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7 j I / ,,z;.,✓, ■ <br />ORDINANCE NO. 246 RECORD LOT NO. ), ,;' t. • ,:____J_, <br />PAGE -2-' -==~ APPLICATION FOR PRINC.1rAL DWELLING CONDITIONAL USE PER1· .• f <br />6. Have you filed for a "Homestead" credit on any other Minnesota property? __ Yes:/_N, <br />If so where? <br />7. <br />8. <br />------------------------------------- <br />How many persons reside here as their principal residence (on the average)? / -,-1---- <br />How many days per year is the property occupied? (a) )( Continuously all year; or <br />(b) Part of each year from about _____ to ____ ~ling ____ days; or <br />(c) Off and on throughout the year, totalling days (give example of dates <br />used last year): --------------------------::--==:-----r~---=:---=- <br />, .. <br />10. Dwelling was built when (approx. year)? r,:; was added onto in what year (s)? <br />______________________ and was last remodeled in what year-'-?-== <br />11 A d lli (fl ) ' ft. X ---; Ji f r':0 0 f . pprox. we ng size oar area is:___ ~ t.; or_¥ ____ sq. t.; <br />it has how many bedrooms?_-"'=---and can sleep up to /' persons. <br />· 12. Dwelling construction is frame (wood).,. <br />'---- <br />or what other material? <br />(a) A permanent foundation is required. What exists now? <br />space , : open floor with piers ; other <br />basement -==----crawl <br />------------------ <br />(c) A permanent heating system is required. What exists now? <br />hot air fu nance ,.. space heater(s) wood stove(s) Y <br />other / / :' z _, I 1-f ------------ <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 ---------I <br />kitchen sink / : other ---+---------------------------- <br />(b) No. of septic tank (s) _Land size in gallons /~{)/) and <br />(c) Amount of drainfield: No. of lines Z. ; length ,J __ .,__ ___ --::=--=-----:=:---:= <br />total Sq. footage __ ~,/~6._.a.._..O'-'r"-----==-=-== <br />(d) Location tanks/drainfield on lot (direction from house): <br />(e) Date of septic system installation/last repair <br />and name of contractor • / : · _, I --::,--~----,,---=---=-=---===--- <br />14. What type of domestic water ;upply 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)