HomeMy WebLinkAbout37000200109000_Variances_07-02-1981PPLiCATIONrf^OR VARIANCEWhite - Office
Yellow — Owner
Pink Township OM
Requirements of Shoreland Management Ordinances Otter Tail County, MinnesotaI
Phone NoOwner:MiddleLast Name First
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Zip No.StateStreet & No.
Lake Nn 7) (o 7^"/Lake ClassLake NameLegal Description:K'
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If applicant is a corporation, what state incorporated in___
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant ( ) Agent
0 List Partner's name and address below:Is Applicant a partnership.
• 'nyes or no
NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO.
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This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in
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.
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plans, information about surrounding property, etc.
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ts>~ (I 19 S ( .Application dated.Signature of Applicant
—DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration------------------------------------------------
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
ByFiling acknowledgement Signature
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Date, time and place of hearing
2ND day of_DEVIATION APPROVED this
(OR ATTACHED) REQUIREMENTS:
A surveyor’s drawing must accompany deeds of conveyance.I
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. Lee^horeland Management AdminJ><^e^br^
Signature.^
Frank Alstadt, President
Otter Tail Planning Advisory Commission
~UjDeviation
Approved this Xc/O li. Bv.19.day of.
Malcolm K.
Otter Tail County, Minnesota
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MKL-0871-016
1B9079
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Office of Coitnty Recorder
Coua:ty., of Otter Tail
that the within iiistriimeat, I herebyr-t^^^■ii^y
was fiieU in ithis office ior rci^-on
. day of ,A.D. IP., at
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Book /of
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::'touilty Recorder
Deputy03 ;
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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.
.19.
19
Sewage System Permit Number.
19.Dated Signature
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