Lake Classif.Sec.TWP Range TWP NameLake Name IDENTIFICATION: Please Print All Information Last Name First Mailing Address— No. Street. City and StateInitial Tel. No.Zip No. OO^L'YsJTT'aA, \ VsiO Owner NameContractor ./ Architect Name. ITYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE; CXiiAxlui-vo ■__L ) 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:DIMENSIONS: ( ) Masonry —O) Wood Frame ( ) Structural Steel ( ) Other — Specify Cb4) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement: ( ) Yes~Sf ) No Stories above basement: Sq. feet (outside dimension) Bedrooms-A Baths Type of Roof: CHARACTERISTICS: Lot Area is 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......................... feet.Maximum depth of lot feet. feet. (Building Line) feet feet — from road right of way is ■feet. Side yard is and feet. Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any i^ans and shall become a part of this permit application. I also understand that this permit is valid for a period of^six (6) morrtlls. se deifications submitted herewit THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STA TE STA TUES.Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. \his permit is granted upon the the ordinances of Otter Tail Permit; express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. CXKDated Shoreland Management Official Permit Fee $ '*^■0 'Co ip ^ECEfVEQ -May 2 A 1984 Comments: Resource J195676® VICTOR LtiNDEES CO.. PRiNTtCRS, FERGUS FALLS. MINNForm No. MKL-0771-002 White — Office Yellow — Owner Pink — Assessor Gotdenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ■. i w 'A ' i \{Permit No.,LEGAL DESCRIPTION \”N, AND LOCATION \ Lake No.Lake Classif.Sec.TWP Range TWP NameLake Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No, Street. City and State Zip No.Tel. No. Owner A.- NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:' ^ \\ ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:, Units J) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENTS s PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms . ^ ^' Baths Type of Roof: CHARACTERISTICS: 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.Maximum depth of lot feet. (Building Line) feet feet — from road right of way is 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 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.■ .y'......... •A/THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES. Cwc. Signature of Owner Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects 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. \his permit is granted upon the the ordinances of Otter Tail -XDated Shoreland Management Official I - IPermit Fee $_LA2_1 -> <-\ Comments: alledi0~■X ’N+ 19S676® VICTOR LUNOEEN CO.. PR.NTf-F'S, P-R^US FA.IS. MIN'I.Form No. MKL-0771-002 r INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 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 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Sign^ure Title Inspection Dated 19 Agency viCTOt uiMBECii * CO . ••iMTcat. fcasus raLk*. mimm. r; 'v"'White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector -'t*SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT * ■ Uo3Permit No..LEGAL S DESCRIPTION AND LOCATION "3 >Z: /3C ^ TWP NameLake No.Sec.TWPLake Name Lake Classif.Range IDENTIFICATION: Please Print All Information Last Name Mailing Address— No. Street. City and StateFirstInitial Zip No.Tel. No. i.Owner 7/ / NameContractor 7 Architect Name, TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ..Yl New Building / X f ( ) Alteration ( ) Other ( .Si One Family Dwelling I ) Multiple Dwelling Specify:, Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ( ) Masonry (^Wood Frame ( ) Structural Steel ( ) Other — Specify ( )Yes ( ) NoBasement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths-r Type of Roof: CHARACTERISTICS: 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 feet.Lot Area is Maximum depth of lot feet. (Building Line) feet feet — from road right of way is and feet. Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above 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 STATE STATUES.Signature of Ovtfn/r 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 r 'Shoreland Management Official Permit Fee $ x ’ -----JRFASURER, OHER TAIL CO. Consents:■r- - S'-? - 8¥ .'<3 poy-\ 195676@ VICTOR UJNOCEN CO.. PRINTERS. FERGUS FALLS. MtNNForm No. MKL-0771-002 1 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, *J' Permit No.LEGAL DESCRIPTION AND I LOCATION /4-V/i i Lake No.Sec.Lake Name Lake Classif.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No, Owner 1 j ,7-- ■r4-^ » ■;? ’■«4-■ T.—w> . ^7 7 NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: V / X( ) New Building ( ) Alteration ( ) One Family Dwelling ( I Multiple Dwelling Specify: Units ( ) Other «/ .( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( I Public ( ) Individual Well Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms .................................. /i7 Baths 1/I'S,-. i\ f I \I (St.»/Type of Roof: 7 CHARACTERISTICS:I 1 square feet. Water frontage is ....