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ORDINANCE NO. 246 RECORD LOT NO. <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 No <br />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) ___ Continuously 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? -------------- <br />10. Dwelling was built when (approx. year)? ____ was added onto in what year (s)? <br />and was last remodeled in what year? ---------------------.,_ __ <br />11. Approx. dwelling size (floor area) is: ___ ft. X ___ ft.; or ____ sg. ft.; <br />it has how many bedrooms? _____ and can sleep up to persons. <br />12. Dwelling construction is frame (wood) or what other material? <br />(a) A permanent foundation is required. What exists now? basement ----crawl <br />space _____ : open floor with piers _____ ; other ___________ _ <br />(b) What is type and amount of insulation in: walls: -=---------------ceiling/roof! --------------- <br />(c) A permanent heating system is required. What exists now? <br />hot air furnance ____ space heater(s) ____ wood stove(s) _______ _ <br />other -------'-------------------------------- <br />(d) Fire retardent roofing will be required for new work. What exist now? <br />asphalt shingles ____ : untreated wood ____ : treated wood ____ _ <br />other ---------------------------------- <br />13. Plumbing and Septic systems will be required by or before Jan. 1, 1983. What <br />exists now? <br />(a) No. of toilets ---bathroom sinks ---tub or shower ---------kitchen sink other ---------------------------- <br />(b) No. of septic tank (s) and size in gallons and ---------------- <br />(c) Amount of drainfield: No. of lines ___ ; length'------------- <br />total Sq. footage ------------- <br />( d) Location of Septic tanks/drainfield on lot (direction from house): <br />(e) Date of septic system installation/last repair ---------------and name of contractor --------------------------- <br />14. What type of domestic water supply is available? (a) lake pump ___ gpm __ _ <br />(b) well: depth ____ ft.; casing diam. ____ inches: flow rate gpm: <br />pump type: elec. ; gasoline _____ other : ______________ _ <br />year drilled by (contractor's name) <br />PLEASE CONTINUE ON PAGE 3