LAKE COUNTY INTERIM USE APPLICATION VACATION RENTAL HOME

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Environmental Services Planning & Zoning Courthouse 601 Third Avenue Two Harbors, MN 55616 (218)834-8327 LAKE COUNTY INTERIM USE APPLICATION VACATION RENTAL HOME PLEASE COMPLETE IN INK INCLUDE FEES WITH APPLICATION Fee: $400 After the Fact Fee: $800 PC # Permit # INCOMPLETE APPLICATIONS WILL BE RETURNED! A. GENERAL PROPERTY INFORMATION Property Owner Name & Name of Vacation Rental Home (if applicable) Day Phone Email address Authorized Agent (if applicable) Complete Mailing Address Property Address (if other than mailing) Agent Address (if applicable) B. PROPERTY DESCRIPTION **Rental must be located on a conforming lot. Lots within the North Shore Management Zone which were conforming prior to the May 26, 2006, lot size amendments will be considered a conforming lot for the purpose of a Vacation Rental Home.** Section Township Range Township Name Acreage Parcel Code # Quarter Section/Legal Description Lake/River Name Access Road Lot Dimensions Width ft. Depth ft. Existing Land Use Property Land Features (Check all that apply) Non-shoreland North Shore Management Zone Wetland Present Shoreland/Shoreland zone (within 1000' of lake or 300' of river) Lake Superior Erosion Hazard Area Bluff Present Lake/River frontage: feet of frontage Has a Conditional Use been approved on this property? Y N C. PROJECT DATA THE FOLLOWING MUST BE COMPLETED AND INCLUDED WITH THIS APPLICATION: Attach a valid Certificate of Compliance, which is a certificate that was issued on a new septic system installed within the past 5 years OR a copy of a compliance inspection form which was performed within the past 3 years. Additionally, the applicant must provide documentation that the septic is sized appropriately for the proposed use. Holding tanks are not allowed for rental units. Check one: Is this application for an Initial Interim Use or for a Renewal Interim Use? Check one: Existing System Septic Permit #: # of bedrooms on Certificate of Compliance: (Attach copy) Connected to Sanitary District Not Applicable (This means there are no structures with plumbing on the property. A sewer exemption form must be on file in the Planning & Zoning office.) Number of bedrooms in rental home: Dimensions of: 1. 2. 3. 4. Dimensions of onsite parking available: (the parking area must also be shown on the sketch page) Provide a floor plan of the rental home, including room dimensions. DETAILED DESCRIPTION OF REQUEST: (include the # of months of the rental season, length of rentals, and projected rental market)

D. SKETCH PLAN The purpose of the sketch is to graphically illustrate the information included in your application. Location of Location of Location of all structures & dimensions of property lines (size and shape of parcel) parking area & dimensions driveway well, septic & drain fields access road (labeled) shoreline (if applicable) Please provide directions to the property. I certify that the sketch plan is to the best of my knowledge true and correct. Owner or Agent name (print) Signature of Owner or Agent Date

E. ADDITIONAL REQUIREMENTS FOR VACATION RENTAL HOME Review & initial: Rental of recreational camping vehicles shall not be allowed. On Premise signs are prohibited. No more than one dwelling per parcel may be rented. Guest quarters cannot be rented as per Sec.7.06. Following County Board approval of the Interim Use, the following will need to be submitted to Planning & Zoning along with the Lake County Land Use Application for Vacation Rental Home: The licensee shall keep a report, detailing use of the home by recording, at a minimum, the name, address, phone number and vehicle license number of overnight guests using the property. A copy of the report shall be provided to Planning & Zoning upon request. The owner shall obtain and maintain a Lake County Health Department license. (Contact # 218-834-8356) The installation of a flow monitoring device is required (an electrician or plumber can be contacted for this). Monthly flow recordings are required and this information must be made available to Planning & Zoning upon request. F. SIGNATURE I hereby certify that I am the owner of the described property, that the information provided herewith is correct and representative of the existing conditions on the property. I understand this request will result in public notification process and hearing conducted in accordance with Minnesota Statutes. I consent to site visits by County representatives prior to the hearing. I understand further that falsifications of this application or any attachments thereto will serve to make this application and any subsequent permit invalid. I understand that this process requires that my agent or I must be present at the public hearing to explain my proposal and answer any questions. Without that presence, the application will be denied. OWNER OR AGENT NAME (PRINT) SIGNATURE OF OWNER OR AGENT DATE The property owner s signature is required below if an Authorized Agent is to act on their behalf, giving permission to the agent to modify and make changes to this application. The Authorized Agent s signature is also required. Owner (print) Signature of Owner Date Authorized Agent (print) Signature of Authorized Agent Date G. OFFICE USE ONLY Permit #: Fee Paid: Zone District: Receipt #: Received by: Date, Time & Place of Hearing: Remarks: Dear Applicant(s): Please note the Planning Commission will make a recommendation to the County Board, which will be acted upon at the next available action meeting.

Lake County Planning and Zoning Interim Use Permit Requirement Garbage Removal Service IUP # Property Owner Address Property Manager and/or Housekeeping Service As property owner, I will be responsible to confirm that the Property Manager or Housekeeping Service identified above will provide garbage service for vacation rental guests. The garbage will be stored appropriately and will be collected and disposed of by a Lake County licensed waste hauler. I also understand that Section 5.01 of the Lake County Solid Waste Ordinance No. 4 states "The property owner shall not permit solid waste to be placed in locations or in a manner that the solid waste may be scattered by wind, animals or insects." Property Owner/Agent Signature Date Environmental Services/Planning and Zoning/Planning Commisssion/IUPs

Minimum Vacation Rental Home Requirements Sec. 6.16 All vacation rental homes shall meet the following minimum requirements: A) Rental must be located on a conforming lot. Lots within the North shore Management Zone which were conforming prior to the Mary 26, 2006, lot size amendments will be considered a conforming lot for the purpose of a vacation rental home. B) ** Must have a valid Certificate of Compliance on file with lake County. The installation of a flow monitoring device is required. Monthly flow recordings are required and this information must be made available to Planning and Zoning upon request. No holding tanks allowed for rental units. C) The owner shall obtain and maintain a MN Department of Health license or Lake County Health Department license, if applicable. D) The licensee shall keep a report, detailing use of the home by recording, at a minimum, the name, address, phone number and vehicle license number of overnight guests using the property. A copy of the report shall be provided to Planning and Zoning upon request. E) Rental of recreational camping vehicles shall not be allowed. F) On premise signs are prohibited. G) The owner shall provide a visual demarcation of the property lines as determined by the Planning & Zoning Administrator. H) The owner shall post within the rental unit the rules and regulations and an emergency contact person and phone number. I) The site shall provide on-site parking sufficient to accommodate the occupants of the rental home. J) No more than one dwelling per parcel may be rented. Guest quarters cannot be rented as per Sec. 7.06. ** A valid Certificate of Compliance is a certificate that was issued on a new septic system installed within the past 5 years OR a copy of a Compliance Inspection which was performed within the past 3 years. Shared/Environmental Services/Planning & Zoning/Minimum Vacation Rental Home Requirements