HomeMy WebLinkAbout46000990155000_Variances_08-21-1974Variances
2
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Yellow — Owner
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APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Manag^ent Ordinances Otter Tail County, Minnesota
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Last Name First Middle
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Street & No.City State Zip No.
Legal Description: Lake No 2.
Sec. 3 /
Lake Name Lake Class
/ *? ^1 RangeTwp.Twp. Name.
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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 conditonsfound in
"T* Q~what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:
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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. .KouC'J><c‘^ » hou» ocAji Ttoc <x I^ouejl
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—DO NOT USE SPACE BELOW—
^ .Application dated.
Signature of A^^TlIcant
19XYDate application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both (✓T^
Filing acknowledgement By.
Signature
OjUl^. 3-1, 19-/^ ^'.60 R/fl.
day ot
it A ?p>t g (JUODate, time and place of hearing X a o
DEVIATION APPROVED this
{OR ATTACHED) REOU!REMENTS:
19____W!TH THE FOLLOWING
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PlxthU 0/AASuR'-^ l^y ,
REJECTED 'Ey 'TP.P (h.
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M-aiU., 192^ Initials
SignatureDated:
Chairman
Ottar Tail Planning Advisory Commission
Deviation
Approved this day of.19 . By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL-0871-016
171988-A®
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Scale: Each grid equals
Application for Building Permit Dated
Application for Sewage System Permit Dated__i
Building Permit Number ______________
Applicant agrees that this plot plan is a part of application (s) indicated above.
GRID PLOT PLAN SKETCHING FORM.feet/inches.
.19.
19
fSewage System Permit Number.
.19.Dated.Signature
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