HomeMy WebLinkAbout37000990547000_Variances_07-07-1976White - Office
Yellow — Owner
PHik — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Hrest Name
^ou-t e 'X
Phone No.Owner:First Middle
\ c g v>City
Saprd-s \/l/jA.
• StateStreet & No.Zip No.
A rddi
Legal Description: Lake No. ^^*7 C>C\j^ d 1
1 Range H <0.
bUcV a
Lake Name Lake Class
nSec.Twp.Twp. Name.
Cy^sV<x\
If applicant is a corporation, what state incorporated in____
Applicant is: ( ) 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:_____
EXPLAIN YOUR PROBLEM HERE:7' -P
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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.
74? X19.Application dated.
—DO NOT USE SPACE BELOW— ^
7^19___Date application filed with Shoreland Management Administratioa
Both (‘-f'Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only { )
Filing acknowledgement By
Signature
Date, time and place of hearing 7 ~~7 7 .3 ^p.JOYL^*g.
DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_ 19____WITH THE FOLLOWING
REJECTED ^ /^cf jr. (Jr> ^-----
^ y~ y ,19^Initials
Dated:
Signature
Chairman
Otter Tall Planning Advisory Commiulon
Deviation
Approved this day of.19.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
VtCTOH UINMCN 0«.. PRINTIM. MIIRUR TALLt, MINN.
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GRID PLOT PLAN SKETCHING FORM: m:;.feet/inches.. Scaje:. 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.t—1
T
.19
Sewage System Permit Number.'
T
19.Dated.
S ignatu re
On this form make a drawing of your lot. Indicate all present buildings
with solid lines and ell proposed buildings or additions with dotted
1.Also indicate in feetj lake setback^ side yard setback and rear
yard setback.T
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