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Shady Grove Resort_53000990338000_Shoreland Permits_
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 WHITE - Office ^ GOLDENBOD - %spector YELLOW - Owner (after issue) PINK - Assessor ^53d^Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMERANGESECTIONTWP NO.LAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO, 'RuskLtSK1353^ PROPERTY (E-911) ADDRESS o Co RjjjSK LcxtrC^L Koo p LEGAL DESCRIPTION 3n cxi^rces T^vs^ioocd. 6fo oe \ c) t 3 H- Daytime Phone No.Initial Mailing AddressFirstLast Name 3SbBb 3vusk ICLVk-e v.DQpv~VecgsxV Ve \k ^ rr\^34ks<o040Property Owner Oy-\£rt^K \ HK3V5CS~]iOlP6u3L\6foo<sR^S3r'f -D^c 'Rpr K:irf\e cu> Cons (A 3D 03^4-1 R__________ Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling (5) RCUA'ear______ ( 7 ) Add'n To Non-Dwelling (fs^torage Structure (to) Non-Conf. Replacement (identity)___________ (11) Other (identify)_________________________ 'Existing Dwelling to be removed prior to__________ ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No. \ I ~7 ^ Lf? ( ) OTWMD ‘Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rome Mann at2t8-8S4-5533 ONSITE WATER SUPPLY ( 3) 'Replacement Dwelling ( 6 ) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling ( 4 ) MH/YR____ ^) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Ft. X IjG Ft." 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 Level ___ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No Outside DimensionFt. X Ft."Ft."Ft. X Sq. Ft. ^ Setback to Lotline \0 Ft. & Setback to Right of Way IDO Ft." Setback to Ordinary High Water Level 4M-0 Ft. Elevation Above Ordinary High Water Level 3 Ft. Setback to Septic Tank 4QT pt. Setback to Drainfield Setback to Bluff L/ A<. Ft. Maximum Proposed Height Ft. Roof Change ( ) Yes -f^) No Bathroom Proposed ( ) Yes j>0 No 80-^Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection____^jLcutt V (bJiyVYictt fvUHAuidij \ wusiy 1 Cubic Yards - 299 Cubic Yards' □ 300 Cubic Yards or Vre' Ft."Ft.&Ft."Ft.&Ft."Ft." Ft."Ft. Ft.Ft. Ft.Ft. Ft.Ft.bo Ft.Ft.Ft. Ft.Ft. Ft. ( ) Screen Porch ( ) Storage Structure Include on scale drawing, inal Permit may be required. Topographical Alteration / Earthmovina □ None a, 21□ 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: ©Bluff ( )Yes (y)NoSq. Ft.Water Frontage .Ft.Lot Area, 3 b 4(9 33= O -OT 3Impervious Surface Ratio:.%X 100 = Impervious Surface RatioTotal Impervious Surface Onsite (FT^)Total Lot Area (FT') THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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_oisajd Ordinances.I understand that it is my responsibility to infori^he Land & Resource Management office once the building footings have been constructed. (O'T li/Xf 'ITTOMA tyL.—9oAi/\aDate; Signature of Property Owner'/ngent for Owner7 idIi/d9Date: Land & Resource Manageme^^f^e^ ^ PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ.FT. Comments: 9mm. Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota A r , ‘.VHIT^-Offine GOLDEt^ROD - Inspector APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS,' 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PtNK - Assessor V/T-/; <? Permit No. t.-'' -PLEASE PRINT OR TYPE ALL INFORMATION TWPNAMERANGESECTIONTWP NO.LAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO. 1 3 c:Kv4^K LatSti1f PARCEL NUMBER (S) ^PROPERTY (E-911) ADDRESS uat<v^ \jDO P ■ - > LEGAL DESCRIPTION i ~cr^arcc^ t-c^uxrxi 6tooe \6^ v3s-4V ..T ' Daytime Phone No.Mailing AddressFirst InitialLast Name KlaSK UliK€ LCO|-^Property Owner Hlz> ~ iL>—M- U or <xi I \ CJiQoe r h Xnc \-Oir\Contractor Name Lie.# V ^ \ AO L>3 Cbr C' (A ) ■ g____________________I PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dweiiing ( 5 ) RCU/Year_____ ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (, ) Individual ( ) Public ( ) None NOTE: MN Rules Chpl, 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ( 3) ‘Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MH/YR____ (7) Add’n To Non-Dwelling ( 8 ) Storage Structure (10) Non-Conf. Replacement (identify)__________ (11) Other (identify)______________________ ‘Existing Dwelling to be removed prior to_________ ( ) Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Roilie Mann at 218-864-5533 CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING 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 Level ___ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No Ft. X Ft.“■Ft.“Ft. X Ft,"Ft. X Sq. Ft.------V.1 ■.) Setback to Lotline VP Ft. & Setback to Right of Way ) Ft." Setback to Ordinary High Water Level M- U-C') Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank >"'■ Ft. Setback to Drainfield ■: X.t Ft. Setback to Bluff —tMaximum Proposed Height —Ft. Roof Change ( ) Yes (-“L.) No Bathroom Proposed ( ) Yes (X) No Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield___ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **ProjectA.otlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft."Ft."Ft."Ft.&Ft." Ft."Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft,Ft. Ft.Ft.Ft. Ft. ( ) Screen Porch ■ -- ( ) Storage Structure /,, ‘ Must include on scale drawing, /, additional Permit may be required. Topographical Alteration / Earthmovina □ None r'-■i v/ ' ' ■ a 21 Cubic Yards - 299 Cubic Yards‘□ 300 Cubic Yards or More*□ 20 Cubic Yards or Less ‘ CHARACTERISTiCS OF LOT: Water Frontage ty Bluff ( )Yes (y.)No _= 0-O1 .Ft.Sq. Ft.Lot Area, /■ATImpervious Surface Ratio:.%X100 =Impervious Surface RatioTotal Lot Area (FT')Total Impervious Surface Onsite (FT') THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application, I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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 Management office once the buiiding footings have been constructed. Date: Signature of Property Owner / Agent for Owner liMi / . V—.Date: Land S Resource Management OfficeT/ S/O PERMiT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ.FT., 2^'U t' K '' ': -I-/Comments: #/fA-!± /AI Form No. BK — 1003-0407 329,562 ■ Victor Lundeen Co.. Printers • Fergus Falls. Mi/nesota ^ -/ SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Hro-t Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Structure Set Back from Top of Bluff Ft. L -a-.Ft.Structure Set Back from Road Right of Way Ft. lX^Structure Set Back from Lot Lines Ft.Ft.&Ft.Ft.& Ft.Ft.Structure Height YL^fi(3 li Ft.Structure Set Back from Septic Tank Ft.//o 37^' Ft.structure Set Back from Drainfield Ft. Elevation Of Lowest Floor Above Ordinary High Water Level ___Ft.Ft. Land Slope at Building Site %% 16’ Inspector’s Comments / Sketch: A.VvCik^ Ne.% O-M 0(C<0 fIjf I ■r'j i /V Jb 7 Inspector’s Signature I330 Date of Inspection JioQ Time of Inspection /^Project Approved j Date / InitialLK,. IP ✓ NW CORNER OF GOV’ T LOT 1 SEC.26, T 135, R.39 DENOTES DENOTES DENOTES DENOTES DENOTES DENOTES DENOTES DENOTES DENOTES DENOTES DENOTES DENOTES DENOTES DENOTES oe/otv------ DENOTES IRON MONUMENT FOUND. IRON MONUMENT SET MARKED ” RLS 1 3620" . SEWER CLEAN OUT. 210 VOLT OUTDOOR PLUG IN FOF- CAMPING LIFT STATION. OUTSIDE LIGHT POST ON F’OWER POLE. POWER POLE. GUY WIRE SUPPORT FOR POWfeR POLE. TELEPHONE PEDESTAL. OVERHEAD ELECTRIC. UNDERGROUND ELECTRIC. UNDERGROUND GAS. UNDERGROUND TELEPHONE. UNDERGROUND CABLE TV. OVERHEAD ELECTRIC Sc CABLE TV O C/O <8) OL a LS S Lpyx PRO GW 6-^ I 75'75' CX) moIF)Of- o ace-— T- - TV'00 SCALE IN FEEToo N SCALE; 1 INCH = 40 FEET BEARINGS ARE BASED ON AN ASSUMED DATUM. ODO’ N o!35.00<C O ! ■f •<> rs 0:o l' b X-'1K. -i' —J oC.0 1 i L I?FO ,1cS<5 §I PROPOSED LEGAL DESCRIPTION GARY LEE GRIMM“7 K.ci 0.i V)I o 5i Lots J and 4 of SNODGRASS' S BASSWOOD GROVE, said plat is on Pie and of record in the Office of the Recorder of Otter Tail County, Minnesota. Containing 2.00 acres more or less. Subject to State Trunk Highway No. 78 right-of-way easement. Subject to easements and reservations of record. I55o5 5:$»F I1^3 -4-DENNIS 0. A PATRICIA SAUtOERS DOCUMENT NO. GZ:52t IV:!I IIX ANDb5INGRESS * EGRESS EASEMENT RE^VAVON FW ACCESS, _________^OI<J0jOF_pEEDS,JAG^a_l. ^ SOUTHERLY LINE OF DOCUMENT NO 8E 'J26 S 89‘57‘00’E 174.00_________ /4.JJ - bLOu.>^05 I - Sa8-0B-[‘ 33. ng Po5u.67.WbO AH that part of Government Lot 1, Section 26, Township 135 North, Range 39 West of the 5th Principal Meridian, Otter Tail County, Minnesota, described as follows: U)Ul f 98. uKsaolo?9.9-20.3§-J >1O ■. 16.~~29.0 ~ ~ftb 24.325.8oK--4 17.96%20.24 -I CABIN 14 ►1 ngo'i;Commencing at the Northwest corner of said Government Lot 1; thence on an assumed bearing of South along the west line of said Government Lot 1, a distance of 1487.00 feet to a point hereinafter referred to as Point A; thence South 89 degrees 57 minutes 00 seconds East parallel with the north line of said Government Lot I, a distance of 174.00 feet; thence on a bearing of South a distance of 13.05 feet; thence South 86 degrees 06 minutes 58 seconds East a distance of 59.14 feet to the southwesterly comer of that tract of land conveyed to Dennis and Patricia Saunders by Quit Claim Deed Document No. 851326, on Pie in the Office of the Recorder of said County, said point is the point of beginning of the land to be described; thence North 86 degrees 06 minutes 58 seconds West a distance of 59.14 feet; thence North 85 degrees 39 minutes 45 seconds West a distance of 174.50 feet to the afore mentioned Point A; thence on a bearing of South along said west line of Government Lot !, a distance of 394.44 feet; thence South 85 degrees 29 minutes 37 seconds East a distance of 33.10 feet to a found iron monument in concrete; thence continuing South 85 degrees 29 minutes 37 seconds East a distance of 202.37 feet to a found iron monument In concrete; thence continuing South 85 degrees 29 minutes 37 seconds East a distance of 25 feet more or less, to the shoreline of Rush Lake; thence northerly along said shoreline to the intersection with the southerly line of said tract of land m Document No. 851326; thence North 87 degrees 56 minutes 34 seconds West along said southerly line, a distance of 120 feet more or less, to the point of beginning. Containing 2.90 acres more or less. Subject to easements and reservations of record. Subject to Rush Lake Loop (former T.H. No. 78) road right-of-way over, under and across the westerly 33.00 feet of the above described tract. CABIN 9iCLc>CABIN 8'IV tfc mftbti: ■■ I .-I X bb*BLOCir WALL ENCLOSINGCoCMS BARREL«35STEi^N Sc MARCIA -J sHUDDLESTON ^11 2.90 ACRES V-h-LA mCE FENCE ENCLOSINGDUMPSTER Co 3-ELMER SHERWOOD 5) b o§ I q:> v-N ICO WEU HOUSELP w 660.48215.34 189.8Y3hw'ly corner or lot 4 5> #o CABIN IS ie 16C-84.65 IOo r XCCfSS APPROACHmp3.9O) 3^CO 209.6. '^iRUOM I 16.3 I o>'S ;-f-nT-NF' L^- OCRNCR OF I 1Cd. ii CD -SW’LY CORNER OF LOT 4 NW’LY CORNER OF LOT 3 OL u •i5 T § S b Cb r /Ifu4r-~5 206.9*^00 \ ACRES>o IIbi'J-7I1o—fo /I DRAIN I FIELD Co/-IOijS 87' 12' 06”E 660.50O'/ '(T-ri AMrx »L_ I L^i V U i§ I L •OPP/iic;c«w£>? cr 4 OF LOT 3 «*Q»/(0 II« 5 HHTOPANE TANK I ilCOII>0 •t? s?Ii 1b aIIII^ I I Or(pSfII § i<o .4 1ft/HOUSE f:m3, fv I IyT-SW’LY CORNER OF LOT J <N QcO.0;6 r-7—.^ <c Easements in:224.84 I 2i4 I PPC 00 CL irj ' 151.41 r o Book 251 of Deeds, page 36 Book 195 of Deeds, page 126 Book 233 of Deeds, page 4 Book 233 of Deeds, page 8 Book 233 of Deeds, page 442 sJo <NbcSIUFT STAVON CONTROLS GARAGEti^_i 7 a Ct LZ2.69S' 57* 72’06”£ 660.57 3.8 LMaLAIi L'-f clS L.J Q (/) 1 1 54.98Idale w. Hom 1 56.59\I I -Y 75 OF lot j -are blanket easements and cannot be located with the legal descriptions of record. SE’ LY CORNERvl 1LJ1C3O Property is located in Flood Zone designation ” C”. dale W. HOWE 1 SURVEYOR'S CERTinCATE» “I hereby certify to Wes and Teresa Jettema and Stearns Bank National Association, Title Professionals and Abstract Company, and Commonwealth Land Title insurance Company, that this is a true and correct survey of the attached legal description and that this map or plat and the survey on which it is based were made in accordance with 'Minimum Standard Detail Requirements for ALTA/ACSM Land Title Surveys,' pintly established and adopted by ALTA and ACSM in 1999, and includes items 7a, 8, 10, and 11 of Table A thereof" And that / am a duty Registered Land Surveyor under the laws of the State of Minnesota. Dated this 19th day of February, 2001. 