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I^ink - SMO • ■ N? 122VIOLATION
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Lake Name______________
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___Zip No.
.No. 56^HI/V u 1. /> L.u !■
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You are hereby notified that you have violated the Shoreland Management Ordinance Otter Tail County, Minnesota pursuant
to the laws of the State of Minnesota, Chapter 777, 1969. The nature of the violation is as follows:
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Present this form, in person, to Shoreland Management office. County Court House, Fergus Falls, Minnesota on or before
^9^ V This violation may be referred to the Otter Tail County Attorney's office for■■-7 a.-: i"
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legal action.yV ■:Dated,.19.
Court House hours are 8:00 A.M. to
5:00 P.M. Monday through Friday
MKL-0573-041
166935®
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JShoreland Management Official
VICTOfI LUMDEEN %. CO , POlNfERS. FERGUS FALLS. WINN.
Date Resolved
ICHRONOLOGY REGARDING THE VIOLATIOM
CarlC/ 5<M S Sdr^iProperty Owner:f
Lake No. 56-Lake Name:
-23^01^/- OOPParcel No.:
S' Id '9*-/ (Su5Owner's Initial Response (date):
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Receipt for
Certified Mail
No Insurance Coverage Provided
Do not use for International Mail
(See Reverse)
UMTCO STATES *WTAl Sf »VICt
Sent 10 Susan & Jeffrey Carlsoi
Sueei a'5536 Drew Ave. S.
55A10P 0 , Sl.
Postage $
Certifted ree
Special Delivery fee
Restricted Deliverv Fee
Return Receipt Showing
to Whom & Date Delivered
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Return Receipt Showing to Whom,
Date, and Addressee's Address
TOIAL F'obtage
Si fees $oo Poslmdrk or Date00
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% SENDER:I also wish to receive the
following services (for an extra
fee):
15 * Complete items t and/or 2 for adcKtionaf sarvicM.
• Complete items 3, and 4a & b.
§ • Print your name and address on the reverse of this form so that we can
g return this card to you.
> • Attach this form to the front of the mailpieca, or on the back if space & does not permit.
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1. □ Addressee’s Address ^
W • Write "Return Receipt Requested" on the mailpiece below the article number. ^ • The Return Receipt will show to whom the article was delivered and the date
C delivered.o ------------------------------------•o 3. Article Addressed to;
2. □ Restricted Delivery
uConsult postmaster for fee.oGC4a. Article Number
P 101 404 342 c«V141
Susan & Jeffrey Carlson
5336 Drew Ave. S.
"Minneapolis, MN
3ac4b. Service Type□ Registered D Insured
^ Certified
□ Express Mail □ Return Receipt for 3
/ Merchandise
ocEoD>□ COD .£(A 55410(A
LUCC Oa7. DateQ 3O>zI s x5. ;Si(Jtiature (Addressee) -----------Ufl*Addressefe's Address (Only if requested ^
ve C(0 \£H6. Signature (Agent)
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i ^ PS Form 3811, December 1991 * u.s.g.p.o. : 1992-307-530 DOMESTIC RETURN RECEIPT
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FIELD NOTES
LAKE NAME: RUSH LAKE NO.: 56- 141 DATE
TLEGAL DESCRIPTION Parcel No.: 53000230151000 FIRE NO.:
23 135 39 6.77
N 680' OF LOT 2 EX W 575' &
N 20' OF Sl/2 SWl/4 & N 20'
OF S 40 RDS OF LOT 2 PioJr Maeic —
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OWNERS NAME AND ADDRESS:
CARLSON, JEFFREY J
CARLSON, SUSAN i
5336 DREW AVE S
MINNEAPOLIS, MN 55410
Comments:
SEPARATION DISTANCES(IN FEET)
SEWER LINE TANK ABSORPTION AREA OUTHOUSE
WELL
OHWL
LOT LINE
DWELLING
NON DWELLING
U S'GROUND ELEVATION @ JAp.
REASON(S) FOR ABATEMENT:
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Inspector's Signature(s)
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