HomeMy WebLinkAbout25000990835000_Variances_05-09-1977Variances
2
Barcode 128
White - Office
Yellcv/v — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Phone NoOwner:
Last Name First"N
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Street & No. City State Zip No.2A±
eoS,lfZ-3o2-i/ c ^Legal Description: Lake No..Lake Name Lake Class
i/d)} 33Sec. I
l^~r JO D ^ 0
Twp.Range Twp. Nama
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 conditonsfound in
what Section of the Ordinance: I^C^C
EXPLAIN YOUR PROBLEM HERE: uy u. f <P / r
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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.
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■plicant19Application dated.r reoT
—DO NOT USE SPACE BELOW—
19jrDate application filed with Shoreland Management Administration.
Both —Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only { )
Filing acknowledgement By Signature
Date, time and place of hearing
n\ou^19') J WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_
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SCANNED« •[
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tSSignature.^
Ghain^n y
Otter Tall Planning Advisory Commission
Malcolm K. Lee, Shoreland Management Administrate y Otter Tail County, Minnesota A
Deviation
Approved this 77191_1_/7)cxmday of.. By.
MKL 0871 016
171988-A®
VICTOR kUNPCCN 00..I TCI
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0 = Indicates iron pipe menu, with Mnn. Registration No. 7575 inserted therein.Prepore
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PLANNING COMMISSION MOTIONS
Situation;
By:
2nd By:
Motion;
Yes AbstainNoVoting;
Tii
Beck
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!Portirann
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I«Davis
Estes
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Lenlus i;
Ryan
ICounty Commissioner
6«Jacobson ■I
Fjestad •h
::Lindquist pi
Lee iITotals3i
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Otter Tail County Planning Advisory Commission
County Court House
Fergus Falls, Minnesota 56537
‘//2 7Date:
NOTICE OF HEARING
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>7'7 2Re: Your Application for Variance Dated.19.
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.
Time:
C o if/ ^ ^Ila ,Place: 0 r y
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7 /'/ MALCOLM K. LEE, Secretary,
/ Otter Tail County Planning Advisory Commission\/
SCANNED
MKL-0871-013
VICTft* UIMBCIM A CS.. PRIItnOt. FCRflUA r*4.kl.
TO BE COMPLETED BY PERSON INSPECTING SYSTEM
I hereby attest that I am familiar with the minimum standards required
by the OTTER TAIL COUNTY SHORELAND MANAGEMENT ORDINANCE regarding
sewage systems and that this system is in accordance with those
standards.Please complete and return along with a plot plan of the
land within 150 of the subject sewage system which includes the
separation distances between the sewage system and any existing or
proposed buildings, property lines, water supply wells, buried water
pipes, the ordinary high water mark of lakes, rivers, streams or
flowages as well as the location, size and design of all parts of the
sewage system within 10 days to Land & Resource Management Office,
Court House, Fergus Falls, Minnesota 56537.
Lake No . Slg ~ Lake Name.
Sec ._2i.
Classification
____.Permit No.t/0Twp. /^3 Range.Twp . Name.
Legal Description:
ftaloor5o^ Owners Address f~7 FFi^aJcrr^Owners Name
7
// -77Date of InstallationLicense No
Fill in below:Drainfieldpeptic Tank
a 10Capacity
^0'T7^Distance from Nearest Well
"f-lon ^106Distance from Lake or Stream
-rmDistance from Occupied Building
16^16 TDistance from Property Line
^ FrFt-Distance from Bottom to Water Table
^-37-ft
Signature Date
SCANHED
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