HomeMy WebLinkAbout03000990344000_Variances_06-07-1972White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Zip No.City StateStreet & No.
U7g L L-^ £7Lake Name Lake ClassLegal Description: Lake No..
135 Vi Aui D AL??Range Twp. NameSec.Twp.
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If applicant is a corporation, what state incorporated in___
Applicant is: (\,,-fDwner ( ) 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
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what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:
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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.
i'll 0II71219. XApplication dated.Signature of Applicant
—DO NOT USE SPACE BELOW—
m n 2A19Date application filed with Shordland Management Administration.
Deviation requires: Planning Commmission approval Shoreland ManagerWent approval only ( ) Bo^lTV )
Filing acknowledgement______
tinrfe and place of hearing
DEVIATION APPROVED this
(OR A TTACHED) REQUIREMENTS: p
By
y Signature
________19 WITH THE FOLLOWING2dayot
Signature.
Frank Alatadt, PFesidewt
Otter Tail Planning Advisory Commission
lo ^...Deviation
Approved this vJ Ul'^day of.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
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: •'GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
Application for Building Permit Dated.
Application for Sewage System Permit Dated
Building Permit Number_________________
Applicant agrees that this plot plan is a part of application (s) indicated above.
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■ TSewage System Permit Number.
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