4/ -- \L.li( n 1 oOlpoiiO)!I 1 8 fLUJL)O\\/jCO A 1 i Cfavid A: Anderson Land Surveyor Minn. Reg. No. 13620 \\ ONUMENT fN\ -\~ 7 ^ - uX h-"Ract DA YAKE L. TD 7I ''7 PartnershipI CJ)rII:::LU\IQF- 1 <r I Oh- Qc\(/)CO75'\ALTA/ACSM LAND TITLE SURVEY OF:75 uX Lu\I SHADY GROVE RESORT> 33’ o\I I Li^ FIELD BOOK ALS-1 8/42 DRAWN BYCONTRACT NUMBER 113-01NDERSON LAND SURVEYING, INC. 313 SOUTH MILL STREET, FERGUS FALLS, MN 56538-0125 (218) 739-5268 916 WASHINGTON AVENUE, DETROIT LAKES, MH 56501 (218) 847-0500 JAPW1/4 corner of sec.26, T 135, R.39 FIELD CREW SML & RVBCHECKED BY DAA CRD FILE 113-01 CRD DISK 97 DRAWING NUMBER DWG DISKDWG FILE 4566 4593t;. 325 O' 1 ■ 1 'EJa ’1 'AIL C O U N' 1' Y Grade & Fill Permit # ns PROPERTY OWNER 7o (j LAKE SEC. -U*! i-l TWP. NAME ________ LEGAL DESCRIPTION: P T~u Cl ro V f WORK AUTHORIZED Criivv 1*4 . FiU ^ Vy P\H c\v-»>y v^‘vV.V. 1-to^ w\iju Va I .!•7^ kr Cfl ^9 11^ *^\^‘Vvty^)u j) PtU(u»v^ \d"<^o O , ✓*4cJ y 4io* c\ra^CjVOQiy NOTE; This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which wbrk 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 compietion of any earthmoving.' 3. Owner is iegaiiy responsibie for ail surface water drainage that may occur. 4. No fill shall enter or be taken from the be^s of public water without a valid perrnit from the MN Department of Natural Resources. 1. If iUi t .t tLls 'permit U'lolateJ. tLe antlr^ it'A^ tKs Awn^p may togcii i»r^oo«vt\%or». 6. Erosion control measures must be implemented prior to any topographicaf afterations. 1 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 * Permit No.PLEASE PRINT OR TYPE ALL INFORMATION SECTION TWP. NO.RANGE ^*7 LAKE/RIVER CLASS TWP NAMELAKE/RIVER #LAKE/RIVER NAME 'A usk I3S'G>D PARCEL NUMBER(S) ^200 PROPERTY (E-911) ADDRESS LEGAL DESCRIPTION prgA / Mailing Address DAYTIME Phone No.First InitialLast Name y'PMCj_______ \aJps iii ulu'/^ iuicr-lr Property A>.!' S(-^'//i -Owner 3 eContractor Name ' 3^p- (^-30 JC> ' Cr< ),, y ~Lie.# 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. '! ///ckReceived7/ L&R Official DATE PROJECT REQUEST (You may use the grid on back for required scale drawing): DESCRIBE YOUR PROJECT(S): lamEilL >Q/nj7 X T (P , I y/ ^ (PLPf MLJl T DETAILED INFORMATION: AREA TO BE CUT/EXCAVATED:Yds^Ft. X Ft. X Ft. - 27 = Width Ave. Depth Ft. X 3^ Ft. - 27 = 3^3^ Yds^ Ave. Depth Ft. X Ft. X * ^ Ft. - 27= Yds^ Ave. Depth ----- TOTAL EARTHMOVING REQUESTED/^ 72 / / Yds^ WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation)WidthLength AREA TO BE FILLED/LEVELE fill Length Wdth BACKFILL AT FOUNDATION;Ft.Ft. Max. Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes No IMPERVIOUS SURFACE:% / //77aPL. SIGNATU F PROPERTY OWNER/AGENT FOR OWNER DATE RECEIPT NUMBER BK02/09 I5JO' Ii CortVD€NNIS D. * PAbA S^ERS DOCUMENT I s;;j(- »>SulIRSulll j: -i?-INGfteSS Sr EGRESS ^£WeW|O b S 89'57' OO'E f 74.00 ~ f "~*r T|-T RESEPVA VON F OR A^SS, _ ^_____BO^JOJ ^J)E€DS,jG^e\ _ ^ SOUTNERL Y LINE OE OdcUI/CN ‘10 'tJ2S <-■ ______S^B7-3e-J4‘Ei204A . SOUTH bI■■'IJ.0567. W All: s ae-oe-\74. J!E StL 14N We. ?9.9 ~ .i : ! ^ as24. J 95.9725.B 29.0 ~ s'iiiv 20 2 cCABfN 9 CAB/N 8 a.I d tl'A n a<b BLOCK WALL ENaOS/NC FT GAS BAffFfEL C C RLATVCE FENCE ENCLOSINGDUMPSTER t a V 0WEU HOUSELP C 189 8 C C £ACCESS APPROACH t t L c £ C( Si Si ut Ei I t) ^ y y a rt P A L 0 M c } LINK FENCE A C/ iREST SIGN/ ■ 2IJJ C/0(g) .i02.J7-O S 85-29'J7 € 260-h/~3-IMENT IN CONCRETE ( RECORD bearing s as-I J9 45~E)*40NUUENT in\d *HOE’N'DS DA YAKE t TD PARmpRSH/P . 4^ r4/'; I I t !I (/I j/Na75. J/^1 a 00 1 ACRES OL C5407" ^ LOT^Z ’K Is «■5 5^ S I 1C in 5 ^ lO 1 r - ~~7I1 o1aoiI/I '2.o— -o ■n-1 /O— O10IDRAtH n£LD lOa/*MrN *' 1- I l.^/ VLV ^S7’ 12'06’’E 660.50 O)Ot/OlLST’iK COfiNER ,: A'f'i,)' corner ofCF LOT" 4 - LOT 0 I T ^PROPANE TANK /I /0:I i o5I(.1^ ./II/3,I' LOT J _ J CfcL -\1 ^o ;6 224.84 5 S^l--7 OL 151.41 0, IT)LIFT STAVON CONTROLS GARAGEy\-^o iJ<'•1172.6Q -N/C-'J.a.JDAL£ W. HOWE 54.96 se.s9i ?.<•’0 \SE’ Lr CORNERj or LOT 5 OALE W. HOWE is O ij1 U: ^ b £LU ID L.I (-0 ■ 1 < I 0^\ 1 1\” T ^ _\ID « Ul\h-i I *LiJ :::N\fQh-C/)1 <r I1 ct:o(/)Co75’\75' u_\LiJ —> u\jj'TUJ'CDIL'_ « TV T X TT^'irxT'-VT'T'IV.Tr^T-MO W1/4 C WHITE - Office GOLDENROD - 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 I (R^ys^ Lcike^ t,^HAKE/RlVEft-' SECTION i NO. i^''RANGE / ,.^PNAME CLASS ur -ILAKE / RIVER NO.E/RIVER NAME &D 12S^ 3^ ktysli PROPERTY (E-911) ADDRESS^,^PARCEL NUMBER (S) ^ S3000 S3ooo C>23^0OQ'^_____________' Pt(3>l / LEGAL DESCRIPTIOJ^ y no Jc ZrQSS '^cfoo/ (C,iroL/ G.—Cl rqSS F^tLast Name Initial Mailing Address Daytime Phone No. \aJ^Rpy R.us{ l^c^fCe^ AoO/fyProperty Owner !U -i<^f7(PAZ~yContractor Name Lie. # ' tAJeJ y- / /-e_r ONSITE WATER SUPPLY ONSITE SEWAGE TREATMENT SYSTEM (^f Permit No. _222s2= ( ) OTWMD ‘Musi have Sewage System Approval trom OTWMD prior to issuing Site Permit. PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling (5 ) RCUA'ear_____ (8 ) Storage Structure V^lndividual ( ) Public ( ) None NOTE: MN Rules Chpt, 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. (1 ) New Dwelling (4 ) MH/YR ( 7 ) Add'n To Non-Dwelling (3) ‘Replacement Dwelling (6 ) Attached / Detached Gar^e (9 ) W.O.A.S. (10 ) Non-Conf. Replacement (identify) ^_____ .______^Tjother (identifvt /It? 'J'TP (CakKt . 218-864-5533 ^ZyiZlt3‘Existing Dwelling to be removed prior to CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSEDDWELUNG (Must Include Attached Garage) / ac CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Ft. X Ft."Outside Dimension Sq. Ft. S3rO Setback to Lotlin Ft.”Ft, X Ft.” —t Ft.Ft. & [op Y* Ft. Setback to Lotline ___ SetbacktoRightofWay^^g^HC‘^^ ^ ’ Setback to Right of Way 'Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield___ - ^ Setback to BluffMaximum Prooosed Heiaht 3^3 FT ... _ ........ Maximum Proposed HeightRoof Change ( ) Yes (t')No ur Basement! )Yes (^No / ^(Change ( )Yes ( ) No Walkout Basement! )Yes (side profile required) ( ^no I < '^es ( ) No Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project7Lotllnes/Right-of-ways Must be Staked Onsite Prior to Appiication / inspection Ft.&Ft.”Ft.&Ft.” Ft.”Ft.”Setback to Ordinary High Water Level ______ Elevation Above Ordinary High Water Level 33 Setback to Septic Tank /OO Y~ Setback to Drainfield IHOT- Ft, Setback to Bluff .7/A- Ft^ Total Bedrooms vP Ft.Ft. Ft. Ft.Ft. Ft.Ft. Ft,Ft. Ft.Ft. ( ) Screen Porch ( ) Storage Structure Tyoqraphical Alteration / Earthmovlnq jl^None □ 20 Cubic Yards or Less ‘ ‘ Must include on scale drawing, additional Permit may be required.□ 21 Cubic Yards - 299 Cubic Yards‘□ 300 Cubic Yards or More‘ CHARACTERISTICS OF LOT; Bluff ( )Yes (^‘iljoLot Area _ Sq. FT Water Frontage jy/s'p-.rotai Impervious Surface Onsite (FTr) .Ft. . /.?.rpr3ya<-/‘ Total Lot Area (FT»)Impervious Surface Ratio:X100 =.% 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 Management office once the buiiding footings have been constructed. Date: Signature Owner / Agent for Owner Mm IlMKJDate: Land & PROJECT(S) TOTAL SQ.FT.PERMIT FEE RECEIPT NO. p3l/u£tynM^)Comments: Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota lo/k>/^iWHITE ^^ffice , GOLDENROD - 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 Permit No.^^"/ jO ^ /~TPLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVEFt CLASSLAKE / RIVER NO.KE/RIVER NAMEI y"TWP NO. I .^NGE ^TWP NAMESECTIONL-' LIS^ \ 2^ Kofk(3>-ay PROPERTY (E-911) ADDRESS,;/"PARCEL NUMBER (S) S3000 S3c<99 Q23^Pop ^ S'3^€?0^ fio(6>BOOO LEGAL DESCRIPTIONV OOcJg rctSS F^t j£>ro:3 '^Yooc/ yZ i/’oi/rJr y Y Last Name Initial Mailing Address Daytime Phone No. vj %r Jsiyvl Property Owner y?-rrf>/Tc^'f! ML- -/rContractor Name Lie. # y /res 3T- L- t^ONSITE WATER SUPPLY Individual ( ) Public ( ) None riioTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MH/YR (7) Add’n To Non-Dwelling (10 ) Non-Conf. Replacement (identify) (11 ))0ther (identifvl 'Existing Dwelling to be removed prior to ONSITE SEWAGE TREATMENT SYSTEM(2) Add'n to Dwelling (5) RCU/Year______ (8) Storage Structure (3) ‘Replacement Dwelling (6) Attached I Detached Garage (9) W.O.A.S. (. ) Permit No. ( ) OTWMD 'Must have Sewage System Approvat from OTWMD prior to issuing Site Permit. Contact Rotlie Mann at 218-864-5533daL' n Wz nT~T 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 < ''•Fl** ^ . Setback to Ordinary High Water Level 3?(3 ^ Elevation Above Ordinary High Water Level 3 Setback to Septic Tank 7^ Ft. Setback to Drainfield JFt. Setback to Bluff Y'/f Ft.^ Total Bedrooms -3 . Maximum Proposed Height 033 kC Roof Change ( ) Yes ( ^^No lY Basemenf ( )Yes ( ^No Walkout Basement ( ) Yes (side profile required) ( CHARACTERISTICS OF PROPOSED NON-DWELLING Outside DimensionFt. X S3*’ dr Ft. X Ft."Ft."Ft. X Ft." Sq. Ft. Setback to Lotline ___ Setback to Right of Way ' Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No /oor Sq. Ft.________ Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff _____ Maximum Proposed Height ( ) Boathouse ( ) Gazebo "Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft.”Ft.&Ft.”Ft.&Ft." Ft.”Ft." Ft.FT Ft. Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovlnq 3 None * Must include on scale drawing, additional Permit may be required.□ 20 Cubic Yards or Less *□ 21 Cubic Yards • 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Bluff ( )Yes (^Nof. Sq. Ft:Lot Area.Water Frontage .Ft. ,/J.r I3.S'jq.yy Q y ' Total Lot Area (FT2)Impervious Surface Ratio:X100 =.%ifetaf Impervious Surface Onsite (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 shail 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 building footings have been constructed. Date: Signature of Property Owner/Agent for Owner \yiaclyiynyyDate: Land & Resource Management Office PERMIT FEE $PROJECT(S) TOTAL SQ. FT..RECEIPT NO. Y (y'(yyy^iUyiy/lAyj \V"/ A T" /6Comments: / yl r7\ Form No. BK — 1003-0407 329.582 • Victor Lundeen Co., Printers • Fergus Falls. Minnesol SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations t4-Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. 106 +Structure Set Back from Road Right of Way Ft.Ft. Structure Set Back from Lot Lines Ft. &Ft.Ft. &Ft. Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Drainfield Ft. Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: 2^\laM cm LK t /V?'V / >(r t I -V \ f dm0<t> <3 Inspector’s SI tre Date of Inspection Time of Inspection ''"''^^^mject Approved^^~^ ^ Date/Initial WHITE - Office GOLDENROD - Inspector YELLO\/V - 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. , ^tME/RIVEf^ ACTION IWPL' CLASS ^ y(K ^ ^■KmGE NAMELAKE / RIVER NO.E/RIVER NAME NO. US'&D ^ -1>ROPERTY (E-911) ADDRESSPARCEL NUMBER (S)S30O0^7033, lOoo ^20ooq.C>0 O S30oo<i<f<0239^^0__________________<yg^ tXLEGAL DESCRIPTION i fTGL\kuTS 3i-k SnoJ^racs t>raiSi\/MCi Q First Initial '7~3i Last Name Mailing Address Daytime Phone No. O-rTr^^ Tor: ( , /l/f.V S'<3S~1 7 Property Owner SJ-h iTe^cfContractor Name Lie. It ^ Ir PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4 ) MH/YR (7) Add’n To Non-Dwelling 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(2) Add’n to Dwelling ( 5) RCU/Year______ ( 8) Storage Structure ( 3) 'Replacement Dwelling (6) Attached / Detached Garage ( 9) W.O.A.S.(X)Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issumg Site Permit. CormetPoUie Mann at 218-864-5533 CHARACTERISTICS OF PROpdsED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) (10) Non-Conf. Replacement (identify) _____,_________________.^Other(identitvl Cj3o'<1 'Existing Dwelling to be removed prior to. CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside DimensionSq. Ft. 321^ ^ . ly Sq. Ft. Setback to Lotline------------^ Ft. & ‘ .2— Ft. Setback to Lotline ___ setback to Right of way ^ setback to Right of Way Setback to Ordinary High Water Level C> <^Tt. , Elevation Above Ordinary High Water Level ^3 LfX Ordinary High Water Level — Setback to Septic Tank -7^ Ft. iX" Elevation Above Ordinary High Water Level Setback to Drainfield /OC> V-^t. Setback to Septic Tank__ Setback to Bluff /2>4 Setback to Drainfield Total Bedrooms Setback to Bluff Maximum Proposed Height fl ... „ ■ u.° ^ Maximum Proposed Height Roof Change ( ) Yes No)Yes (^0 ^ /^of Change ( )Yes ( ) No Walkout Basement ( ffes (side prohle required) ( bathroom Proposed ( )Yes ( ) No CHARACTERISTICS OF PROPOSED NON-DWELLING Outside DimensionFt"Outside DimensionFt. X Ft." Ft. x Ft." Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff_____ Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft. Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft. Basement (( ) Screen Porch ( ) Storage Structure **Project/Lotllnes/^ht-of-ways Must be Staked Onsite Prior to Application / Inspection Topographical Alteration / Earthmovina None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards* * Must include on scale drawing, additional Permit may be required.□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Bhjtt ( ()^Na31 Xc,Sq. Ft.Lot Area.Water Frontage .Ft. 131&33. y Total Lot Area^FT^)Total Imperious Surface Onsite (FT') . /S.SImpervious Surface Ratio:X100 =.%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 of^e once the building footings have been constructed. Date; Signature of Pro .Ovtmef^Kgent tor Owner Date: Land & Pesou) PR0JECT(S) TOTAL SQ. FT.,PERMIT FEE RECEIPT NO. Form No. BK — 1003-0407 329,562 • Victor Lundeen Co., Printers ■ Fergus Falls, Minnesota s: WHITE- (Wice^ GOLDENROD - 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 NO.j^KE/RIVER NAME . LAKE/RIVER, SECTION TW 'CLASS ^ . £-^PNO.RANGE TWPNAMEL-'- US' UfkD ’ROPERTY (p-911) ADDRESS VJOT Vv3W LEGAL DESCRIPTION / ^ SfloJt^ rcYiSo Mailing Addr^sLast Name First Initial Daytime Phone No. S(=lTeh/ia Irfimrj '7'h Or-rrr^ T2v; /, /l/l^ S^S~~> 7 Property Owner V Jr° kJes /Contractor Name i s Lie.# r -Te*^ cf o -ONSITE WATER SUPPLY Individual ( ) Public ( ) None -NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling (5 ) RCUA'ear______ (8) Storage Structure ONSITE SEWAGE TREATMENT SYSTEM ( :<) Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rottie Mann at 218-864-5533 (1 ) New Dwelling (4 ) MH/YR (7) Add'n To Non-Dwelling (10 ) Non-Cont, Replacement (identify) (ft 1) Other fidentifyl ______ 'Existing Dwelling to be removed prior to (3) ‘Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. Co'S'tf '^'“3 CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside DimenSioh 1 CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension Sq. Ft. Setback to Lotline ' Ft. & Setback to Right of Way ! 3'Q (pt)** Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level -3 f-flL Setback to Septic Tank Ft. Setback to Drainfield /PC' Y-Ft. Setback to Bluff Pfr"' Total Bedrooms Maximum Proposed Height Roof Change ( : ) Yes (y>^ No Basement ( )Yes ( ^No Walkout Basement ( ) Yes (side profile required) ( CHARACTERISTICS OF PROPOSED NON-DWELLING Outside DimensianY ■ ■-T '^1Ft.x Ft.”Ft. X j__^Ft."Ft.x Ft.” Sq. Ft. Setback to Lotline Setback to Right of Way ,v / Ft." Setback to Ordinary High Water Level __ Elevation Above Ordinary, Hlati Water Level ' '------ Ft. Setback to Septic Tank___L Setback to Drainfield____ * Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( i) No Bathroom Proposed ( ) Yes \ ( ) No fOO '^Ft.”I ,ft.”(^;Ft.& Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo _____ X.i,Storap Structure **Proiect/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft." Ft." Ft.Ft. Ft. Ft.Ft. Ft. a Ft.4-Ft.F^Ft. Ft.Ft.V ( ) Screen Porch Topographical Alteration / Earthmovina - Q None * Must include on scale drawing, additional Permit may be required.• □ ,300 Cubic Yar^s or More*1□ 20 Cubic Yards or Less *□ 21 Cubic Yards - 299 Cubic Yards' !... .' ..'w s.,\CHARACTERISTICS OF LOT:i-Ft.- '--Bltlfn—nBT-f)^No L- 'Lot Area _ Sq. Ft. Impervious Surface Ratio: / . ' Water Frontage L^/-2 /s? <-j w US'1X100 =.To Total Lot Area (FTOTotal Impervious Surface Onsite (FTs)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 building footings have been constructed. Date: -y- Signature of Property Owner '/ Agent for Owner //.■ /O.3 r (.Date:A.)I ^Land & Resource Management Off^ p ^I ^ j ^T'TERMIT FEE $ ^PROJECT(S) TOTAL SQ. FT._RECEIPT NOa ///^ S/SS)- '' 3T ^ 7 / / 7— '■) AComments: V ■ /.■' iForm No. BK — 1003-0407 329,582 ■ Victor Lundeen Co., Printers • Fergus Falls, Minnesota r i 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. /ocr^Structure Set Back from Road Right of Way Ft.Ft. 5brVStructure Set Back from Lot Lines Ft.&Ft.Ft.&Ft. IS'^Structure Height Ft.Ft. /C>Structure Set Back from Septic Tank Ft.Ft. ao-Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% n.C.vvInspector’s Comments / Sketch: N/<V\ < i 2V-J? Inspector’s Sign Date of Inspection ^T A?. Time of Inspection Project Approved Date/Initial SCALE BEARlt KCD aooN JXOO 5 r~“Uj o V:>-Co■<'C 3:Pi i\/■ fN 5K ;0:O 1■-J ,\u.ioK.AiI&>.vO'Lu As-J o ,\CJ5 ,1U.V-i ii ,io\Ct c>Uj #I1>- I-j fGARY LER GRIMMIk-fcy IICLK1K>ICo LotIoS>recoCorISulISutII li S 89‘57‘OO‘E 174.00 All%We.o as-J Cu r' 'ri 5;C5a.e>a: I dCotl3jccnuaorrUi $cC-J RLA mCE FENCE ENCLOSING\tDUMPSTERCC aCo3)V.o»-s' oj ii 3:c%c1898e5cu.4ofACCESS APPROACHUjCD R CcJ f*0 L cu ■Is1 oo f- >o!C<\o<y>Sto- o StCO Oi ut > \ ,3:R:Qc cV-i?Q Ei2:C:c;V.> oopp Ito5 o, ' ui 4 1<o3 *~o a rt P H A L a M R cCD Olp J<y> <4 / c8£ oc/> ” ^ - uC h- I ILU h- r* <f- (/) ul l_'_l APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELL O W - Owner (after issue) PINK - Assessor 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 Permit No.PLEASE PRINT OR TYPE ALL INFORMATION SECTION TWPNO.RANGE TWP NAMELAKE/RIVER CLASSLAKE / RIVER NO.LAKEVRIVER NAME S 141 uaYs-^'P.LcSh13^5 3^D 6) Co PROPERTY (E-911) ADDRESSP^C^^ER^S^ ^ Jj ooo ^><301 (ch3oc>o LaKg Loop LEGAL DESCRIPTION Ld-V*^ 3^^ 'S>no<d,qra.S^ '1£>ras<3ujooc:j G^roog Daytime Phone No.Mailing AddressInitialLast Name First 3S>o8u> Loop ' l "~T>\<gr(3£. c< Property Owner > Pnt\ 3>q^~/l cxtf ^s<3\oesContractor Name Lie.# v*^ Permit No.___Q ONSITE SEWAGE ^ TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling {5) RCU/Year_____ (7) Add’n To Non-Dwelling ( 8) Storage Structure (lOjNon-Conf. Replacement (identify)(flTj5)ther fidentifvl rtP>-0 __________ •Existing Dwelling to be removed prior to_________ onsite;water supply (l^dfi^idual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (3) ‘Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (t) New Dwelling (4) MH/YR____ ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533-f'0uu\c5k04;\ on CCJLt>'<N CHARACTERISTICS OF PROPOSED W.O.A.S.(WATER Rented accessory structure) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Ft. X Ft.**Ft.x ^ Ft.**Outside Dimension Sq. Ft..^3^^ Setback to Lotline f ^ Ft. & Setback to Right of Way c3oQ‘ Ft." Ft.”Ft. x Sq. Ft. \ Setback to Lotline \ Setback to Right of Way Setback to Ordinary High Wate?\evel __ Elevation Above Ordinary High WateS,evel Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No ^ Ft."Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level \_ Elevation Above Ordinary High Water Le([el Setback to Septic Tank Setback to Drainfield _ Ft.&Ft."'t.&Ft.** Ft.**^ Ft.Ft.**Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level 3 Setback to Septic Tank '~10 * Ft. Ft.Ft. Ft. Ft.Ft Ft.Setback to Drainfield ~10 Ft.Ft. Setback to Bluff — Total Bedrooms Maximum Proposed Height 3 ^ Ft. Roof Change ( ) Yes ( '-jl ) No Basement ( ) Yes ( y) No Walkout Basement ( ) Yes (sideprofile required) ( Y) No Ft.Ft.Ft. Ft.Ft.Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthtnoving □ 20 Cubic Yards or Less * ^y*None □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Bluff ( )Yes ( )No.Ft.Sq. Ft. ( 1 VO ^ Water FrontageLot Area. T I i3 S'« 13^-Impervious Surface Ratio:.%X100 =Impervious Surface RatioTotal Lot Area (FTr)Total Impervious Surface Onsite (FT') THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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 Ordinance^. I understand that it is my responsibility to infori Rffiource Managerrtem onice once the building footings have been constructed..ai q-s-olDate: SignfHvrB of Property Owner/Agent for mwner Larttf & Resource -71^=5=07 I^TAj/SQ.FT, f.^4 Date: PERMIT FEE $RECEIPT NO.PROJECT(S) co-bim <tt k‘(s-i f/oH ntfv/i- 0^0% 6 - CaJrtvt 2H0% tL.-Caiin* Comments: (oHOjlaA- iW— 1003-0407 2- Form No. B 329,582 • Victor Lundeen Co.. Printers • Fergus Fells, Minnesota 1 WHITE - Office GOLDENROD - Inspector APPLICATION FOR SITE PERMIT i A 1LAND & 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 YELLOW - Owner (after issuer PINK - Assessor i 'J M 0^1Permit No.PLEASE PRINT OR TYPE ALL INFORMATION 1TWP NAMETWP NO.RANGELAKE/RIVER CLASS SECTIONLAKE/RIVER NAMELAKE / RIVER NO. -3*^jI. ; PROPERTY (E-911) ADDRESSO ^ b-i OO o., C>3 OOO^'oOlfci^iOcf.O 1 .iKu,sl..y'\ L^T^e i odi.qras::, aS43L-oQoe\ G-r ooC::^___________ .,4 LEGAL DESCRIPTION I ■; iL_‘ H Daytime Phone No.Mailing AddressFirstInitialLast Name •J e 1 ^ 1 (T (- VTsa es, Ci. U:viqe. LoopProperty Owner \ct\ \ TT^, i\ ~7 i Contractor Name Lie.# qrtir.Cj Opt 1 : t-iO cl\(i TREATMENT SYSTEM |^ (l^) Permit No.irfq^0'-l4..[ ] ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rotiie Mann at 218-864-5533 1\HPROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dweiling ( 5) RCU/Year______ (8) Storage Structure ONSITE SEWAGEONSITE WATER SUPPLY ( L)-'lndividual ( ) Public ( ) None NOTE: MN Ruies Chpt. 4725 (MN Weii Code) requires a 3’ (minimum) structure setback to a well. i( 3) 'Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MH/YR (7) Add’n To Non-Dwelling (10) Non-Conf. Replacement (identify) .;'(pother (identify) 'Existing Dwelling to be removed prior to I \ ..\A\ <:'• o \ \ CaC' Hi CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) \ Ft.x CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension Sq. Ft..'; I : Setback to Lotline i Setback to Right of Way Ft." Setback to Ordinary High Water Level '-•^13 Ft. Elevation Above Ordinary High Water Level ______Ft. Setback to Septic Tank ■ Ft. Setback to Drainfield ~1 O" Ft. Setback to Bluff Ft. Total Bedrooms Maximum Proposed Height •-.-x ^ Ft. Roof Change ( ) Yes (>) No Basement ( ) Yes ( -.^) No Walkout Basement ( ) Yes (side proliie required) ( V) No Outside DimensionFt.x Ft.”Ft. X Ft."Ft." ;, '-1 Sq. Ft. Setback to Lotline Setback to Right of Way Setback to Ordinary High WatePL^el __ Elevation Above Ordinary High WatehLevel Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Ft. & 3^ ^ Ft."Sq.Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level \ Elevation Above Ordinary High Water Leyel Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Pro|ect/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft."Ft.&R&Ft." Ft."Ft."\Ft.Ft. Ft. Ft.Ft. Ft.Ft. Ft.Ft.4Ft.Ft. ( ) Screen Porch ( ) Storage Structure -! ' Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina I None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards'a 1□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: Sq. Ft.Bluff ( )Yes ( )NoFt.Water FrontageLot Area, 1 ' I3^-L i cy.L--'_—rImpervious Surface Ratio:X100 =.%1Impenrious Surface RatioTotal Impervious Surface Onsite (FT*)Total Lot Area (FTz) 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 I 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 Management office once the buiiding footings have been constructed. 3 -o'7Date;i ..4 Signature of Property Owner/Agent forpwner IifGiDate:■ ‘7’^5hpnagffnent Oificet^Land & Resource 1*^1PROJECT(S)foTAL SQ. FT.TSLLU PERMIT FEE $RECEIPT NO..:i1 .iComments: jr y r r;. /G75 V II.'- (Vi! S. i'i hG ip 'T f-i offwL{fC(ir\r;VOi ; r>( LT Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Palls, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations ^ kk <7^2. 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 / oO'h Ft.Ft. Structure Set Back from Lot Lines Ft.&Ft.Ft. Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site % % Inspector’s Comments / Sketch: ^3 -o y-5^------ Inspector’s Sigrmire Time of Inspection p/^oject Approved ^^ ^ Date/Initial Date of Inspection WHITE - Office GOLDENROD - 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 i'io% 6Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMETWPNO.RANGELAKE/RIVER CLASS SECTIONLAKE/RIVER NAMELAKE / RIVER NO. Ip £> PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) ^<5 G oo o a UjUAe Loop LEGAL DESCRIPTION 3»-14 'Snodiqrass> QroogL£>Vt> Daytime Phone No.Mailing AddressFirst InitialLast Name Q-\-^rf\OL- \/dgs\pLj G\ 3 g l-Vtgrv^Lx ^ V\presc<<3Wg'L-Val\\ lfV\r\ 1 Property Owner ddm QUftSP\Q<^.SContractor Name Lie.#5 n\oONSW'E WATER SUPPLY (individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling ( 5 ) RCU/Year______ (8) Storage Structure ONSITE SEWAGE TRE/^ENT SYSTEM (t«<Permit No. ^ ^ * ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 it' ( 3) "Replacement Dwelling (6 ) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MHA'R (7 ) Add’n To Non-Dwelling 11 (10) Non-Conf. Replacement (identify)(((lather (irientifyi cocYii f\ In rYv^oeOacT; t ('va?M/-frv) Y>Aa4ton"Existing Dwelling to be removed prior to CHARACTERISTICS OF PROPOSED W.O.A.S. (W^R ORIENTED ACCESSORY STRUCTURE)lARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension «o?OiO Ft. x Ft." Sq. Ft,>5.3ft* Setback to Lotline Setback to Right of Way Ft."" Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level .3 Setback to Septic Tank '70'^ Ft. Setback to Drainfield ~TO Ft. Setback to Bluff__7 Total Bedrooms ^ Maximum Proposed Height iQ Ft. Roof Change ( ) Yes (yi) No Basement ( ) Yes ( )^) No Walkout Basement ( ) Yes (side profile required) ( ^) No Outshte Dimensi Outside DimensionFt.""Ft. X Ft. X Ft.*" Sq. Ft. \ Setback to LothSe ___ Setback to Right otVtay Setback to Ordinary HigN^ater Level __ Elevation Above Ordinary Hito Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No \s6 Ft.&goo^Sq. Ft.________\ Setback to Lotline \ Setback to Right of Way Setback to Ordinary High Welter Level __ Elevation Above Ordinary High W^ter Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotllnes/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection Ft."Ft."Ft.&Ft.**Ft.& Ft.**Ft.*" Ft.Ft.Ft. Ft. Ft.3. Ft.Ft> Ft. Ft.Ft. Ft.Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina □ 20 Cubic Yards or Less * ^^ne □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Bluff ( ) Yes ( ) NoWater Frontage Ft.Lot Area. > i 3 5iImpervious Surface Ratio:X100 =.% Impen/ious Surface RatioTotal Impervious Surface Onsite (FT^)Total Lot Area (FTr) 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 conforirMn-^l 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 urce Managemem office once the buiiding footings have been constructed.Land & Signature^ property Owner / Agent for Owner Date: Date:_______ PROJECT(S)^L SQ.FT., Comments:_____________ & Resource Management mnmiRECEIPT NO.PERMIT FEE $ _____________________________^.............................................................................................................................................................. ^ ffO CuMuriS iO 'frptl OH-wu- t Form No. BK — 1003-0407 329,562 • Victor Lundeen Co.. Printers • Fergus Falls, Minnesota WHITE - Ofifce GOLDENROD - Inspector ’ APPLICATION FOR SITE PERMIT L-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 YELLOW - Owner (after Issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION i .JRANGE TWP NAMESECTIONTWP NO.LAKE/RIVER NAME LAKE/RIVER CLASSLAKE / RIVER NO.;[ O ^ " 1 H\JD I i PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) ^ 5 iO:! ' LEGAL DESCRIPTION V-Q.V'-nC Loopt 11I ^ ___________________________________ I--\-U.,;n I£iDaytime Phone No.Initial Mailing AddressFirstLast Name "oVSCo WsLtSirv Uxpp CyWei^CLW 0W:>0~| ) Property Owner C'.ct oat j-r'FTContractor Name Lie.# i >10 cH \ -t t»» fp PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling (5 ) RCU/Year______ (8) Storage Structure 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 1 (3) 'Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MHA'R (7) Add'n To Non-Dwelling (10) Non-Conf. Replacement (identify) -L 1(L^)'' Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Roltie Mann at 218-864-5533(n a\'A rf',rvo€ LX<(r. ( 'tlC .aaJ fno V \ a g 4-t o n )(ill)Other (identify) i .' •Existing Dwelling to be removed prior to. ( CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension fcHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimens CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension je Sq.Ft.N-. . Setback to Lotline i Ft. & ^QQ ^ Ft.” Setback to Right of Way "-'‘■zki Ft.” Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level 3 Ft. Setback to Septic Tank 7-' Ft. Setback to Drainfield ~10 Ft. Setback to Bluff i**" Ft. Total Bedrooms Maximum Proposed Height 3* Ft. Roof Change ( ) Yes (Y) No Basement ( ) Yes ( M No Walkout Basement ( ) Yes (side profile required) ( y.) No .vO Ft. X Ft.”Ft. X Ft.”tojv_^Ft.”Ft. X \Sq. Ft. Setback to Lotlihq___ Setback to Right of Way Setback to Ordinary High.^ater Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No 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 \Ft.&Ft.”Ft.&Ft.” Ft.”Ft.**1\Ft.■; Ft. Ft.Ft. Ft.Xt-\Ft> Ft. Ft.Ft.Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotllnes/Right-of-ways Must be Staked Onsite Prior to Application / Inspection 'iFt.1Ft. ( ) Screen Porch ( ) Storage Structure _i 1 * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina LL.None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards* CHARACTERISTICS OF LOT: □ 300 Cubic Yards or More* Ho'1 .Ft.Bluff ( )Yes ( )No ■1^5 Sq. Ft:Water FrontageLot Area. I-=•iImpervious Surface Ratio:X100 =.%Totai Lot Area (FT!)Impen/ious Surface RatioTotal Impervious Surface Onsite (FT!) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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 Management office once the buiiding footings have been constructed. o'l/■> 1-Date: Signature of Property Owner/Agent for Owner ■■ 'I>y-0 i7 Date: PR0JECT(S) ^TaV sq. ft. f ^ I ^Land & Resource Mana^ment Offjpe.X t»Ul!('(7PERMIT FEE $RECEIPT NO. Comments: 1 f>( n 7, (tj (j?((sl 'fV 0''‘I 0f-( I—^\y0 v>(! v\c(X-.(eQ . ,4- — f (; t 1 H S'----^ f, - (0 i I i f!4'-■a v: 329,582 • Victor Lundeen Co., Printers • Fergus Falls, Mlnnesota*^^Form No. BK — 1003-0407 .-J SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations 3J'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 f OO Ft. Ft. Ft. &Structure Set Back from Lot Lines Ft.Ft.&Ft. g? !(.Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft./o A 7^^Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft.7^ Land Slope at Building Site %% Inspector’s Comments/Sketch: To 77 ' c Inspector's Signature Date of Inspection / 4^^ Time of Inspection l^roject Approved WHITE - Office APPLICATION FOR SITE PERMIT GOLDENROD - Inspector ‘ YELLOW - Owner (after issue) PINK - Assessor 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 Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NO.RANGE TWP NAMELAKE/RIVER CLASS SECTIONLAKE/RIVER NAMELAKE / RIVER NO. rLoi'4l )2>^ PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) ^■^3000^ q Q _____________________ LEG^ DESCRIPTION ^r\oc^ro3^ <&rooe Daytime Phone No.Mailing AddressFirst InitialLast Name ^ W\A-t^rY\Q \A.Iq^\PL| Gri \-V-pmo Ot 3UU-{/n4 0Property Owner X nLjfrSPVOt^"^Contractor Name Lie.# ONSITE SEWAGE r^'^ TREATMENT SYSTEM(L/<^rmit No. ^ *1 ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling ( 5 ) RCU/Year_____ (7) Add’n To Non-Dwelling (8 ) Storage Structure (10 ) Non-Conf. Replacement (identify)_____________4li^ther(identify) FALfiiC\ ^ ^l^ing Dwelling to be removed prior to_____________ ONSITp^ATER SUPPLY (Lfindividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well . Code) requires a 3’ (minimum) structure/-WiW (3 ) 'Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MHA-R____I « » CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Out^e Dimehsion CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension Ft. x Sq. Ft. Setback to Lotline Setback to Right of Way Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level 3 Setback to Septic Tank ~~70'^ Setback to Drainfield ~~10 Setback to Bluff__T Total BedroomsMaximum Proposed Height ^3 Roof Change ( ) Yes ( T-) No Basement ( ) Yes (A ) No Walkout Basement ( ) Yes (side profile required) ( ’y) No 2b»3 Ft."Ft. XFt."Ft."Ft. X Sq. Ft. Setback t^otline ___ Setback to Ri^of Way Setback to Ordina^High Water Level __ Elevation Above Ordinatv High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No 10o^fl&j2^Sq. Ft. X. Setback to Lotline^ Setback to Right of Way^X Setback to Ordinary High WaterX^I __ Elevation Above Ordinary High Water Lfev^ Setback to Septic Tank Setback to Drainfield___ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft."Ft.&Ft."Ft."Ft.& Ft."Ft."Ft.Ft.Ft.Ft. Ft.Ft. Ft.Ft.Ft. Ft.Ft.Ft. Ft.Ft.Ft. Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovinq □ 20 Cubic Yards or Less *□ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More*lone HARACTERISTICS OF LOT: *P**^ /ycso HQl Bluff ( ) Yes ( ) NoWater Frontage .Ft.Lot Area..Ft. Ii n - USImpervious Surface Ratio:.%X 100 =Impervious Surface RatioTotai impervious Surface Onsite (FT')Totai Lot Area (FT') THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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 Tali County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform R^ource Management office once the building footings have been constructed.,ai q^-o~7 tko/U/viA Sian^urd of Property Owner / Agent fcf^^ner Date: Land Resource M^^^ent Ci ^1Date: PROJECT(S)j^^ SQ. FT.,& / ^mlimPERMIT FEE $RECEIPT NO. \/cLv'ia.tace ^iQrO I , ^Comments: Form No. BK — 1003-0407 329,562 * Victor Lundeen Co., Printers * Fergus Falls, Minnesota WHITE - Office GOLDENROD - Inspector . 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 YELLOW - Owner (after issue) PINK - Assessor 1 i ■ •'? Permit No.PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWP NAMELAKE/RIVER CLASS SECTION TWP NO.LAKE/RIVER NAMELAKE / RIVER NO.L! PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) Q 0 3?;gC00 -1 3.N33c)b R-u3t\ IrM^eVOQp od G f o oc' t'' LEGAL DESCRIPTION >rxoclqrac;3U<c:L3\'.13^' 1 Daytime Phone No.First Initial Mailing AddressLast Name \ O \\ PW.O ~qivPt^S Ct Property Owner fYAC>^\r\ -Vcl \ V 0 ^ ~11V (''\c\i'mj c^xiispv Ot":.Contractor Name Lie.#1 ^ItTcRTTnPROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling ( 5) RCU/Year______ (8) Storage Structure ONSITE SEWAGE , ,, TREATMENT SYSTEM ♦-^AliOpt-^ ONSITE WATER SUPPLY ('-f Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure |et^ack to a well. (3) ’Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MHA-R (7) Add'n To Non-Dwelling (10) Non-Conf, Replacement (identify)__________ i'( 11 ),Other (identifvl 1 . i, , : i'’ <- 3 'Existing Dwelling to be removed prior to_________ ;■ t -j I * *L3 Permit No. ( ) OTWMD ‘Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Roliie Mann at 218-864-5533 I / CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension CHARACTERISTICS OF PROPOSED DWELUNG (Must Include Attached Garage)Outside DimensionFt.x Ft."Ft. XOutside Dimension /wP., -Ft.”Ft. X Ft." Sq. Ft. -C- C«-Sq. Ft. Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__( Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Ft. & 050'^ Ft."Sq. Ft. Setback to Lotline"'- Setback to Right of Way \ Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Lev^ Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **ProJect/Lotllnes/Right-of-ways Must be Staked Onsite Prior to Application / Inspection \ixySetback to Lotline Setback to Right of Way ' Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level - Setback to Septic Tank ~~?0 Ft. Setback to Drainfield "TO __Ft. Ft."Ft.&Ft."Ft.& Ft." _Ft.Ft."■IFt.Ft.Ft. ■ Ft. J ■ .i Ft.Ft. Ft.Setback to Bluff________ Total Bedrooms -cSi Maximum Proposed Height Roof Change ( ) Yes ( T ) No Basement ( ) Yes (A ) No Walkout Basement ( ) Yes (side profile required) ( y) No \ Ft.Ft. Ft. Ft.Ft.'lit. Ft. ;( ) Screen Porch ( ) Storage Structure 1 :* Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovinq O. None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* /CHARACTERISTICS OF LOT: Bluff ( ) Yes ( ) No =________• I yT. S’ Sq. Ft..Ft.Lot Area.Water Frontage -n \o*.iImpervious Surface Ratio:X100 =Impervious Surface RatioTotal Impenrious Surface Onsite (FT^)Total Lot Area (FT^) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify thaf 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 Management office once the buiiding footings have been constructed. • t-,1Date: ISignature of Property Owner / Agent ^ Ownerr' LADate: Land S Resource Management Qtgce, .rr 1u 4-PR0JECT(S)TOr4 SQ. FT../jM2isiyPERMIT FEE $RECEIPT NO. ■*4LiJ IComments: ({ f-) jH S H 3s ' ^ 1 Q({ ^ L-,\'o ^ u \ f f777t +3 )H0%i')Mil 3 slowForm No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls, Minne SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Cj^Sl 'Structure Set Back from Ordinary High Water Levei Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way 3^0 A Ft.Ft. 5^/~Ft.&^^ Ft.Structure Set Back from Lot Lines Ft.&Ft. Structure Height Ft.Ft. /o AStructure Set Back from Septic Tank Ft.Ft. Ft.Structure Set Back from Drainfield Ft. Elevation Of Lowest Floor Above Ordinary High Water Level __________2/Ft.Ft. Land Slope at Building Site %% Inspectors Comments / Sketch: Zo mtt- . I 7 Date of Inspection / Time of Inspection ^pfi^roject Approved Date/Initial I IDOCUkeHT NO. 33iJ^64?ntIoWCWfSS * tofiess EA5Dil€Nrv-i S 89- 57' 00~ E 174.00 ^ SS'jg’dN"■.. SOUTH ■ ■■13.05JJ.09 ReSOTVATlON FON ACCFSS,f 174..