(.Jl 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. Maximum depth of lot ;7feet<^ (Bi^ldinn Line) Lot Area is //<■ r I ^ t r' ^ A JL j' 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 aiM agree to do the propr^d work in accordance with the description above se forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agrie thit 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. PV -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. // dDated Shoreland Management Official Permit Fee $. Comments: t t -4 'I ■ :i <V'I/'t - V^7.■i.-t 7 a-rrff- 195676® VICTOR LU.NDCEN CO.. PRiNTKfS. F^SCUS FA..IS. MIN'i.Form No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4r 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 10 Ft.Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3____^ r Inspector's Comments: : •t. % Inspector's Signature Title Inspection Dated 19 Agency ViCTOM UIMPCCN 4 M . PitHTIIII. rt««U4 fM.1.4. • Office Owner 'essor SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Inspector Permit No..LEGAL DESCRIPTION AND LOCATION \NcV\ft.A\r> |-3,to _i\ TWPSec.Range TWP NameLake No.Lake Classif.Lake Name iPENTiFICATiON: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. \ry n 'Z.^FK-Owner 4S0:3 NameContractor Architect Name. TYPE OF IMPROVEMENT: ^ ) New Building ( ■) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:I( ) One Family Dwelling ( ) Multiple Dwelling *sW) Other Specif Units y ( ) Other Size rESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Public Basement: ( ) Yes No / Stories above basement: r......Tfhrr:. Sq. feet (outside dimension) Bedrooms ( ) Masonry 'toy Wood Frame ( ) Structural Steel ( ) Other — Specify ( •) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public -4J>) Individual Well dJo/KifexoI)Batl Type of Roof: CHARACTERISTICS: ss,.s.a Water frontage issquare feet.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 Building set back from State highway right of way..... Side yard is feet. (Building Line) feet feet — from road right of way is feet. and feet. Structure will be located feet from septic tank (Sewage System Permit must be obtained before installation).- feet from soil absorption system (Cesspool, Drainfield, etc ).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above se forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewiti shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Ilx/THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES.Signature of 'ner 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. o-KDated Shoreland Management Official^ 'LS3\•?.nig)g>Permit Fee $. Comments: 19S676© VICTOR LUNDEEN CO., PRiNTKCS. FERGUS FALLS. MINN.Form No. MKL-0771-002 rti/'- Office SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739- 2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT - Owner ssessor Inspector > O’ t—Permit No..LEGAL DESCRIPTION O^CXAAND LOCATION HiVcr-.i twpLake No.Sec.TWP NameLake Name Lake Classif.Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address- No. Street. City and State Tel. No.Zip No. iOwner i'i ! NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:i I ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify: Units I ( ) Other ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: 1 •V( ) Masonry ( ,) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ) Individual Well Basement: ( ) Yes (v) No Stories above basement: Sq. feet (outside dimension) Bedrooms .........-;r;;;;.-.T-.v......... 4 Baths...-. Type of Roof: CHARACTERISTICS: Water frontage is ____square feet.Lot Area is feet.Maximum depth of lot 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. (Building Line) feet feet — from road right of way is 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 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 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 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. •Aa12 ::%AoK' \,Dated Shoreland Management Official■) i'Permit Fee $ . ■L Comments: 195676® VICTOR UlfNOEEN CO.. PR< NT T'lF'H . f-r:s.;uS FA LS. ViNM.Form No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS I MINIMUM Shall Be 4.Sq. Ft. r y sLot Area (Square feet)q. Ft.Sq. Ft. / Water Frontage Ft. Ft. Building Set Back from High Water Mark Ft.Ft. -fBuilding Set Back from State Highway 50 Ft.Ft. -h^ OBuilding 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. <? Inspector's Comments: dktr \ Inspector's signature12.'JO m Title Inspection Dated n19 Agency VICTOD UIHOCtH t CO . MINTIUB. FC««ua FAtUt. r 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 /[/Ol-i-k its>Soi-i Permit No..LEGAL DESCRIPTION T7-a.'/.4v SjpCiut-AND LOCATION ! 3^ }n_M TWP NameTWPRangeLake No.Lake Classif.Sec.Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Zip No.Tel. No.Last Name InitialFirst "TinycJL 77/^AhiJ^SicOwnerym—7 NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:rtnn-Trr"inrMTifti rnnrntirninr V, C/V\ O Ij? i Lt. ( 1 New Building Vn^I Alteration ( ) Other One Family Dwelling ( ) Multiple Dwelling Specify:, Units /( )( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: '('"V^ublic ( ) Individual Septic Tank, etc. WATER SUPPLY: Public ( ) Individual Well ( ) Masonry TS) Wood Frame ( I Structural Steel { ) Other — Specify Basement: ( ) Yes ( I Stories above basement: Sq. feet (outside dimension) "BathsBedrooms fcP!O O tType of Roof: CHARACTERISTICS: Water frontage is . Building set back from high water mark is.......................................... Lot Area is ..Maximum depth of lot.fTT!feet. feet. (Building Line) 3..