HomeMy WebLinkAbout17000991204000_Variances_08-25-1997THE 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 ***^O-ooApplication Fee
Receipt Number
yp /~ ^ ^3 ~ sy/c?PROPERTY OWNER DAYTIME PHONE
. 8 , //l^Zll ~ M; E,ADDRESS
SECTION TOWNSHIP /57 RANGE
FIRE NUMBER OR LAKE I.D. NUMBER
LAKE NUMBEr34 LAKE CLASS _LAKE NAME
TOWNSHIP NAME
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LEGAL DESCRIPTION
/7- r^on
TYPE OF VARIANCE REQUESTED {Please Check)
\y Structure SizeStructure Setback ___Sewage System____ Subdivision Cluster Misc.
SPECIFY VARIANCE REQUESTED
'^\]G 2 6 ^997
U\|sin & RESOU^^^^
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.
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SIGNATURE OF PROPERTY OWNER DATE"7
APPLICANT MUST BE PRESENT AT THE HEARING
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
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L & R 0/ficial/^ate !
Accepted By Land & Resource
Date Of Hearing Time
Motion
Chairman/Otter Tail County Board of Adjustment
Permit(s) required from Land & Resource Management
_____ Yes (Contact Land & Resource Management)
No
Copy of AppiicatiohrK/iailed to Applicant And the MN DNR
L R Official/Date
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bk 0797-001
287.363 • Victor Lundeen Co.. Primers * Fergus Palls. Minnesota
GRID PLOT PLAN feet SKETCHING FORMgrid(s) equals ' feet, orL. Scale:inch(es) equals
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, 19 <11 .Dated:“T Signature
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 — 029 281.949 • Victor LundMn Co. Printers * Fergus fails. MN • 1-BOO-346-4670