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06000990276000_Variances_06-05-1974
White — Office Yellow — Owner Pln^^ Township APPLICATION FOR VARIANCE FROM Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota '3-^^ fA (yip Last Narile OTTo Phone No.Owner:MiddleFirst S-/oSS^yo c^o V)Cin. O'"Zip No.Street & No. Lake ClassLake NameLegal Description: Lake No /dca ___Twp. NamaTwp.Sec. If applicant is a corporation, what state incorporated in____ ApplicantTlT^ ) 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 conditons found in what Section of the Ordinance:sS EXPLAIN YOUR PROBLEM HERE: . , aMjU ;6o (fX In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans, information about surrounding property, etc. y4 ,x^19.Application dated.plicant —DO NOT USE SPACE BELOW— Date application filed with Shoreland Management Administration. Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both'N^ ByFiling acknowledgement Signature Date, time and place of hearing ^ 7“ ~U^Id , 19 7<-^ITH THE FOLLOWINGDEVIATION APPROVED this______ (OR A TTACHED) REOUIREMENTS: day of. ,.^4'Lacu_ • ;* , ■Signature. V-'TO. WoFFenk Ai&taUt, Presidont Otter Tail Planning Advisory Commission yn j/IDeviation Approved this ^.BV. day of 19 Malcolm K, Lee, Shoreland Management Administrator Otter Tail County, Minnesota MKL-0871 016 ©159079 VICTOB tVHPfCH t te MlHTCtt rCtSUl fklk*. 1 I ±GRID PLOT PLAN SKETCHING FORMiSca1^: 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. .feet/inches. I v5"- I H 19 7^ .19 Sewage System Permit Number. 1^^..S ig n atu re IJ S' 9.0Dated. L R r tJ t- ft— //C t r - A^LcIzj i 4 1 t :-'■V■r - 4------------ •-']-1 r ty ? A'*',-4----- w r ' '74 C‘• 1 tv ’Q> M T ,j-----1.• t/.■/« ■ t r' i I1 ■f +— T -t '\-\-1:; i - -i -!-4I4-^ ■ T iI7^ 'r"r z:i 74 ^t Kir-Tt 1\'4 ■5®i ■4 I st\: 5 5Kb X 7 RL u%4^f m\M ■ ■ I I 0 4.m "\ @ VICTOH UIHBCIH • W.. mJ*T«|W. rt«iseib4rMKL.p0871-|029 ri.j i 1