HomeMy WebLinkAbout46000990313002_Variances_06-20-1973Variances
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(j?-Z(0"l3White — Office
Yellow — Owner
Pink*— Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota C 0 ^ ^ "hft; Jj
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Zip No.Street & No.
^ bf~G Lake NameLegal Description: Lake No..
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If applicant is a corporation, what state incorporated in___
Applicant is: ((^H^wner ( ) Lessee ( ) Occupant
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( ) 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: UJ pu./cf ’ 11
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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.
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C.~ Y TApplication dated.
—DO NOT USE SPACE BELOW—
L=-./S5'Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval { ) Shoreland Management approval only ( )BothX>)
ByFiling acknowledgement Signature
i.-.ao-731(0 4 rpDate, time and place of hearing
r-y~Cuy-j^19 T^IA/ITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_
Signature.
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Otter Tail Planning Advisory Commission
Deviation
Approved this
r^Cut-a-9^By—,!ry( (SL.SPcaz'?^—*7 e>Qz<_ vMalcolm K. Lee, Shoreland Management Adminjsti»«Jrv^ ^
day of.
Otter Tall County, MinnesotaMKL-0871-016
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159079
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GRID PLOT PLAN SKETCHING FORM T.feet/inahac.• . Scale: ■ Each grid equals
•19-Z5Application 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.
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Nca/ESewage System Permit Number.
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Signature fi ""{J r
h-JJi.'9424Dated.
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