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OFFICE OF COUNTY RECORDER
OTTER TAIL MINNESOTA
I hereby certify that
this instrument #__
was filed/recorded i^his office
for record on the ! ^ Hay of____hif.-k___2004 atJlVi
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THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR VARIANCE
COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER
540 WEST FIR, FERGUS FALLS, MN 56537
(218) 998-8095
Otter Tail County’s Website: www.co.ottertail.mn.us
5060
Application Fee
COMPLETE THIS APPLICATION IN BLACK INK Receipt Number
Accepted By / Date
PROPERTY OWNER DAYTIME PHONE
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MAILING ADDRESS
6DLAKE NUMBER LAKE NAME _____LAKE CLASS
|31 03121SECTIONTOWNSHIPRANGE TOWNSHIP NAME
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NUMBER PfiAp:rk&s
E-911
ADDRESSg. 460661^0^ 800)
LEGAL DESCRIPTION
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TYPE OF VARIANCE REQUESTED (Please Check)
structure Setback Structure Size Sewage System Subdivision Cluster Misc.
SPECIFY HOW YOUR PROJECT VARIES FROM ORDINANCE REQUIREMENTS. PLEASE BE BREIF AS
THIS WILL BE USED FOR PUBLIC NOTIFICATION.
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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 &
RESOURCE MANAGEMENT REGARDING THIS MATTER.
SIGNATURE OF PROPERTY OWNER DATE
APPLICANT MUST BE PRESENT AT THE HEARING(Applicant Will Receive Notification As To The Date/Time Of Hearing)
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dPoa/?Date Of Hearing Time
7
Motion
Scott and Beth Madson - Approved as requested. (8:55 p.m.)
After discussion and consideration, Steve Schierer made a motion, seconded by Michael Conlon and unanimously
carried, to approve a variance of 10’ from the required road right-of-way setback of 20’ for the placement of a structure
10’ from the road right-of-way. The Board noted that the proposed development is an improvement.
airman/Otter Tail County Board of Adjustment
Permit(s) required from Land & Resource Management
Yes (Contact Land & Resource Management)
No
lumCopy of Application Mailed to Applicant, Co. Assessor and the MN DNR
L R Official/Date
bk 0204-001
317,340 • Victor Lundeen Co . Primers ■ Fergus Falls, Minnesota
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BK — 0403 313.987 • Victor Lundeen Co.. Printers • Fergus Palls. MN • 1-800-346-4870