HomeMy WebLinkAbout46000990383000_Variances_07-19-1978Variances
2
Barcode 128
White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
RMuirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Owner ;_v Phone No.
Last Name MiddleFin
Street & NoT. ^ / City State
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Zip No.
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Lake No. ^ L\ - ^ ^ ^/ Lake Class Cy DLegal Description:Lake Name
/■-9 y~Twp. Name ^ A, \ fc- p. T* A t LSec.Twp.Range
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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 conditons found in
what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
M. 19-2/Application dated.. X .y.
■signatLire of Applicant
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administratioa 19___
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both ( )
Filing acknowledgement Signature
Date, time and place of hearing "1 |\*^ | T ^ “t ' 3
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day o/_ri_y=:±H_______19 16 W! TH THE POLL OWING
By
/9^DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
OLpfyvcMSxl Ox> A-fi^ ujQo^tebl ,
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Signatui
-etialrman ^
Otter Tail Planning Advisory Commission
Deviation
Approved this O ( day of v / t/ C M
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, Minnesota
19_2_S By.
MKL-0871-016
171988-A®
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GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
t
,x.19.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.
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.191
7“
Sewage System Permit Number.
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'• Q c-^ \ ^ I ~r \ t19.Dated.Signature T
On this form make a drawing of your lot. Indicate all present buildings
with solid lines and all proposed buildings or additions with dotted
lines. Also indicate in feet; lake setback, side yard setback and rear
M.. yard setback.
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