*5n6?. TO 74. J}S St O0'f auMN'O s arse'29.9 ~-J ?5."is-cT ~2<J25.8Uj mh 20.2IiC►1■.■< CABIN 9Q,«^ CAB94 a i !ACc 7\ BLOCK WALL FNaOStNC%045 BA/iNFL 5 r 2.90 ACRES ~h/-LATTICE FENCE ENCLOSINGDUMPSTER UTX> ty oT »-y oi §5 >8985 bis 4CCfSS APPROACH i:u c>u ■? to Is <3ii•O hio o- o t *■ f/ T . .0 ff/V 00O) AIT) 1 0 5 ^ ti «>«• ^ 5 ■? .«>■ nO ti ■«? ■' 0 r J.S h oOl oi<J)i :3 OU) i i { record RCar/ng s as-39' 45’E)monument IN'v''I i :d U- h- ► 5) ct:o(/);i I r. ■or;LiJ A; > aw :ijj' CDt-_ \ Wr/4 CORNER ,I s I 4 J j?. i !i • •, .,! ■I P' 1 1i 1 1 t WHITE - Office GOLOENnOD - Inspector APPLICATION FOR SITE PERMITI 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 YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWP NAMELAKE/RIVER CLASS SECTION TWP NO.UVKE/RIVER NAMELAKE! RIVER NO. PROPERTY (E-911) ADDRESS 3S^oBco Ua-Kg UX)p LEGAL DESCRIPTION Snoci9rc>.ss'EjxssLOooct SraoeLcrV'b Daytime Phone No.First Initial Mailing AddressLast Name l^u3K LcxKg. L.OO p Ci'V\-e i j-cCi i NViPt 1 i J tdCa, q 2H(<jHoO40Property Owner \k\^ nc^ <r\n\rvci-Vh-pfjjQt ^ Jg \ OPS ^ Contractor Name Lie.# ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCUAear_____ (3 ) 'Replacement Dwelling (6 ) Detached Garage (9) W.O.A.S. moved before (1) New Dwelling (4) MH/YR____ Permit No. t^K ^ • /^g^2•n73^ ( ) OTWMD 'Musi have Sewage Sysfem Approval from OTWMD prior to issuing Site Permit. Contact Rottie Mann at 218-864-5533 ( 7) Add'n To Non-Dwelling ( 8 ) Storage Structure t^CHARACTERISlKS OF PROPOSED OWELUNG (^HARACTERISOCSOF PROPOSE Outside . Dimension Ft. x Sq. Ft. Setback to Lotline Setback to Right of Way oiOC? Ft." CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension DWELLING Outside _Dimension 31a iLo Ft. x I Ifi iH Ft." Sq. Ft. Setback to Lotline Ft. & l>50 Ft." Setback to Right of Way QOft Ft." , Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level M~ Setback to Septic Tank Ft. Setback to Drainfield c^OO_ pt. Setback to Bluff Total Bedrooms .. 3 Ft." Ft. X Ft." Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield___ Setback to Bluff_______ Maximum Proposed Height Wl^athouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Pridrlb Application / Inspection 180oiCXDFt.&Ft."Ft.&Ft." Ft."35Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level M- <5Q6 Ft. Ft. Ft. Ft.Ft. Setback to Septic Tank Setback to Drainfield <^OCO Ft. Ft. Maximum Propossi^eight «50 Ft. Roof Change ( ) Yes ('»() No Basement ( ) Yes () No Walkout Basement ( ) Yes (side profile required) ( No Ft. Setback to Bluff Ft. Maximum Proposed Height g50 Ft.Ft. Ft. Roof Change ( ) Yes (^ ) No M ( ) Screen Porch ( ) Storage StructureBathroom PfaBQSB*^ iJroo f >iMrr~'OF e>ft 1 ant-of-wavs M □ 21 Cubic Yards - 299 Cubic Yards* Topographical Alteration / Earthmovinq ^ None CHARACTERISTICS OF LOT: ‘ Must include on scale drawing, additional Permit may be required.□ 20 Cubic Yards or Less '□ 300 Cubic Yards or More* 1 Bluff ( )Yes (X)No > 13^ Sq. Ft. I ~7 >I3 ^ Ft.Lot Area.Water Frontage 13impervious Surface Rafio:X100 =.% Total Impervious Surface Onsite (FT')Total Lot Area (FTr)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 fhe 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 infoEifithe LaritK& F^source Management office once the building footings have been constructed. 'ADate:f S(gna\iJre of Property Owner/A for Owner^k/d62Date: Lana & Resource Management Q^ice PERMIT FEE $PROJECT(S)TOTAL SQ. FT..RECEIPT NO. Comments: Oi /fUtJ \jmjfph4hiA gj (jDthrJL ^_________ TV)/f i/auddu/i,! /(Jmqj gji ■it r BK — 1003-0506orm 326,151 • Victor Lundeen Co.. Printers « Fergus Fails. Minnesota lol^joL WHITE - Office PPLICATION FOR SITE PERMIT o/CGOLDENROD - Inspector 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 YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION lake/riVer- CLASS TWP NAMESECTIONTWP NO.RANGELAKE/RIVER NAMELAKE / RIVER NO. (^Ojqi PROPERTY (E-911) ADDRESS iCxDOQicOl ^oicoO C_00^ LEGAL DESCRIPTION 3^ ^00^3^05^ 15c^S3u2occ\ QrooC Daytime Phone No.Mailing AddressFirstInitialLast Name 3c>^(gBLr7 LQ-KC Li^p Qi \ r ( 1 q I i OksS 11 •TjS v\ "Thefe^Ct "LoOHoProperty Owner"P- IT 4 iAn\(-Yi -\\\eContractor Name Lie.# ONSITE SEWAGE TREATMENT SYSTEM (X^) Permit No. - ‘ i : '( ) OTWMD ‘Must have Sewage System Approval Irom OTWMD prior to issuing Site Permit. Contact Rotlie Mann at 218-864-5533 ONSITE WATER SUPPLY individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCU/Year_____ !f-)( 3) 'Replacement Dwelling ( 6 ) Detached Garage . ( 9 ) W.O.A.S. (1) New Dwelling (4) MHA'R____ 3' I 77^4- {7) Add'n To Non-Dwelling ( 8 ) Storage Structurea ,r.^ -M rJ fit 5^ ^^0) Other 'Existing Dwelling to be removed before (^CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension »''r ■' L [.CHARACTERISTICS OF PROPOSEDHl*W)WELUNG Outside , ,Dimension o<L?'Ft. x i O Ft." Sq. Ft. 4 ..X'O Setback to Lotline pt. & Setback to Right of Way 0?CO Setback to Ordinary Fligh Water Level /CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside DimensionFt.x t Ft." ..Ft. X Ft." Sq. Ft. -F - I Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Ft.& loO Ft."180Setback to Lotllne r-w- j. Setback to Right of Way Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank Ft. Setback to Drainfield Setback to Bluff Ft. Total Bedrooms Maximum Proposed Height <30 Ft. Roof Change ( ) Yes ( V) No Basement ( ) Yes (Y.) No Ft.”Ft."Ft.& Ft."Ft."3^t.t. Ft.Ft.H- Ft.Elevation Above Ordinary High Water Level Setback to Septic Tank oL.X-> pt. Setback to Drainfield f-joO Ft. Setback to Bluff Ki/ A Ft. Maximum Proposed Height CxO Ft. Roof Change ( ) Yes ()(,) No Bathroom-ftriiinimTTf* f¥sa-."f f'-Wir Walkout Basement ( ) Yes (side profile required) ( No (.( 11" f £ L.: K - I , **ProjectA.otlines/Right-of-ways Must be Staked Onsite Pri8fHo Application / Inspection Ft, Ft.Ft. Ft. Ft. Ft.Ma^mum Proposed Height llol^oathouse ( ) Gazebo ( ) Screen Porch ( ) Storage StructureI Topographical Alteration / Earthmovina (13 W ^ None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards* ' Must include on scale drawing, additional Permit may be required.□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: goo Bluff ( )Yes (X)NoFt.Sq. Ft.Water FrontageLot Area. 2'41 1 cA ^j..%X100 =Impervious Surface Ratio:Impervious Surface RatioTotal Lot Area (FT')Total Impervious Surface Onsite (FT') THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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 Management office once the buiiding footings have been constructed. 4(SDate; Signature of Property Owner / Agent for Owner i ----- Larfo & Resource Management pkee ^PERMIT FEE $ 33*'^" ^ Date; RECEIPT NO.PROJECT(S)TOTAL SQ.FT, I’hIk-tl. b ^ Ur A j'dt ..Aui'iiJuh . Z/lji y^jj Pii i.ifk) '■ (nj.HJt 6 U 'iunJComments: i^Ajycvi to —4! Form No. BK — 1003-0506 326,151 • Vidor Lundeen Co.. Printers • Fergus Falls. Minne SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations K ] (^ C*<t>criJ ■4- C/o<,0> rX 70-70 Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff -I-/OO'^Ft.Ft.Structure Set Back from Road Right of Way /oo too-Ft. & - Ft./oo~ Ft. & — Ft.Structure Set Back from Lot Lines izt Ft.Ft.Structure Height 4 Ft.Ft.Structure Set Back from Septic Tank /O i-Ft.Ft.Structure Set Back from Drainfield Zo Elevation Of Lowest Floor Above Ordinary High Water Level 3^3^Ft.Ft. RatLand Slope at Building Site %%FLAt~ Inspector’s Comments / Sketch: I >ll tu (y) too t. I Ji i % Inspector's Signature /£?/9/of. Date of Inspection Time of Inspection /0/9/of ^'^^^mject Approve Date / Initial r ' ^C£ FENCE ENCLoSnG ' ^SwPSTET? mj. HOUSELP 189.8 ACCESS APPROACH 21 !! 208.9\.i 64.4■± \ RESORT SIGN ^1 '! A- 0o Monument IN concrete ( record bearing 0 W£TES * BOL/N’DS DA YAKE L TV Partnership 'I I f I I I I f WHITE - Office APPLICATION FOR SITE PERMIT GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor 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 AUS 2 4 2005 psi IPLEASE PRINT OR TYPE ALL INFORMATION I v .(, iJ' di riC E Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME 39 LiXfSe^ o1 Rush LoKe 133 PARCEL NUMBER L£»p LEGAL DESCRIPTION PROPERTY (E-911) ADDRESS Lq-V3> 3jnQdp)ras>3 "^So^Lpood Groog Last Name First Initial Mailing Address Daytime Phone No. \ rv^ rv 3>l2;CS~~7 i J -g-Hp me y\p^-g c jProperty Owner _ 3^b 1^040 Av\Av \ t rContractor Name Lie.# \A\P OtflP 3-Wrstjf ONSITE SEWAG^® TREATMENT SYSJ^I^ ^ ^PROPOSED PROJECT (piease circle the appropriate number) (1 ) New Dwelling (4 ) MH/YR____ ONSITE WATER SUPPLY ( ) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a ------------------------r^wm MBDWELLING / ^^^d’n to Dwelling 4'»n*( 3 ) ’Replacement Dwelling ( 6 ) Detached Garage ( TJAdd’n To Non-Dwelling ( 8 ) Storage Structure (9 ) W.O.A.S. { ) Permit No. ( ) OTLSD * This permit is oniy valid after verification from the 0. T.LS.D. that a conforming sew age system will be installed to service this lot contact Roltie Mann at 864-5533. (5) RCU/Year. fore CHARACTERISTICS OF PROPOSED W.O.A.S. WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF, PROPOSED D]* Sq. Ft.-5~T Ip >098 > ,3 ~ Setback to Lotline i Ft. & \?SC:d Ft.” Setback to Right of Way Ft.” Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank 4 pt. Setback to Drainfield ~?0 Ft. Setback to Bluff ' Total Bedrooms Maximum Proposed Height Roof Change (X ) Yes ( ) No Basement ( ) Yes {K ) No Walkout Basement ( ) Yes (a ) No gHARACTERISTICS OF PROPOSED Oflside Bimension Sq. Ft. ^IH.5 Setback to Lotline ^0 Ft. & .^3~lO Setback to Right of Way \QQ Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank Ft. i Setback to Drainfield ^ Ft. Setback to Bluff Maximum Proposed Height Ft. Roof Change ( ) Yes (X ) No Outside Dimension >33-Ft.x Outsida^ DimensiiFt.”Ft.” Ft. X Ft.” So. Ft. \ Setback to LotiinX Setback to Right of Setback to Ordinary Higfv^ater Level Ft.&Ft.” Ft.” Ft. Elevation Above Ordinary High Water Level Ft. \/ €Y ICtnCAf Setback to Septic Tank Setback to Drainfield Ft. pd-oi ■t. Ft.Setback to Bluff_______ 2 Maximum Proposed Height ( ) Boathouse ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft. i!- ( ) Screen Porch \ ( ) Storage Structure Topographical Alteration / Earthmovinq □ None ^^20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards* * Must include on scale drawing Permit may be required□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: 24_J5Lot Area.Water Frontage .Ft.Bluff ( ) Yes ( ) No 3^.4% Ac)n.t^x Total Impervious Surface Onsite (FT^) . /3S IXA.Impervious Surface Ratio:X100 =.%Total Lot Area (FT^)Impervious Surface Ratio TH/S /S 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 Taii 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 Taii County, Minnesota. This permit may be revoked at any time upon vioiation of said Ordinances. —) I understand that it is my responsibiiity to infe^& R^ource Managenfent office once the buiiding footings have been constructed.le iShpi LDbDate; Date: Lant/S R^ource ManagementQffic__________ PERMIT FEE $ / ^ RECEIPT NO. / ^>9 V/^ -^(/nrffcHoig '<t) 'b'Y :iO,V (Luitm ■f )Cdi -ft) r^SLifeKc-e— U OO^CrllpO 51LPROJECT(S) TOTAL SQ. R., Comments: Form No. BK — 1003-0505 322,179 • Victor Lundeen Co., Printers • Fergus Fails, Minnesota (ULy^ t W^ITE - Offifce GOtDBNROD - 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 i 1PLEASE PRINT OR TYPE ALL INFORMATION Permit No. -J -'■'5 LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO,RANGE TWP NAME : 1LoKg^ L ■£PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS ■*!i~i Od> :>JCaCitij .^CDO^(c?o I (cj Lakt:TJyCi C-* -r!■: V' 'yyjc\ k:nook LEGAL DESCRIPTION k-..kjcYyciC.., Last Name First Initial Mailing Addres|Daytime Phone No.i i+i:%O C 1 kk ^;Jt )Property Owner 0\ \c‘( \ n -'O 1^x5 li^(rOU 0 C) kV 1 Ai !-t-' ^ i ij (V,i;; \ t ufV ^ iHContractor Name Lie.# ' UP r ^ r ■^^’ittl C-P \\|g'^ :in \AU;4 Ik i PROPOSED PROJECT (pjease circle the appropriate number) (1) New Dwelling (4) MHA’R JJ[_|Add’n To Non-Dwelling ^MOlOther- 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 ■^[^^dd'n to Dwelling ^ -I-.( 3) 'Replacement Dwelling (6) Detached Garage (9) W.O.A.S. I (( ) Permit No. ( ) OTLSD * This permit is only valid after verification from the 0. T.LS.D. that a conforming sew age system will be installed to service this lot contact Rollie Mann at 864-5533. (5) RCUA-ear. (8 ) Storage Structure ■ ‘Existing Dwelling to be removed before.4"' r CHARACTERISTICS OF PROPOSED DWELLING v ,, 'CHARACTERISTICS OF PROPOSED linKIWELUNG Outside - < \ i-'^'-'^“^'Oitside , ^ . -....