HomeMy WebLinkAbout55000990654000_Variances_06-03-1997APPLICATION FOR VARIANCEOffice of County Recorder County of Otter Tall
I hereby certify that the within instrument was tiled
.day of Otter Tail County
Fergus Falls, Minnesota 56537
(216) 739-2271
Receipt
tor record in this office on the No.M.A.D. 19at
and was duly Microfiimed as Doc.a Application
Fee $__L
County Recorder _______Deputy — P/ease Complete With Black Ink —
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tasf Wame ^ First
Phone:Owner:
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City {J State
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Zip NoStreet A No
/as-5/.-93)„ L^e Class f vj
WfCa^'TytA^,
Lake NameLake No.
)sn "aJJ13Twp. NameRangeTwp.Sec.
Legal Description:Fire No. or Lake ID #
/DaJe. cectiUZ!:^^
S6-Ooo-9^-o(p^^-CooParcel Number
TYPE OF VARIANCE REQUESTED (Please Check);
structure Setback ^ Structure Size.Cluster.Misc..Sewage System.Subdivision.
SPECIFY VARIANCE REQUESTED:
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tfovide as much supplementary information as possible, such as: maps, plans,
APPLICANT SHALL BE PRESENT AT THE SCHEDULED HEARING.
In order to properly actuate the situation, ple^
information about surrot __
I understand that I have applied lor a variance from the requirements ol the Shoreland Management Ordinance ol Otter Tail
iroi
County.
Application dated t9 . X Signature Of Applicant
Time:MDate ol hearing:19
MOTION AS FOLLOWS:
(ijjjbck/ AScthS'S-J
f Chairman
Otter Tal County Board of A^i
Permit(s) from Land & Resource Management required:..YES NO
.mailed copy of Application to Applicant.(Dale/lnilial)
BK 0696-001
283 383 • Vicioi Londoijn Co . Ptmterj • Fergus Falls. W nnesoia
// , yjn . GRID PLOT PLANL____inch^equals __feet SKETCHING FORMJLScale:grid^ equals feet, or
3___19 ?7 .Dated:
S\gna\Kire
Please sketch your lot Indicating setbacks from road right-of-way, lake, sideyard and septic tank and drain-
field for each building currently on lot and any proposed structures. ,
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MKL ~ 0871 — 029 7B1949 * Vic'oi LuryjMn Co. P'inieit ■ Fcrqui Talts MN •bOO 346 4870