±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 .^...0^0.feet — from road right of way is .feet. /A10and feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.)....^..0.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 STATUES. 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 u[3on violation of said ordinances. . Dated Shgfeland Management Official Fee SPermit AJiSc^JComments: 19S676® VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. WINN.Form No. MKL-0771-002 rWhite - 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 J £Permit No4'LEGAL ./7DESCRIPTION AND t- ■ I . LOCATION Lake No.Sec.TWP NameLake Name Lake Classif.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 Specify:. Units ( )Other ( )Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement: ( ) Yes I ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths Type of Roof: CHARACTERISTICS: 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.Maximum depth of lot feet. feet. (Building Line) 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 herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES.Signature of Owner Permit; express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreland Management Official Permit Fee $. Comments: 195676® VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be ^Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft. 20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. 4Inspector's Comments: / Inspector's Signature Title Inspection Dated /Agency VICTOR LUNDICN « CO.. RRIMTCRR. rCRRUR r«Lkl. MIHM. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ispector ^ / ^-3Permit No., /S’iGAL oCRIPTION AND LOCATION n / mJCjp.3i? TWP NameTWPRangeLake No.Lake Clatsif.Sec.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateLast Name InitialFirst /Dor/jia n n.fAJ/aer ^efF /o dr^±Ll LLOwner A/i^tJ NameContractor Architect Name, TYPE OF IMPROVEMENT:NON-RESIDENTIAL PROPOSED USE: Specify:. 1 aJ '( RESIDENTIAL PROPDSED USE: /A cA iA\ rc6~P______( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling ^.-Kf^her Units ><other ^^crppn-pd dfcJC 'K )Size ESTIMATED COST OF IMPR0VEMENT|$ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ^Hl^ublic ( ) Individual Septic Tank, etc. WATER SUPPLY: ^^^..-'f^ublic ( ) Individual Well DIMENSIONS: ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes /Stories above basement: Sq. feet (outside dimension) Bedrooms Baths Type of Roof: CHARACTERISTICS: Water frontage is feet.square feet. Building set back from high water mark is. Maximum depth of lotLot Area is feet. feet. (Building Line)2,.i=Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is feet feet — from road right of way is •feet. 1.0 /..Qand feet. /...dStructure will be located .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located __ Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Signature of Owner THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES.fPermission 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 EM:refand PermitLree $. Comments: 195676@ VICTOR LljNDEEN CO.. PRINTERS. FERGUS FALLS. MINNForm No. MKL-0771-002 r White - Office Yellow — Owner Pink — Assessor Goidenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT i-Permit No..LEGAL // .} DESCRIPTION t■ r A■iAND'gKI ^LOCATION Sec.TWP NameLake No. Lake Classif.TWP RangeLake Name IDENTIFICATION: Please Print All Information Last Name First Mailing Address— No. Street, City and State Zip No.Tel. No.Initial Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( I Multiple Dwelling Specify:. Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( I Public ( ) Individual Well Basement: ( ) Yet ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths Type of Roof: CHARACTERISTICS: 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 feet.Lot Area is Maximum depth of lot feet. feet. (Building Line) 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 herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUES.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 $. Comments: ' VT n 195676® VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4 MINIMUM Shall Be 4’Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title 3^Inspection Dated 1 Agency Victea uwMiH t M.. Mianaa. rinaua tall*, himn. f White^V^<'r 'Office Yellow — Ov'^’^er Pink — AsseS^h: Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT (<)QPermit No..LEGAL ■ 6- lyu DESCRIPTION AND LOCATION \3<p m7??^ Sec.TWP Range TWP NameLake No.Lake Classif.Lake Name IDENTIFICATION: Please Print All Information Last Name Mailing Address— No. Street. City and State Zip No.Tei. No.First Initial 13 ?<)-^e\rSo tiOwner ^A!p'\d f NameContractor Architect Name. TYPE OF IMPROVEMENT: ( W^ew Building RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:/porcA po /L/ly ( ) One Family Dwelling ( I Multiple Dwelling ( 1^,/grther Specify: ( ) Alteration Units y U-!