HomeMy WebLinkAbout46000990389000_Variances_08-06-1975White — Office
Yellow — Owner Pink
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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^ • Last Name ^ First Middle
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Phone No.Owner:
Street & No.City State Zip No.
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Lake Name___fLi sLegal Description: Lake No..Lake Class
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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
fwhat 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.
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Application dated.
SIgnature or Applicant
—DO NOT USE SPACE BELOW—
19IZ5Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both ()4
- ByFiling acknowledgement Signature
_______
Date, time and place of hearing
(1Ujl^/j^a7.„ 19 '^WITH THE FOLLOWINGDEVIATION APPROVED this
(OR ATTACHED) REQUIREMENTS: - ^ iD-«JLA.^>2-jL^Tfeb iLsj-XyLA,
day of.
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Signature.
Frank T?M>LSCit,
Otter Tail Planning Advisory Commission
Im K. Lee. Shoreland ^anaaement
Deviation
Approved this 19.2^ By.day of.
d m ini s t r a tMalcolm K. Lee, Shoreland management
Otter Tall County, MinnesotaMKL-0871-016
@ VICTOR LUNOCCH I CO.. RRINTtRO. fERSUS fACL*. HIHM. 159079
/GRID PLOT PLAN SKETCHING FORM.feet/todK^-Scale:r%Each grid equals
Application for Building Permit Dated_____
Application for Sewage System Permit Dated
.19.
.19.
Sewage System Permit Number.Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
Dated 3-19 7^".4-s a t u re I-
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