HomeMy WebLinkAbout37000990804000_Variances_09-07-1977White - Office
Yelkow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
First 'Last Name
Phone No.Owner:Middle
/ ac^ ^StateCity Zip No.Street & No.
C-bLegal Description: Lake No .Stc* i Lake Name Lake Class
±/3^L<r Range Twp. NamaSec.Twp.
rj
If applicant is a corp)oration, 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 conditonsfound in
what Section of the Ordinance:____
EXPLAIN YOUR PROBLEM HERE:Cdoui~h rci^ e /6~ ^
is d6c(/e resT c^{
he^ let
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
'SIf- 19.-ZJ- .Application dated
Signature of Applicant
—DO NOT USE SPACE BELOW—
T IP 77Date application filed with Shoreland Management Administration____________________________
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
ByFiling acknowledgement signature
CctujtH,1 Q> H 'rhe P.M,!- LL/iAjDate, time and place of hearing
DEVIATION APPROVED this_____
(OR ATTACHED) REQUIREMENTS:
day of.19____WITH THE FOLLOWING
9-7'77 OLo oJcSe.
ioo J\
1
Signature
Chairman
Otter Tati Planning Advisory Commission
Deviation
Approved this day of.19 . By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL-0871-016
171988-A® VICTOR LUNBIKN CO.. MINnOt. flROU* f«LLB, MINM.
1- L
GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Farh grid pqiials 1 :
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 a^ve.
J-I.19.
.19
Sewage System Permit Number.
19.Dated Signature
On this form moke a drawing of your lot.\ Indicate all present buildings
with solid lines and all proposed buildings or Additions with dotted
;:i lines. Also indicate in feet; lake setback, side yard setback end rear yard setback. / I
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