HomeMy WebLinkAbout08000160103000_Variances_07-17-1974White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Street & No.City State Zip No.
Legal Description: Lake No. ■S~^ ^ Lake Name Lake Class
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If applicant is a corporation, what state incorporated in____
Applicant is: { ) Owner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below;Is Applicant a partnership
yes or no
NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO.
This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in
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properly evaluate the situation, please provide as much supplementary informationTls possible, such as: maps,
plans, information about surrounding property, etc.
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
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19.Application dated.
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both
Filing acknowledgement By Signature
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, 19'^ W! TH THE POLL OWING
Date, time and place of hearing
nDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_
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txQXl iP.Signature
Chairman
Otter Tail Planning Advisory Commission
-z^Deviation
Approved this J7/A 19^
day of.. By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
VICTOII UTHtCCM 09., PdlNTtllt. rCNOUt r«LU. MINN.
Otter Tail County Planning Advisory Commission
County Court House
Fergus Falls, Minnesota 56537
Date:
NOTICE OF HEARING
To:ys S
19__Re: Your Application for Variance Dated.
The Otter Tail County Planning Advisory Commission Board of Review will assemble for their hearing on
19.day of.the above mentioned application for Variance on the..r
MTime:
Place: (2x:->y~r- l 'cy--r\(o r-
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MALCOLM K. LEE, Secretary,Otter Tail County Planning Advisory Commission
MKL-0871-013
1S9104 @ VlfiTgH LUMDCCH « CO . POINTIM. rtOOUa FALL!.
TO BE COIIPLETED BY PERCOLATION TESTER
I hereby attest that I am familiar with
the minimum standards required by the
OTTER TAIL COUNTY SHORELAND MAJTAGEMENT
ORDINANCE regarding sewage systems and
that the land elevation where soil absorption
portion of sewage system will be installed
is not less than six (6) feet above the
high water level of the lake, stream or
flowage involved.
Legal Description:
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Owners Na^V Signature of Percolator T^ester
.ake Name 7 Da(fed
Please return when completed to Land and Resource Management Office,
Court House, Fergus Falls, Minnesota
percolation test results.
56537.Attach a copy of the
MKL-0574-045