HomeMy WebLinkAbout02000230186003_Variances_05-05-1976Variances
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■iqiuWhite — Office
Yellow — Owner
Pink “ Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
_______ Phone No. 'Po ^ ' t 7'7'-~ Oy^ ^ ^
Last Name First Middle
cTty ^
■ Owner;
’?/<(SsrO V-.
State Zip No.Street & No.
orri^ ,VLegal Description: Lake No.-Lake Name Lake Class
g.7 Twp. ^ ^ ^ Ranqp ^t) "Tv^ Name.
^ fWo^Ct (Po C^^o, cJs
Sec
Lets V2-,^V3
If applicant is a coloration, what state incorporated in____
Applicant is: (txf^wner ( ) 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:___________________________
EXP LA IN YOUR PROBLEM HERE: T 0
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In order to properly evaluate the situation, please provide as much supplementary information as piossible, such as: maps,
plans, information about surrounding property, etc.
. X- r^/19.Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
19_^^
Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) 'BotTr4^ )
Filing acknowledgement By Signature
t) S ' y *T- P /Y\.Date, time and place of hearing
19____I/VI TH THE POLL OWINGDEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
day of_
RciECTEO By rtit/iA ‘Tn'ii. Gnu^rirr
7Q/c AnLo . 0id/Yl jrufTs r,n/Y\______
19^lnitials>^^>^ , j
se=>')-h<SfC K, prco> cfe.
5^
_ - . Dated:
>510 ohjeef
dac>{'i> dc> 'v-JO T
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Signature
Chairman
Otter Tail Planning Advltory Commission
Deviation
Approved this day of.19 . By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
V1CT9N LUMtftll M.. PRIHTlIlt. fCR«U» PM.L*. HINN.
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GRID PLOT PLAN SKETCHING FORM.feet/inches.^ Sca/e: 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.
.19.1
.19 I
Sewage System Permit Number.
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19.Dated1 Signature
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