HomeMy WebLinkAbout16000130078001_Variances_10-24-1978White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
LshWh. Ddy\Owner;Phone No.
Last Name First Middle
PnOS $V~-MvkpAcI M
Street & No.City Zip No.
/j2‘Tk-TrQ
Sec. l3 Twp. 0 ^
Legal Description: Lake No.i Lake Name Lake Class
D/?~'\^cA. -Range Twp. Nam&
f
/
a comprStion, what state incorporated in____
i\yO\Nner ( ) Lessee { ) Occupant
If applicant is
Applicant is:( ) Agent
A/O 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: -j I / /V/'T Y?- S049^r
LO ei^cl> /l/A'S T»C Af-fty Oe- /‘lyfC.S^bRf' THE
s t> ~r/YE /S
Y<to et*y J P
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
9?z£L . XApplication dated.1
Signature of Applicant
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administratioa
) Both ( )Deviation requires; Planning Commmission approval ( ) Shoreland Management approval only
Filing acknowledgement By
f Signature • s
rttU/Uk .Date, time and place of hearing
/g-^, 19 WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day ot
-7^!^ 6oy^A .
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^Ofy~s
6cnASt~
^ XO/no S'Signature
Chairman
Otter Tail Planning ^dvUe^ Cuin^ijiwlu^i /
YT^ TP Ct/)jjnr^-6^Deviation
Approved this 7^day of.19 ■ By.Malcolm K. Lee, Shoreland Management AdmTn^tca^r
Otter Tail County, MinnesotaMKL-0871-016
1719S8-A®
VICTeN LUNtllN Ott.. #ll(NTtllt. riR«U» FALLt. HINN.
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GRID PLOT PLAN SKETCHING FORM ..feet/inches.Sc0tb: Each grid equals___________
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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.19.
.19
Sewage System Permit Number.i I • ■
4 iH-I i I
1.19.Dated
S ignatu re
On this form make a drawing of your lot. Indicate all present buildings
with solid lines end all proposed buildings or additions with dotted
lines. -Also indicate in feet; lake setback, side yard setback end rear
yard setback.
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