-- } Ft. X y ^ Ft.**^-^ Dimension \ i Ft. x j pt." y CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside, Dimensior^^ Sq.Ft.__ Setback to Lotlind\\ Setback to Right of Way Setback to Ordinary High.Water Level Elevation Above Ordinary Hiqh Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff Dimension Sq.Ft. ^ ^ ~ tV>74. Setback to Lotline i.;tr) - Ft. & Ft.” Setback to Right of Way ~t :n Ft.” Setback to Ordinary High Water Level «a?*4Q Ff. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank Ft. Setback to Drainfield ~l0 ^ Ft. Ft. X Ft." Sq. Ft. . : I -i ■:> Setback to Lotline 'O Ft. & Setback to Right of Way \0O Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level *4- Setback to Septic Tank .> Setback to Drainfield -m J ^ Ft. Setback to Bluff Maximum Proposed Height ^ Ft. Roof Change ( ) Yes (X ) No \ Ff.&Ft." Ff." Ft. FI.Ft.Ft y . \/4 V Ur ir\0.\__Ft. Setback to Bluff__H Total Bedrooms jnJo Maximum Proposed Height Roof Change (^ )Yes ( )No Basement ( ) Yes (< ) No Walkout Basement ( ) Yes (a ) No Ft.=t.(Ft.Ft. Maximum Proposed Height ( ) Boathouse ( ) Gazebo [t-2 i Bathroom Propose{M-^JYi^>,.)|^^ f^/oOT\S **Pro]ect/Lotllnes/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection ( ) Screen Porch \ ( ) Storage Structure ■ 4I -i* Must include on scale drawing Permit may be required Topographical Alteration / Earthmoving □ None I'Ll 20 Cubic Yards or Less *□ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: l_Sq,£L-Lot Area.Water Frontage Ft.Bluff ( )Yes ( )No ( J-T Ar;. /3S/~7/sl Total Impenrious Surface Onsite (Rii) /5,kImpen/ious Surface Ratio:X100 =.% 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 building footings have been constructed. Date;—h #'Signat^ of Pr^peiiy ' %/Date: ■ILand& Resource Management^ OC'’PERMIT FEE $ / / 3!f*^I'hBY//5 76■' PR0JECT(S) TOTAL SQ.FT.,RECEIPT NO. ^ r1 A O'X /r hj (!)!/( -f ~\ 4 (I 'J .. I"' f I i ( /'( -j- -j il t A 7! ■ ' r{ I'- f /.3?, ^ Y ^0, ^1' /Y;r i*'( y f (I( :dj m1 IComments:7 ia A 1^1I \ A I V V ^ jJ riiT7Ai Form No. BK — 1003-0505 322.179 • Victor Lundeort Co., Printers • Fergus Fails, Minnesota V SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations L± vr/-"?r^Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Ft.Structure Set Back from Top of Bluff 2 O-h Ft.Structure Set Back from Road Right of Way Ft. Ft. & ^- !0 Ft. & jO ^ R.Ft.Structure Set Back from Lot Lines (?e Ft.Ft.Structure Height Ft./ d i—Structure Set Back from Septic Tank Ft. ^rt Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.3Ft.3 Land Slope at Building Site %% <4011 OrInspector’s Comments / Sketch: Le3\ r7'>\ *v- tA%■ Inspector’s Signature /O S, 1 Date of Inspection \y /Z2^fA'Jr1^0 Time of Inspection 1"^Project Approved ^ Date/Initial ^ 'E-'- .-,7 WHITE-Omce APPLICATION FOR SITE PERMIT ' GOLDENROD - Inspector YELLOW.- Owner (after issue) LAND & RESOURCE MANAGEMENT, COUNTY OF= OTTER TAIL PINK-Assessor GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Permit ^PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMETWP NO.RANGELAKE/RIVER CLASS SECTIONLAKE / RIVER NO.LAKE/RIVER NAME 54-/V/ I I3S-D PROPERTY (E-91^ADDRESSRo.sk Lcike-Loo!^. PARCEL NUMBER (S)S3C?Oo99033700 0 S2O0o 99hS3'7 OOP LEGAL DESI^PTION Last Name Fimt ^ li SJoooXGOlG^OOO Daytime Phone No.Mailing AddressInitial '2-\^ •3HbfbO‘-tO«S>t^S(ci LcxY\e i-copProperty Owner \Al<3f.\gsj ~T tv^.r&Scx err\ <>^£i Qv\ef/s\p, -sin^si \rf\o- Contractor NameLie.# PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling (5) RCU/Year______ ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ( 3 ) ‘Replacement Dwelling (6) Detached Garage (9) W.O.A.S. (1) New Dwelling ' (4)MH/YR____ (7) Add’n To Non-Dwelling ( 8) Storage Structure (m^ OtherftP'J ^ft^U\r\dC»■'l10^ ‘Existing Dwelling to be removed before. ^t^ermit No. ^ ^ ^ ( ) OTLSD * This permit is oniy vaiid alter verilicalion from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. r;CHARACTERISTICS OF PROPOSED W.OA.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DW^LING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside ,, Dimension Ft.x Us. n Ft." sq. Ft. Setback to Lotline T. ^ Setback to Right of Way // O Ft." Setback to Ordinary High Water Level j9C? Ft. Elevation Above Ordinary High Water Level 9 Setback to Septic Tank ^ Ft. Setback to Drainfield- ^ O c/- Ft. Setback to Bluff Maximum Proposed Height Basement Walkout Basement__ Total Bedrooms 33 Outside DimensionFt."Ft. X Ft. X Ft." Sq. Ft. ^ Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Water^el __ Elevation Above Ordinary Hig)mater Level Setback to Septic Tank / Setback to Drainfield / Setback to Bluff / Maximum Proofed Height Bathroom ^posed ( ) Yes ( ) No ^ Ft. & 5D Ft."Sq. Ft. Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Wate^vel __ Elevation Above Ordinary Ijj^ Water Level Setback to Septic Tank Setback to DrainfieljlC Setback to Bluff/ Ft."_Ft.&Ft."Ft.& T."Tt." Ft.Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft.Ft. Ft.Ft.Ft.NoYes Ft. __No Ft.Maximum Prosed Height ( ) Boa)House Yes ( ) Screen Porch ( ) Storage Structure^ **Projl^t/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection( ):ebo Topoqraphicai Aiteration / Earthmovinq □ 20 Cubic Yards or Less * ‘ Must include on scale drawing Permit may be requiredr.\□ 21 Cubic Yards - 299 Cubic'Yards*□ 300 Cubic Yards or More‘None CHARACTERiSTICS OF LOT: ‘913 So. Ft.4/q-!. FI V 7G.Y73 T&tal Lot Area (FT^) Bluff Yes NoWater Frontage; Lot Area. Total^m^^iou^ urfac^nsite (FT^) Impervious Surface Ratio:X too .% 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 • condition that the person to whom it is granted, and his agent, employees, and workmen shall conform in all respects to the , Ordinances of Otter Tail County, ■ Minnesota. This permit may be revoked at any time upon violation of said Ordinances. ' I understand that it is my responsibility to inform the Land & Resource Management of^{heybuilding footii k been constructed. 7 /2-0/0 V //^/ Date: ~-rrSignature ot^)perty Owner^. XoHDate: and & Resource Management office PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT., un rjn-r&mX-U T\fJe.r CLC/n':/)ILr\&!^Comments: 1//^/AAo'Cif U Z./0 ' Form No. BK — 1003-0501 315,901 • Victor Lundeen Co.. Printers • Fergus Falls, Minnesota 41 APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector louO/CLAND & 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 YELLOW - Ownerjfefter issue) PINK - Assess:6r :I tWP NAME PLEASE PRINT OR TYPE ALL INFORMATION LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE ^ D PARCEL NUMBER (S)S2 OPO 9^032 7000 Sloop 99o13'7 OOP PROPERTY (E-911) ADDRESSKujl) L-Oojl•5r3oooi,c,oiC>2ooo a V Mailing AddressLast Name First Initial Daytime Phone No. Property Owner lr=>'Ti<(C LX'.V^O -ilb .^Ltlo-toOMO___\a1 c-Lj\e~|___(a ~1~V"^U’-.Lca c rr^ ck. V Arr Ac*-i tJciie rv'. riL Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MH/YR____ (7) Add'n To Non-Dwelling ( 8 ) Storage Structure (10 ) 0therO<' j> i -' ‘Existing Dwelling to be removed before. ONSITE WATER SUPPLY J/() Individual ( ) Public ( ) None NOTE: MN Rules 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 (6) Detached Garage (9) W.O.A.S. ? f- //O/ z.j>^,Permit No. ^ ( ) OTLSD * This permit is only valid after verification from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Rotlie Mann at 864-5533. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED DWELLINGOutside Dimension Ft. x U- . '' Ft.” Sq. Ft. '-t Setback to Lotline 1, Q Setback to Right of Way j/O Ft." Setback to Ordinary High Water Level !90 Ft. Elevation Above Ordinary High Water Level 9 Setback to Septic Tank ^ Ft. Setback to Drainfield -? O Ft. Setback to Bluff Maximum Proposed Height Basement Walkout Basement__ Total Bedrooms D CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension /Outside DimensionFt. X Ft.” Ft. X Ft.” Sq. Ft. Setback to Lotline ___ Setback to Right of Way_______ Setback to Ordinary High Water (4wl __ Elevation Above Ordinary Hi0#^ater Level Setback to Septic Tank ^ Ft. & 5T3 ^ Ft.”Sq.Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Wat^/L'evel __ Elevation Above Ordinary iWi Water Level Setback to Septic Tank/_ Setback to Drainfielir Setback to Blufp/______ Maximum loosed Height ( ) Bo^ouse ( ) Gazebo Prior to Application / Inspection Ft.&Ft.”Ft.&Ft.” /Ft.” 7Ft.Ft.Ft. Ft. Ft.Ft. Ft.Setback to Drainfield / Setback to Bluff / Maximum Proj/sed Height Bathroom ^oposed ( ) Yes ( ) No7 Ft.Ft.(^^Ft. Yes No Ft.Ft. Ft.Ft. ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovina ^ None CHARACTERISTICS OF LOT: 74Y7J * Must Include on scale drawing Permit may be required□ 20 Cubic Yards or Less *□ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* ,^No^ol. 3P Ft. 7^_ 973 ratal Lot Area (R^) Lot Area..Sq. Ft.Water Frontage Bluff .Yes .lUl/4______ Total Im'^rwous Surface Onsite (FT') 7 76Impervious Surface Ratio:X100 .%Impervious Surface Ratio ms IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. // 2 oj o V f■1 Date:' ' f'i A.;..f7Signature of irty Owner yf /z<j/oY 55^ Date: land & Resource Management Office H7-y 75--PERMIT FEE $PROJECT(S) TOTAL SQ.FT.RECEIPT NO. -io un cjf c a ’ f)IIO l\Jerr\ct^Comments:nT ' /?r\ ' fu i i-----'F-A/’/’/eoL.Sa Wn/or-f /,.7 Form No. BK — 1003-0501 315,901 • Victor Lundeen Co.. Printers • Fergus Falls, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations —// - (Oil? /Q j VS'f-Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff Ft.ZO -f~Ft.Structure Set Back from Road Right of Way ^‘7.9 Ft. & -iSt* Ft.Ft.Ft.&Structure Set Back from Lot Lines Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank /Oi- Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. %Land Slope at Building Site % Inspector’s Comments / Sketch:t O sr o -r / n ^-0 7^U.1 I Inspector's Signai Date of Inspection /v^7 Time of Inspection 7/^^/6/>wC^^roject Approved Date/Initial i M N» ca>NCf V r lor t ucst ' ‘M. » J*/ D£NO»^eS PCN MONI MENT rouNODENOTES PO»-J MONUMENT SET MARKED " RlS '3620 DENOTES “EAEP CLE*N OUT DENOTES 210 VOUT OUTDOOR RUU 5 DENOTES -irT STATION DENOTES OUTSIDE LIGHT ROST ON POWER ROLE- DENOTES ROAER ROLE DENOTES GUI WIRE SUFROPT FOR ROWER ROLE DENOTES 'ElEPhONE pedestal. DENOTES O\.ERHEA0 ELECTRIC ----------- DENOTES UNDERGROUND ELECTRIC ■■ 4------------ DENOTES UNDERGROUND CAS. DENOTES UNDERGROUND TELEPHONE DENOTES UNDERCPOUNC CABLE Tv -------J,eir -------- DENC'^'ES O/ERMEAD ELECTRIC it CABLE TV sT:.'o 9 a a IS a IRU FOR CAMPING IIAl ■1'm SCALE IN FEET8 1 INCH * *0 FEETOj?BEAR'NCS ARE BASED ON AN ASSUMED DATUM. PlKWSev lIGAl B€SCiriPTtOft •• ontf ofPASS'S 9ASS»^ IA« Poe Of dot et ■CW CPO ' Ofit' J»T, »oid plot <» TpO Cou'>l)t. UT’^OPOtC IclJ J prd * a! SHOCCPA focoed •ft Oifieo of Cetttptnfn^ 2 00 oeros Subjocl le Stoto Tnjti* H'gttmay Uo. 70 >-'9^1 Sub/Kt to OOtoirttfilt ond 'oson/pliopt of rt or 'Ml '~of~"oy oatoftm'’! oerd ANO rib, Panfo J9 denerit^d2$. Tomntftp cipjl Vend'Oft. CMr Toil Covoly, Vn IJ5 HerIhol port of Ce*ornmont Let I. Sootion t of litt illt Prm Aff I >1*1 0$ fedewtiCom/pone^d df fdo Wa fflwlt com#r of to-d COfOrntnont to Otdvrrod fr#or*>9 of Soup olo»9 Pa *«a( '*« of paid Oo<* pitlartct of IA8700 foot to 0 potnl ttoroPioftor roforr* thtnc* South 89 dodoes 5? tprtulei OC loeopdi (at! north Pet of laid CcrrrnmenI 0 toonrg o' South a daioneo irtfttuln 50 tocopd* £oil o dtalanee of S9 eomor of Ihol I'ool at 'end con CL'I OOKit Odhd Oocumant No .. et laid Cow'ly soul H'*ad Ihonce f,ort‘ 59 >A frft thane* Nor ' diilonct of !74 50 feat to j>8 n! Sdulh dfond Idd! •■ait Hht 6* Co I ‘•at. Ihtnea South 83 dapr*** 29 i o' to feet to o found 'aon Oouih 95 leo'ees 29 fnaul* asn .■nonufP*nt m J7 seconds £asi a uSh i'She. IA< the southerly Cocur-.enl No BSI226. thence Nor along to^ sculnerfy ilne, o Oalance point of SeginnngCanlat^'ng Sotiact to eat •I I. thanca wnmont lot as A' edel with on a t. o d toIlot I, a dutonca ol of IJ03 faet: th pot *.00 feel.South 88 dagr tka acuthe^eil la Sou of th* f; thane* I* tael to s .Aatiy nd»'S byI83*525. on fba in th pom! If th* pemt of bag<t<ning of tha lord 86 degrees 06 m.nulet 50 seconds West fti 85 degrees J9 minutes *S secan ofor* mantfoned Point A: Ihenc tommant Lot J7 tai to Cennis and Po trick * OfikaPecofder to be le distance of Rffl o ' !1 « da h I >. d conerale; i £ott a disl thrnce :onl of 25 feet I »«<tf '^oralheof land -n minutes d’ttonc* t £ast a°£z. eont'nwng • iO: 57 rest igr"*r thane* tone* ot trumg Souf*i r?7 n conoelf. d'sl' herlr /in* ef so/d trod n 07 degrees 56120 leal m I 05 ShorrineS. 