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240 Big Island - 23-117-23-23-0003
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10-3452, VAR
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Project Packet
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ORDINANCE NO. 246 RECORD LOT NO. /0 <br />APPLICATION FOR PRINCiPAL DWELLING CONDITIONAL USE PERMIT PAGE -2------- <br />6. Have you filed for a "Homestead" credit on any other Minnesota property? Yes V'Nc ----If so where? ____________________________________ _ <br />7. How many persons reside here as their principal residence (on the average)? =<.. <br />8. How many days per year is the property occupied? (a) vCn"tinuously all year; or <br />(b) Part of each year from about _____ to ____ totalling ____ days; or <br />(c) Off and on throughout the year, totalling days (give example of dates <br />used last year): -------------------------------- <br />9. What buildings are on the property besides the dwelling? --------------I ~ <br />10. Dwelling was built when (approx. year)? 17 3 Owas added onto in what year (s)? n On£, and was last remodeled in what year?/? f'O <br />11. Approx. dwelling size (floor area) is: ___ ft. X ft.; or/S-C>O sq. ft.; <br />3 --~ it has how many bedrooms? and can sleep up to _,!;:;2=-_persons. <br />12. Dwelling construction is frame (wood) V:-:,r what other material? <br />(a) <br />(b) <br />(c) <br />(d) <br />13. <br />A permanent foundation is required. What exists now? ~A1ement ____ : crawl. <br />space _____ : open floor with piers _____ ; other 5:1&(; 0:-V r..H~1 <br />What is type and amount of insulation in: walls! o?~ ~,.....,, .5}f,,_// <br />ceiling/roof: // // te,, .,.,, <br />A permanent heating system is required. What exists now? <br />hot air ?:nance_,--__ space he:Ate~L wood stove(s) _______ _ <br />other ~.4-e-~£ -~~-! <br />Fire retardent roofin~i~~ be required for new work. What exist now? <br />asphalt shingles_~~~~:: untreated~ ___ : treated wood <br />other '7};--?zy~ ~ -t ~O <br />Plumbing and Septic systems will be required by or before Jan. 1, 1983. <br />exists now? <br />What <br />(a) No. of toilets / bathroom sinks / tub or shower ------------kitchen sink other _ __,__ __ _ ----------------------- <br />(b) No. of septic tank (s) / and size in gallons oZ)-0 and <br />(c) Amount of drainfield: No. of lines ..3 ; length / ~ if <br />total Sq. footage __ ?_,__._ ___ -"'--=--,z;~=----- <br />--e-------------- <br />(d) Location of Septic tanks/drainfield on lot (direction from house): <br />.Sourh <br />(e) Date of septic system installation/last repair __ _,_/~9'-•,t't_-0,,_ _______ _ <br />and name of contractor T --------------------------- <br />14. What type of domestic water supply is avaitle? (a) lake pump_-.,,=-gpm <br />(b) well: depth It> 0 ft.; casing diam.-inches: flow rate ? g~ <br />pump type: elec. V°;gasoline _____ o her: . ~ <br />year drilled / 9'~y (contractor 's name) ~H+-:-ciib.--,,...,-,,.~-e),------€2-------
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