HomeMy WebLinkAbout46000040017003_Variances_08-07-1974Variances
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White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
^-^'Last Name
^ ^ Street & No.
yy?. J' Owner:Phone No.First Middle
fs/. /2,. D /n> ^
city Zip No.
/oi /nnLake No.Legal Description:Lake Name Lake Class
Twp. /-^ ^
2c>i- ^ C^O
Sec.Range Twp. Nama
If applicant is a corporation, what state incorporated in____
Applicant is: ( LHDwner ( ) 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:
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Q^Q -TQ .i-fFr\ prf=>5g»<NIn orde^o properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc./o c-o. ^ •
V-—^ — Signature of AplplicantV19 ,xApplication dated.
—DO NOT USE SPACE BELOW—
19_^Vy-Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both {
Filing acknowledgement By
Signature
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Date, time and place of hearing
. W'7'^WITH the followingDEVIATION APPROVED this
{OR ATTACHED) REQU!FOMENTS:
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day of_
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(d._________Chairman to
Otter Tail Planning AdvlMry Commlttlon
Signature
Deviation
Approved this
Malcolm K. Lee, Shoreland Management Administrator ij
Otter Tail County, Minnesota
19_!^ By.day of.
MKL-0871-016
171988-A®
WCTON LURitlN 00.. PRtHTtKO. FCIIOuO fALLI. yiHH,
GRID PLOT PLAN SKETCHING FORM.feet/inches.
^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.
Scale^ Each grid equals
.19.
r.19
Sewage System Permit Number.
J-
2Dated.
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MKL-6871-029