HomeMy WebLinkAbout37000270140009_Variances_01-04-2002THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR VARIANCE
COUNTY OF OTTER TAIL
COURTHOUSE, FERGUS FALLS, MN 56537
(218) 739 -2271
COMPLETE THIS APPLICATION IN BLACK INK
Application Fee
Receipt Number
Accepted By / Date Ft'
/3V2’5'S
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LAKE NUMBER <Z>~7^/7
SECTION TOWNSHIP RANGE
PARCEL NUMBER
DAYTIME PHONE
/_________________
_____LAKE CLASS ZP
PROPERTY OWNER .7
ADDRESS
LAKE NAME
TOWNSHIP NAME
E-911 Address c//'770 3i4^l£y
LEGAL DESCRIPTION
/o'/p/^C£.L ^ /
TYPE OF VARIANCE REQUESTED (Please Check)
X structure SizeStructure Setback Misc.Sewage System Subdivision Cluster
SPECIFY VARIANCE REQUESTED
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I UNDERSTAND THAT I HAVE APPLIED FOR A VARIANCE FROM THE REQUIREMENTS OF THE SHORELAND
MANAGEMENT ORDINANCE/SUBDIVISION CONTROLS ORDINANCE OF OTTER TAIL COUNTY.
I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO
CONTACT LAND ^JiESCMJR^MANAGEMENT REGARDING THIS MATTER.
/„ PL
SIG^ATURE^F^OPERTY OWNER
APPLICANT MUST BE PRESENT AT THE HEARING3 q oqOZ
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
: DATE CD
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/.grid(s) equals feet, or jnch(es) equals feetScale:
Signature Dated
tots sheet for the required scale drawing of your proposal. Be
4-^■Isure to include lot dimension, waterPlease use
frontage, and setbacks from RW, lake, sideyard, sewage system, top of bluff and existing structures.
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Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance)L-
X 100 %
Total Lot Area
(FT2)
Total Impervious
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/feet, or Jnch(es) equals feet.grid(s) equalsScale:
/— osignature .Dated
tois sheet for the required scale drawing of your proposal. Be sure to include lot dimension, waterPlease use
frontage, and setbacks from RW, lake, sideyard, sewage system, top of bluff and existing structures.
Required impervious surface coverage calculation (See definition in \Shoreland Management Ordinance)
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Total Impervious
Surface Onsite
(FT2)
%
Total Lot Area
(FT2)
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