HomeMy WebLinkAbout37000990300000_Variances_07-10-199710' |9APPLICATION FOR VARIANCEOffice of County Recorder County of Otter Tail
I hereby certify that the within instrument was filed
day of Otter Tail County
Fergus Falls, Minnesota 56537
(218) 739-2271 Application/
FG6 $____
for record in this office on the
M.A.D. 19at
and was duly Microfilmed as Doc.#
County Recorder
_____Deputy
— Pteaso Complete With Black Ink —
Phone:Owner:
First MiddleLast Name
sms/JX2
C/fy SfaTe Zip No.Street & No.
if4.-9^7 L/bA Lake ClassLake NameLake No.
Sec.Twp. Range Twp. Name
Legal Description, , ^ , Fire Nn. or Lake ID « 4^7^/
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3y- o3ao- Oc)aParcel Number
TYPE OF VARIANCE REQUESTED (Please Check):
structure Setback X Structure Size.Sewage System.Subdivision.Cluster Misc..
SPECIFY VARIANCE REQUESTED:
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans,
information about surrounding property, etc. APPLICANT SHALL BE PRESENT AT THE SCHEDULED HEARING.
I understand that I have applied for a variance from the requirements of the Shoreland Management Ordinance of Otter Tail
County.
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Application dated
Signature Of Applicant
7- /o ^7* M19 9*7Date of hearing: ____
MOTION AS FOLLOWS:
The applicant decided to withdraw his variance application and to considered other building and remodeling
alternatives.
Time:
Chairman
Otter Tail County Board of Adjustment
Permit(s) from Land & Resoi^e Management required:..YES NO
mailed copy of Application to Applicant.*(Date/lnitial)
BK 0696-001
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/GRID PLOT PLAN feet SKETCHING FORM^ feet, or\ ' 5cale: ji .grid(s) equals inch(es) equals
?7Dated:. 19
Signature
Please sketch your lot indicc ting setbacks fsom road right-of-way, lal e, sideyard and septic tank and drain- field for each building currer^y on lot and qny propllpsed structures.
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