HomeMy WebLinkAbout37000990394000_Variances_10-04-1972F'
!. White - Office
■^Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
^Requirements of Shoreland Management Ordinances Otter Tail County, ^ ^
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Last
A'j.'UrjL^-d"Owner:Phone No.MiddleFirst
4/30 S /!L,rX^ri
Street & No.City State Zip No.
Id.r.nLegal Description: Lake No..
Sec._^
Lake Name Lake Class
2^2/a.Twp.Range Twp. Nama
/o / 4 •=*' >
Co-t>»e.-So_n
If applicant is a corporation, what state incorporated in____
Applicant is: (».^^wner ( ) Lessee ( ) Occupant ( ) Agent
^JlD._List Partner's name and address below:Is Applicant a partnership.
ves 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:_____
EXPLAIN YOUR PROBLEM HERE:
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prope<~i^ /ir^e
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
9 .x219.Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
9- AJ 9 #9^
Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only { )Both {
ByFiling acknowledgement Signature
/'<D CauxOtADate, time and place of hearing T19 y'cOiVlTH THE POLLADEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS: » I 1 /) I
day of_
Signature
rwpilt Alatadt, Prooident _
lanning Advisory CommissionOne
Deviation
Approved this i9j^. Ry _________
Malcolm K. Lee, ShoTr^nd^Management Administrator
day of.
Otter Tall County, MinnesotaMKL-0871-016
VICTOI LVNOCCN t CO . POIKTCIK. FCH6UI tkikS.
159079
GRID PLOT PLAN SKETCHING FORM.feet/inches.
Api^cartion 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
.19.
.19 t
Sewage System Permit Number.
.19,Dated.Signature
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