( )Other Size IESTIMATED COST OF IMPR0VEMENT|$ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: .DIMENSIONS: { ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( JJ^Individual Well i/noC^O( ) Masonry ( Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms 1 02, A'frA /Baths Type of Roof: CHARACTERISTI|7 koosquare 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 feet.Maximum depth of lotLot Area is feet. (Building Line) feet feet — from road right of way is 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 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 siy(6) months. Signature of Owner \' *THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA ST A TE STA TUES. Permit: Permission is hereby granted to the above named applicant to perform the work descrijjed 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 workmdhshall conform inall respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. \ ) C \ n N C'Ssi-^WVT ^Dated Shoreland Management Official(PCPPermit Fee S Comments: 195676(© VICTOR LUNOEEN CO.. PRINTERS. FERGUS PALLS. MINNForm No. MKL-0771-002 r ‘S- *■' ■'•-TV- ^ White — Office Yellow — Owner Pink — Assess^ Goldenrod —Inspector #■ •.* < SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 . APPLICATION FOR SITE PERMITI {oOZ3Permit No,.LEGAL G^ L- H No e TH £TA ^ IDESCRIPTION IANDt1LOCATION D h>o^-r\3^ j=a■ S (o TWP NameLake No.Lake Name Lake Classif.Sec.TWP Range tPENTIFICATiON; Please Print All Information Last Name Initial Mailing Address— No. Street, City and State Zip No.Tel. No.First N V r>n - ^ L~i< X ‘-I:;■ / S ’ /V/ -Owner TD -Y^1 NameContractor Architect Name. TYPE OF IMPROVEMENT: ( l^ew Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: 5 ' '6 po/ol-v' ( ) One Family Dwelling ( ) Multiple Dwelling ( lather Specify: Units ( ) Other Size !ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:!( iT^blic ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( jVXndividual Well i/noi I ' L,( ) Masonry ( ^“l/Vood Frame I ) Structural Steel ( ) Other — Specify ( ) Yes (Basement:/ Stories above basement: Sq. feet (outside dimension) Bedrooms■f'/' A ^BatKrr. ■ •Type of Roof: -NCHARACTERISTICS,: Lot Area is ...k.Q.£..Water frontage issquare 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 feet.Maximum depth of lot feet. feet. (Building Line) Afeet feet — from road right of way is feet. feet.and Structure will be located feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above 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. 11THIS 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 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: C\J -- -’-1Dated Shoreland Management Official IPermit Fee $.■) Comments: CL 195676® VICTOR LUND GEN ro.. PH.NTt-'rs. r~;^0US FA..i 6. MIN'TForm No. MKL-0771 002 V n INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4.Sq. Ft, Lot Area (Square feet). Ft.Sq. Ft. IWater Frontage Ft.Ft. FtBuilding Set Back from High Water Mark Ft. -tBuilding Set Back from State Highway Ft.50 Ft. ? <3 ^ Ft.Building Set Back from Street or Road 40 Ft. Side Yard &&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: S. -F ( I nspector's Signature j Title Inspection Dated 19 Agency VICTOR kUMOEEH t CO . RMIMTERt. FCRSUE MlilD. r V White - Office Yellow Owner Pink — Ass^or Goldenrod - Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No..LEGAL NotZ'TH ’ DESCRIPTION AND LOCATION SC- l3Cr V/<o4D.sc - TWP NameSec.TWP RangeLake No. Lake Name Lake Classif. IPENTIFICATtON: Please Print All Information Last Name Malting Address— No. Street, City and State Zip No.Tel. No.InitialFirst P O Q)X S73Owner P(L-J (CGr\ fig pi (A NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: 0 r O ^ '( vflCew Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Li'^^ther Specify:,f f^ X 2^0 Units I < •^ X 2-0( ) Other (Size IESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL; pO Public ( I Individual Septic Tank, etc. WATER SUPPLY: rX) Public ( ) Individual Well DIMENSIONS: c^c; o't'oC^( ) Masonry (^^f^ood Frame ( ) Structural Steel { ) Other — Specify ( ) Yes (Basement: Stories above basement: ................... Sq. feet (outside dimension) Bedrooms ........... ) ac.y\hro^( •Baths Type of Roof: yyyO- CHARACTERISTICS:U 0(?3T Ao.square feet.Water frontage isLot Area is feet.Maximum depth of lot 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 <K ^ feet — from road right of way is and feet. Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of si^JB) 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.K Signature of Owner Permit; express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated '4H*Shoreland Management Official5kc-.Kc^Permit Fee $. Comments: 195676® VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL-0771-002 — Office Yellow*— Owner Pink — >$ls^or Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ■4 Permit No.,LEGAL C~DESCRIPTION AND /■' -> rn iLOCATION TWP NameTWPRangeSec.Lake No.Lake Claasif.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.Last Name InitialFirst 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 SEWAGE DISPOSAL;DIMENSIONS: ( ) Yes (- j' No( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement:/ Stories above basement: Sq. feet (outside dimension) Bedrooms ............................../Baths / q /Type of Roof: CHARACTERISTICS: 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 Maximum depth of lotLot Area is feet. feet. (Building Line)- ^ feet I ■ ffeet — from road right of way is feet. and feet. J•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 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 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 Officialj Permit Fee $. Comments: NOT C.