HomeMy WebLinkAbout37000270141019_Variances_04-04-1973White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Sj ^ 1 r\A.Phone No. ^ ^ ^ OOwner: ^ r\ €
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City State Zip No.Street 8i No.
6-Prfe- 7V7Legal Description: Lake No. Lake Name Lake Class
L i d (AL3_k ^2^Sec. ^ T Twp.Range Twp. Nam&/YV- X •/' X 3) (fy\
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If applicant is a corpoj:ati<3n, what state incorporated in___
t4-Owner ( ) Lessee ( ) Occupant
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t 'iwr:( ) AgentApplicant is: (
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: C/^QQ-i___T lo U C l\ ^ T / / * y G r cf
EXPLAIN YOUR PROBLEM HERE:
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iIn order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
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19.. XApplication dated.
Signature oT Applicant
—DO NOT USE SPACE BELOW—
19/-£-Date application filed with ShorCland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both —
ByFiling acknowledgement
is ' • "Date, time and place of hearing
Signature
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4^, 19 WITH THE FOLLOWINGday of_DEVIATION APPROVED this_____
(OR ATTACHED) REQUIREMENTS:
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Jifenk Alstadt, PiebiiJeni ^
Otter Tail Planning Advisory Commission
Signature.
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Malcolm K. Lee, Shoreland Mar^^ig^fnknt Administrator
Otter Tall County, Minnesota
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Deviation
Approved this 19.day of.
MKL-0871 016
159079
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GRID PLOT PLAN SKETCHING FORM.feet/inches.
Applipation 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.
Scale: Each grid equals
.5 ^-19Z^
.19
Sewage System Permit Number.
tx >J-A3 SignatureDated.
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