HomeMy WebLinkAbout37000990288000_Variances_06-02-1976White — Office
Yellow — Owner
PInIfe— Township
APPLICATION FOR VARIANCE
FROM
Reqmrements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Owner:Phone No
Last Name MiddleFirst
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StateStreet & No.City Zip No.
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ation, what state Incorporated in
( ) Lessee ( ) Occupant
/?hLegal Description: Lake No..Lake Name Lake Class
Sec.Twp. Name.
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If applicant is a
Applicant is: (\) Owner ( ) 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:_____
EXPLAIN YOUR PROBLEM HERE:f
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In order to properly evaluate the situation, please provide as much supplementary information as
plans, information about surrounding property, etc.
, such as: maps.
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sngJian/Te OT Applicaf^t
Application dated
— DO NOT USE SPACE BELOW—
19.^^
Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both ( )
Filing acknowledgement By Signjiture
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ynyys.
, 19_ZUWITH THE FOLLOWINGca?day of —■DEVIATION APPROVED this
(OR A TTA CHED) REOUIREMENTS: „.
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Signature
Chairman —
Otter Tall Planning Advisory Commission
Malcolm K. Lee, Shoreland Management Administrator o
Otter Tail County, Minnesota
Deviation
Approved this —. 1 q 7Cn By..2 day of.
MKL-0871-016
171988-A®
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3 GRID PLOT PLAN SKETCHING FORM f!.feet/inch>c.Stale: Each grid equals
t" i ' . -: Application for Building Permit Dated 'U/19d?t•1
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.19Application for Sewage System Permit Dated
Building Permit Number_________________
Applicant agrees that this plot plan is a part of application (s) indicate^_abov
Sewage System Permit Number.
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7 S ignatu re
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I On this fonn make a drawing of your lot. Indicate all present buildings
1—with solid lines and all proposed buildings or additions with dotted tlines. Also indicate in feet; lake setback, side yard setback and rear
;yard setback.
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