\lled 195676® VICTOR LUNDGEN CO.. PRINTERS, FERGUS FALLS. MINN.m No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4 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 Title Inspection Dated 19 Agency VICTOII LUHeCCN k OQ . ^RlNTCMt. fCfKul FALLI, MIMH. White — Office Yellow — Owner Pink “ Assessor Goldenrod r* Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT (f A/er>f^ j Permit NoLEGAL DESCRIPTION AND LOCATION Lake No.TWP NameRangeTWPSec.Lake Classif.Lake Name IDENTIFICATION: Please Print AM Information Tel. No.Zip No.Mailing Address— No. Street, City and StateLast Name First Initial y(yPortOwner NameContractor Architect Name, f NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: /RESIDENTIAL PROPOSED USE: p^New Building ^ . I (^) One Family Dwelling ( ) Multiple Dwelling Specify: UnitsAlteration ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL: ^Public ( ) Individual Septic Tank, etc. WATER SUPPLY: Public ( ) Individual Well DIMENSIONS: I(^4_No( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths Type of Roof: CHARACTERISTICS: ST.(a£Zi..ffeet.Water frontage is feet.Maximum depth of lot 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..... feet. (Building Line) feet feet — from road right of way is feet. feet.Side yard is and feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc ). 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 /S A S/TE PERM/T ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUES. 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 orc^ances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. J // bated Shoreland Management Official Permit Fee $. Comments: 195676® VICTOR Lli.MDCEN CO.. PRiNTKnS, FERGUS FALLS. MINN.Form No. MKL-0771-002 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 Permit No..LEGAL / \DESCRIPTION a.C'/ ^ , !lAND A- LOCATION i- ( " Lake No. Lake Classif.Sec.TWP Range TWP NameLake Name 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 I ) Multiple Dwelling ( )Other Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Y( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms / < "Baths Type of Roof: CHARACTERISTICS: ;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.Maximum depth of lot feet. feet. (Building Line)< feet •/ feet — from road right of way is feet.^ (feet.and \.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.Signature of Owner Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreland Management Official Permit Fee $. Comments: L.. L- 195676© VICTOR HJNDEEN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL-0771-002 r INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUM Shall Be J.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 Title Inspection Dated 19 Agency VICTOK LUNSECH t M . PtlMTCItl. PIt«Ut fM.).*. MINN. 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 i.^(^ _yiMl V-LPL. TWP NameRangeSec.TWPLake Classif.Lake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateLast Name First Initial llo~l <90615^Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE: (xdcixV^c^|( ) One Family Dwelling ( ) Multiple Dwelling Specify:,( ) New Building ( ) Alteration Units ( ) Other( ) Other Size IESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ) Wood Frame ( I Structural Steel ( ) Other — Specify ( ) Public f^l Individual Septic Tank, WATER SUPPLY: ( ) Public I ) Individual Well Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms L Baths Type of Roof: CHARACTERISTICS: Water frontage is feet.square 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 Building set back from State highway right of way..... Side yard is ..................... Structure will be located feet. (Building Line) feet feet — from road right of way is feet. feet.and ■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. Signature/of Owner <50LU-fXOt_ Permission is hereby granted to the above named applicant to perform the work described in nhe above staterhent. 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. 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 TUES. Permit: (d-JO-Dated Shoreland Management Official Permit Fee $. Comments: 195676© VICTOR LliNDCEN CO.. PRiNTKRS, FERGUS FALLS. MINN.Form No. MKL-0771-002 White Yello Pink Office Owner Assessor Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT »A, enV^ , r Golden Permit No.,1LEGAL DESCRIPTION AND '{ LOCATION TWP TWP NameLake No.Lake Classif.Sec.RangeLake Name IDENTIFICATION: Please Print All Information Last Name Mailing Address— No. Street. City and State Tel. No.First Initial Zip No. 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 I ) Other Size IESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify I ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms /( J'.A Baths /J,.'v .d-f'' ■■Type of Roof: CHARACTERISTICS: 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.Maximum depth of lot feet. yyfeet. (Building Line) 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 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 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 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: ■w»' 19S676® VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr 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 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 vicToa waoXN 4 e«.. atiiinM.rULLI. HHIN.