5* seetnds west toi 2 90 ce'»* arrant* and ’’aaenrehons of recc'd :5*» Loop (far-er tM lie 78' tha »aii*dy JJ.i30 feat of ii^t-ol-woy O'Wr. t de*c'*/ed tract Subje-l to under and across rood aboveSSi5 S tasamarfs nz Boo* 231 of Deeds, page 58 Boa* 19$ 0/ CeedSi page 128 Soot 2" ef Deads, page 4 Boo* 2S.5 of Deed*, page 8 of Deeds, pbge *42 nsI Beet' 255 the itgaf det*r*Hene otare blen*el eesementa loeeted Prepady * foealed in ffood /arta d*»ignatlen *C*. swiCTors cmTWKAit •/ hA*s Wes Tareso Mtsend end its^s Ron* ttaltaral Abstract Company wid Comr/ahwad * a irva and corract svrt*r o plat w/d theVinSnum Stanford 0*f0f -irjr.y:T;s-sS:i'i'^y5 m state '^V ersty certify (e 00*0011. TiH* Prefettionols and laid Tit* bisurence Company that etlocP^ tag* descr^dat and /ch if is bdssd ear* mode *- TA/AC94 , ACS! * a duty Pegrst Utnnaaota. fafail this tgi that this map or a with ah prdonc Land DHa Surmya, I 1999. mad Idl'd Sh”*tar underh day of Febru^ 2001 Pegubaments for ait. adopted by ALTA aid Table A fheraof' And that t af * 8 mid hcbfdssli Ba laws of\£ ■:.U // . A Andarsan ■JRT No 15620Lixid Suit* Vinn. Pag. ■f ALTA/ACSU LAND TITLE SURVEY Of SHADY GROVE RESORT riEU) Book ALS-18/42DRAfM BTCOKTJUCT KUyPEP 113-01 JAP nxLD enn SML tc RV9CHBCKED Bt DAACRD nut I CRT DDK 113-01 S7 DR* KING NL'IiaOl DIG DOK0*C 70LR4'ff 4593 . file memo <3 o^>c ft ^>33^0^^ PARCEL (Si^RIVER/WETLAND NAME /£ PROPERTY OWNER ^^5 A ^ecT&^A- i^SH sjsiloH (M.Date L&R OfTicial 3 SVM/a. f^n. ^i«iH Action/Comments__ ^iti) f ”-^ir ,>■. ^i%7 '^'ji % .'iiift^ ^iin^Gg 4t T OA*i'- <44-. ^ .^4 . f.i^s 1 Date L&R Official Action/Comments. Date L&R Official Action/Comments. Date L&R Official Action/Comments. L&R OfficialDate Action/Comments. Date L&R Official Action/Comments. Date L&R Official Action/Comments. GRADE & FILL APPLICATION COUNTY OF OTTER TAIL - LAND & RESOURCE MANAGEMENT 121 W JUNIUS SUITE 130, FERGUS FALLS, MN 56537 218-739-2271 • PERMIT NO. '10 7 7 Application Fee S50.00 Receipt Number(^OVt K-So^ PROPERTY OWNER Ho‘,U Lccke Uop I■w*—>- — tr MAILING ADDRESS CITY, STATE, ZIP DAYTIME PHONE NUMBER (irOLASSLAKE NO.LAKE NAME vS 3'-O0CP-ff^0 3^7-'OC50PARCEL NUMBER(S) SECTION ^_2lZ—TWP name LEGAL DESCRIPTION l^osl^ L<^K^ U>Oi3 E-911 PROPERTY ADDRESS o/ DATESIGNATURE OR PROPERTY OWNER/AGENT FOR OWNER ///j-^^CyT 2 9 2001 DATE LArJj S P'-' AAiRCE DESCRIPTION PROJECT REQUEST BELOW (Provide Scale Drawing On Back) ISOTOTAL CUBIC YARDS k'VSA !o / SQrciiyel cJrfv€~ ^•^c/ BK05/00 305,910 • Victor Lundeen Co.. Printers ♦ Fergus Falls, MN • 1-800-346-4870 inch(es) equals feet.grid(s) equals feet, orScale: Please use this sheet for the required scale drawing of your proposal. Be sure to include lot dimension, water frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper vious surface. Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance) %X 100 = Total Lot Area (FT2f Total Impervious Surface Onsite r^90 •7/ £J <7 7la^I I r I3 9^4f- Shady Grove Resort Layout:7■V RUSH LAKE ( ■.i:. .i:. >.r:. - LAUNDRY-^516 PQ-^CLEANING r.j__ -X- . _ii— *■r. .1.•;-J10k»t- ■ t.-., :]i4]«i ■i:.19 18 17 POOLi••. t'J:..i n•i RUSH LAKE ROAD m /fAr/1 (Z6- ui/ dLA^S-y 7-0 J^rAC (^/-rAXj y' y □ —r- “ rr uuj, fc, . - ■/'t/ DatedSignature BK — 0500 — 029 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 WHITE - Office GOLr^NROD - Inspector ' YELLOW - Owner (alter issue) PINK - Assessor PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP r^E . <^(p /35 59Ru-SH PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS Loop \^3LEGAL DESCRIPTION . j mtAntpl 6-U ■ ■ ■ nc Last Name First Initial Mailing Address Daytime Phone No. Property Owner Qe|.A^rTCA ^'5nctg\J 6rrn\/P, 3>Sto0(o Loy\€. Loop Q-A-V^^r-Vo-il NAn 45i<o3~7i .. cTContractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling (5) RCUA'ear_____ Storage Structure ONSITE WATER SUPPLY ( Vlh^vidual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE 0 / i QTREATMENT SYSTEM <^ ! • 1 No. n 0 ( ) OTLSD * This permit is only valid after verification from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Ftottie Mann at 864-5533. (1 ) New Dwelling (4 ) MHA'R (7 ) Add'n To Non-Dwelling rfoT^er {3) 'Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. ( 'Existing Dwelling to be removed before CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Outside Dimension I Ft. x Q Ft."OutsideFt. X Ft."Dimension Ft. X Ft." So. Ft. Setback to Lotline ) OO Ft. & G O Ft." Setback to Right of Way _ Setback to Ordinary High Water Level )«3Q Ft. Elevation Above Ordinary High Water Level 5 Setback to Septic Tank Ft. Setback to Drainfield HmO Ft. Setback to Bluff NjA Ft. Maximum Proposed Height Ft. Yes Y Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Ft.&Ft." \ OO Ft.&Ft."Ft."Ft."Ft."Ft.Ft.Ft. Ft.Ft. Ft.Ft.Ft.Ft.Ft.Ft.Basement______ Walkout Basement _ Total Bedrooms 3 No Ft.____Yes y Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.No ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovlng ^ None ' Must include on scale drawing Permit may be required□ 20 Cubic Yards or Less '□ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: Ac MOO Yes NoLot Are .Sq. Ft.Water Frontage Ft.Bluff — Sl-5Impervious Surface Ratio:X100 =.%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 W, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform thi urce ManagemenLoffice once the building footings have been constructed. ay Qo.d3 hDate: tignatur^f Property Owner Date: Land & Resource Manaqerrent Office PROJECT(S) TOTAL SQ.FT.,PERMIT FEE $RECEIPT NO. j \A\Q r«^vse axb\n ox\c\ ^QurduC>A\Qr\^Ur\def \t . CjQSV- QhruL-) ^ MT)Qo>OC) Comments: a Form No. BK — 1003-0501 315,901 • Victor Lundaen Co., Printers • Fergus Falls, Minnesota APPLICATION FOR SITE PERMITWHITE - Office , GOLDENROD - Inspector YELLOW - Owner (after issue) PINR - Assessor 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 Permit No. :PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWPNAMELAKEiiLLVER NO, , V<uoln /35 ^9Rusb. PROPERTY (E-911) ADDRESSPARCEL NUMBER (S)7/ Klx^Cv uxbe Loop Qy\^ficAL\Hn ; LEGAL DESCRIPTION ^■9 nc Mailing Address Daytime Phone No.Last Name First Initial ■O e V\ r HY- V ~~r tolgtio Rv>^v\ LiUtSe Loop ^ I cV bProperty Owner Q A A g f \ o' I ^A n ^ * •* Contractor Name Lie.# r' PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling (5 ) RCUA'ear_____ (7) Add’n To Non-Dwelling ^-440 Storage Structure (jfl^^rer ^ ^ S^V*Existinq Dwelling to be removed before. ~ ('U(, T T"! v ' CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension *■ •- ONSITE WATER SUPPLY ( ylfidiYidual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE J II C, TREATMENT SYSTEM ! /no 19^(3) ’Replacement Dwelling (6) Detached Garage (9) W.O.A.S. (1) New Dwelling (4) MHA'R____( Permit No. ( ) OTLSD * This permit is only valid after verification from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Roitie Mann at 864-5533. ./ CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Outside DimensionFt. X Y,.- w Ft."Ft. X Ft."Ft. X Ft.” Sq. Ft. -- Setback to Lotline ) OP Ft. & -W iaii Ft." Setback to Right of Way Setback to Ordinary High Water Level I ■30 Ft. Elevation Above Ordinary High Water Level S Setback to Septic Tank "i(f Ft. Setback to Drainfield Ft. Setback to Bluff Ft. Maximum Proposed Height Ft. Yes Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Sq.Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield___ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotllnes/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft."\6o Ft.&Ft."Ft.”Ft.” Ft.” Ft.Ft.Ft. Ft. Ft.Ft. Ft.Ft. Ft.Ft.Basement_____ Walkout Basement Total Bedrooms No Ft.Yes jL Ft.No ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovinq EL None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards* * Must include on scale drawing Permit may be required□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Ac MUO Yes ^ NoSq. Ft.Water FrontageLot Area .Ft.Bluff 1.Impervious Surface Ratio:X100 =.% 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 condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. Jci on, OsjDate: —/!Signature of Property Owner //nNjos i ' Date: Land & Resource Managermnt PERMIT FEE $ 7 '/■ PROJECT(S) TOTAL SQ.FT.,RECEIPT NO. [ J v^\c voafi-t ^cA^’oe cabin p;Lx^^ Comments: MOOo-ooCr Form No. BK — 1003-0501 315,901 • Victor Lundeen Co., Prirtters • Fergus Falls, Minnesota yr- '■'I' k 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. Ft. & Ft.Structure Set Back from Lot Lines Ft.&Ft. Q 2.0Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. /oStructure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% )-m Inspector’s Comments / Sketch: f- r. 5, y •’iPV’; -------- IfV'V.:a Do-5^ - !. Inst ectdri Sii nature I ti ■*O-------------c?Si?-/ h S3HJV 06 r / / IJWM SK> I suscm} w*Ds ‘0 of^iisde'tlon sItsi V0 yI A [m^< . 1.XI ' ^^'!l ; ' I (DUS tv -Time of Inspection ^-Project Approved Date/Initial N 6^I c *'■ <:o ^tifoiI>•lO<7 ^7<P-s— (— V,6?C!Vi A/■ r. •-. X I-//';ct J.^£>t/v t)!^J \b'!6?^K -f.>Uj j.-' /r 5 io:j IC'1ii.1C'N dU>ct !Uj I\i' ■?M /y-'--1Ct lEt I IMh-CL !*S szo \o I Uj iCAH//JCo/i!I%r 1.II\fffa6 <?7A to OeNNIS P * FATTtiaA SAI I!I PCKUIneNl NO. 85U2f)7-;!WO»fS5 * tcff55 ■ 77'! '4 OC 4--------- iZodRiSnRVATION FOR ACCISS.SOVTH IJ >5 BOOF 201 Of DEEDS, PAGE^souv-TPiy One OF oooivent no■f S9.14 \ S 82 36 04‘E 1204 S‘ 97 41 E 20 i*■1 CAB'S ?E}iCD : 4 CABN AH t BLOC.E WALL ENCLOStNC GAS PARRE'i 2 90 ACRES -/ /- 0 "t -- y' t'f'-. ^.07 4- -^< Af:!N ;:\ ? ? I ■" 5- i APtn ! ’ s- ’.■I Ct) 0-, •SC'-■i T-»- "■1 PPOPANf. •ANF \ P:,1—CfcO2: r oti T ct,s'If) lo <cV. ).5y '.' ct t,' O ^FO. - f 01 7 <? i /' "7"?/ CABm 4 I 5 \7 /DI 7 7/7/ >577 Co' / 7 7r7 50 8 //7 /■?pg j■tj 7,7?£:5c*^r <N/I 7 21J 3 .cxew f I, FFO ®tV^o/ S 57'7.9’J7"rc c 260-p/- '■ 7:-.19 4-yE i ‘4/^ -V _jQa ilv-•n /!;I '~‘Jf'JCRC 0I IT //:7 o i * i■.-Cl c; Cttx.,•'/Be'Jr 1C.-: I ID 'S/S’7A,'£,>?.5/,/p V '^Acrht:>/i y'/a/<£;: ■*iOi L.J :cCti IjrirI(A \ \<f, ' o oh- Or(/)'O \ u_L-J *«r — \ I 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 io\s w Permit No..LEGAL DESCRIPTION AND LOCATION * TWP Name y/n 135 39 Sed TWP R?rLake Classif.ngeLake NameLake No. IDENTtFICATION: Please Print All Information Tel. No-Zip No.Last Name__________________/ Nf irst IVIaiiiDq Address— No. Street. City ^d State_________.Initial UUG-HOwner r NameContractor V Architect TYPE OF IMPROVEMENT: Building . ( ) Alteration ft ESTIMATED COST OF IMPROVEMENT $ I NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: Ipecify: nUnitsultiple Dwelling omL S1'^ ( ) Other Size( ) Other DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public XNc^dividual Septic Tank WATER SUPPLY: ( ) Public ^^sMfidividual Well PRINCIPAL TYPE OF FRAME: Basement: { ) Yes( ) Masonry ood Frame ( ) Structural Steel ( ) Other — Specify AStories above basement: Sq. feet (outside dimension) Bedrooms ...... , etc. Baths CHARACTERISTICS; , . ..... squaro fwHT feet.feet.Maximum depth of lotWater front^e 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.qXyvay.... Side yard is Structure will be located 3 feet •feet.feet — from road right of way is 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).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 ONE 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'^dfwner 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. ■ ■ •i ’ -- p\' r-i-r— ^ I I I Shoreland Msfiagement Official ,3 ?30^ Re=.p,N=._^% 7 Permit: Permit Fee $_k HZ Comments: S' Form No. MKL-0286-019 229971@ VICTOR LlJNOEEN C.O., 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 PERMIT I/\IM ' t*, c;I Permit No,./LEGAL DESCRIPTION AND LOCATION I ■I TWP NameRangeSec,TWPLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address- No. Street. City and StateInitialFirstLast Name Owner ; NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:( ) One Family Dwelling FtI Multiple Dwelling ( ) New Building ( ) Alteration K tUnits/ I )Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( )Yes (1 No.( ) Public ( I Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) individual Well Basement:( ) Masonry (^•^I^Wood Frame ( ) Structural Steel ( ) Other — Specify ^ //y Stories above basement: ^ ' >. ■ '•■h '' V ............................aaaa^.taBa................ Baths .................. Sq. feet (outside dimension) Bedrooms CHARACTERISTICS: feet.feet.Maximum depth of lotsquare feet:' Water frontage isLot Area is r 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. THJS 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 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: 1 .V ^ ■ . ' /Dated Shoreland Management Official •i .■4Permit Fee $.Receipt No.I i ■•i Comments:I 4<c I* \ .4 i iForm No. MKL-0286-019 229971®VICTOR UJNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. •ST r 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. tooBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft. 50 Ft. Ft.Building Set Back from Street or Road 40 Ft. & Ft.)Side Yard &Ft. Rear Yard Ft.Ft. Ii /Occupied Building to Septic Tank Ft.10 Ft. 1-ZdOccupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft Inspector's Comments: ^^0 S ’('2, «_•5nvi c? ■" 0 ■ T* • l_W_ inspector's Signature Title Inspection Dated I Z - 1--Z- Agency VICtpH UIHOCCM « CP . MIHTfai. riRSUI FM.I.P. H<Ha. 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 V /^SO V-/Permit No.,LEGAL DESCRIPTION AND LOCATION Lake Classif. Sec. TWP Range TWP NameLake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateLast Name First Initial hu>Pr\lat/ ///(/%^lOwner J NameContractor Architect Name, NON-RESIDENTIAL PROPOSED USE: j Units ^ ^'f^P 11 - k/c4ot h\ry( cM Pr^>nr\ !■ TYPE OFJMPROVEMENT:RESIDENTIAL PROPOSED USE: Specify:L^One Family Dwelling ( ) Multiple Dwelling w Building j/T Alteration ( ) Other ( ) Other Size—14^ ESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME: ( ) Public Basement: ( ) Yes (/) No Stories above basement: ...... Sq. feet (outside dimension) .... Bedrooms ( ) Masonry ^p^Wood Frame ( ) Structural Steel ( ) Other — Specify / (ndividual Septic Tank, etc. .TER SUPPLY: ( ) PuWjc L ndividual Well Cj2> n h -Type of Roof: CHARACTERISTICS: 3.30.(JOT>Water frontage is feet.Maximum depth of lot..;square feet.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 frortvState highway right of way..,. Side yard is ....... feet. (Building Line) feet feet — from road right of way is .feet. Z.0and feet. /..O feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). Structure will be located ^..QStructure 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 upon violation of said ordinances. Manage.r.ent Official^. Dated ( ..Permit Fee $. (2p'if\r/}'Ptdr\Q(/ ^Comments: 195676(3) VICTOR UUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN-Form No. MKL-0771-002 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 ^ t Permit No_i.' //LEGAL / » ■ \DESCRIPTION ?AND LOCATION TWP NameSec.RangeLake ClassW.TWPLake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.Last Name First Initial Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: ( ) 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: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( I Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ( ) Yes ( ) NoBasement: /Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. I .Baths Type of Roof:t . CHARACTERISTICS: 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 ..................... 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. THIS IS A SIT£ 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. This p>ermit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $. Comments: 19S676@ VICTOR LUNOEEN CO.. PRINTERS, FERGUS FALLS. MINN.Form No. MKL-0771-002 r A 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. 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.8(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:THi L /-LY- AJ,/c Inspector's Signature Title Inspection Dated 19 Agency VICTflR VUMOtCa I M.. rK*5-. OHER TAIL COUNTY DEPARTMENT OF PUBLIC HEALTH MAIN OFFICE OTTER TAIL COUNTY COURT HOUSE FERGUS FALLS, MINNESOTA 56537 218-739-2271 SUB OFFICE; 330 WEST MAIN PERHAM, MINNESOTA 56573 May 6, 1986 Owen Scowitian Shady Grove Resort Box 436 Ottertail, MN 56571 Dear Mr. Stowman, We are issuing you a temporary permit to allow you to operate your resort pending action by the Otter Tail County Planning Commission concerning re-instatement of your conditional use permit as a resort. We will issue a license for the year 1986 upon favorable action of the Planning Commission. Sincerely, Gerald Winkelman Director of Environmental Health Bill Kalar, Land and Resourcecc; GW/sw I SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 NOTICE OF HEARING FOR CONDITIONAL USE PERMIT APPLICANT MUST BE PRESENT AT HEARING TO WHOM IT MAY CONCERN:Owen L. Stowman Shady. Ghovz Box 436 OtteAXaU, MN 56571 has made application to the Otter Tail County Planning Commission for a Conditional Use Permit as per requirements of the Otter Tail County Shoreland Management Ordinance. The Otter Tail County Hay 21,%6Planning Commission will assemble for this hearing on GooeA.nme.nt SeAvtceA Batldlng S:3Q V.M. Place 505 South CouAt StAe.eX. 19 Fergus Falls, Minnesota.Time. This notice is to advise you that you may attend the above hearing and express your views on the Conditional Use requested. The property concerned in the application is legally described as: 56-141 13526 39 RuAh LakeRange.Twp. Name.Twp.Sec.Lake No.. UuAh GDClassLake Name:. Shady Ghove ReAOht THE CONDITIONAL USE REQUESTED IS: We had applied ion. peAmti^ton to oua noAont oa a condomtnim. ShontZy a^teA heceivtng Ptanntng CommxAAton apphovaZ (2//J/«5), we decided not to puAAue thxA type oi i>ate, we oAe hequeAting to fie-inAtate the KeAont i,tatuA oa tt woa pnJjon. to PZanning CommiAiton appnovaZ. The numbeA o^ unitA wiZZ itay oa the oAigZnaZ pZan. i/ZctohcPetteAAonDated. Otter Tail County Planning Commission Chm. MKL -0871-011 By.: 1219101® VICTOR LUNOeCN & CO.. PRINTERS. FERGUS FALLS. UINH. I. - LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY FERGUS FALLS, MINNESOTA STATE OF MINNESOTA ) )ss. COUNTY OF OTTER TAIL) I, Malcolm K. Lee, duly appointed and acting secretary of the Otter Tail County Planning Commission for Otter Tail County, Minnesota, do hereby certify , 1986, the attached Notice of Hearing was1JOIday ofthat on the duly served upon the following: CXaT^ Diane Thorson, Sylvia Bergerud, Sheriff Melby, Dennis Berend - Court House Peg Kalar, Fergus Falls Daily Journal, Fergus Falls, MN 56537 Terry Lejcher and Don Reedstrom, 1221 1/2 East Fir Ave Fergus Falls, MN 56537• * Izaach Walton League, Otter Chapter, Box 244, Fergus Falls, MN 56537 Pollution Control Agency, 116 East Front Street, Detroit Lakes, MN 56501 Planning Commission Members, Township Chairman, Lake Association and those listed on the attached sheet • • • » by placing a true and correct copy thereof in a sealed envelope, postage prepaid, and by depositing the same in the U.S. Mail at Fergus Falls, Minnesota, properly addressed to each of the above named at the addresses shown above. Secretary, 5-21-86 Approved:A motion by Johansen, second by Ryan to approve the conditional use application of Dieseth Specialty. Madson Lake, No. 56-596, GD, in Sections 10 & 15 of Tumuli Township as presented. Voting; All members in favor. A motion by Lachovitzer, second by Lee to approve the conditional use application of Gerald Meland. Et A1 and the preliminary plat of South View. Marion Lake, No, 56-243, GD, in Section 1 of Dead Lake Township and Section 6 of Rush Lake Township as presented with the conditions that there is preliminary title opinion provided to the Land & Resource Management Office and that John Beckman may tie his road into the proposed road. Roger Lind, Mervin Langum and Gary Martin spoke to the commission. Approved; a Voting: All members in favor. A motion by Johansen, second by Olson to approve the conditional use application of Harold Bye. Bahle Lake, No. 56-637, NE, in Section 29 of Dane Prairie Township as presented with the condition that it is stabilized by September 1, 1987. Approved: Voting; All members in favor. A motion by Femling, second by Portmann to approve the conditional use application of Ray Johnson. Lake Lida, No. 56- 747, GD, in Section 9 of Lida Township to fill with the conditions that the fill must stay at least 25 feet from the lake and must not exceed more than 10 inches. Sandy Cunningham, Darrell Williams, Albert Johnson, and Gerald Hauger spoke to the commission. Approved: Voting: All members in favor except Johansen and Petterson, A motion by Olson, second by Portmann to approve the conditional use application of Russel Thompson. Stuart Lake, No. 56-191, RD, in Section 4 of Nidaros Township as presented, provided the area where fill is taken from is stabilized. Lloyd Henershot spoke to the commission. Approved: Voting; All members in favor. A motion by Lachowitzer, second by Lee to approve the conditional use application of Owen Stowman. iUish Lake, No. 56- 141, GD, in Rush Lake Township as presented. Approved; Voting: All members in favor. I Otter Tail County Planning Commission County Court House Fergus Falls, Minnesota 56537 Mar/ 22, 1986 Otoen L. Stouiman Shady Qfiouz R&^oaX Box 436 OtteAtcuJt, MW 56571 Ve.oA Ma. Stoiman: TivU -Lb to tniohm you that at thz May 27 , 1986 rmzttng the Ptanntng Commtb-bton a motion iva-b pa-bbed to apptiooe youA condi- ttonaZ 06e apptieatton ob pAebented. VouA. application Mill be conbldeaed by the County Boated o^ Comm-ibblonetib at theifi May 28, 1986 meeting at 1:30 P.M. StneeAely, MaAbha BoMman Acting SecAetaAy OTCPC mgb i May 28, 1986 \ -itlr iMhi-i-i- ill f - 2 -County Board Motion was made by Bert Hovland, seconded by Ancfy Lindquist and unani mously carried, the following application for sewage system cleaners license was approved: Eon Hiltwein eaners License Detroit Lakes, MNStron's Resort Motion was made ty And^' Lindquist, seconded by Hub Nordgren and unani mously carried, to approve the following applications for conditional use permit, subject to conditional requirements: Elizabeth Township Elizabeth Tovmship nditional Use ermits Cut and fill Landscape, move access road and expand resort bo include 10 more mobile heme sites Slope lot for sidewalk frem home to lake Re-instate property as resort Construct private driveway Fill and level from hone to lakeshore Tertporary gravel pit Road construction to serve pro posed plat Erect office building Install retaining wall and fill Fill lew area Kevin Reff Steven Peterson Amor TofrflishipJames Beyer ^pwen Stoviman ^Russel Thompson Ray A. Johnson Rush Lake Township Nidaros Township Lida Township Dane Prairie Township Dead Lake & Rush Lake Townships Tumuli Township Edna Township Otter Tail Township Harold Bye Gerald .Meland Robert Dieseth Denis McMahon A. E. Steinwand I 1 )Uth View Plat Motion was made by Sydney Nelson, seconded by Bert Hovland and unani mously carried, to approve the preliminary plat of South View, to be locat^ in Section 1-135-40 and Section 6-135-39. Motion was made by Bert Hovland, seconded by Hub Nordgren and unanimously carried to grant an extension- of :180 days for submission of a final plat on Putman's Estates, in Section 20-137-42. itraan' s Estates iKtension Motion was made by ^d^^ Lindquist, seconded by Bert Hovland and unani mously carried, to-'c6rrect the minutes of the November 22, 1985 mee-ting pertaining to RA^ Easement on CSAH 9, -to CSAH #20, Dunn Township. rtotion was made by Hi±) Nordgren, seconded by Bert Hovland and unani mously carried, to hire -two part-time county' employees -tx> man the Henning transfer station. 'V? Easement, Person aining Transfer Jtation Chairman Olson declared a recess until 1:57 p.m..At 1:50 p.m Ihe Board, having previously advertised for bids -to be received for a depleted gravel pit in Section 9-131-39, proceeded to open bids which were found to be as follows: Mike Hayman, Saint Cloud, MN After consideration, motion was made by An<^^ Lindquist, seconded by Hi±i Nordgren and unanimously carried, -to accept the bid of Mike Hayman, Saint Cloud, MN in the amount of $40.00, being the only bid. :cess • / iaf Mountain travel Pit $40.00 jrgiveness of penalty A request for forgiveness of penalty on a late payment of tax by Ed denied, Wallace \*te.llace in Pine Lake Township, vshere applicant claims a statanent was never received by him for the tax year 1985 and at-teirpts were made to c±>tain same. After consideration, motion was made by Sydney Nelson to approve the refund of penalty paid. The motion was seconded by Hub Nordgren but failed with Ancty Lindquist, Bert Hovland and Mel Olson voting "no".