HomeMy WebLinkAbout16000990301000_Variances_05-17-1978Whilfe - Office
Yelrtiw — Owner
^ Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
-Sen E. Q.i Phone No.Owner:MiddleLast Name First
rio State Zip No.CityStreet &
3 8'!o Lake Name Lake ClassLegal Description: Lake No.
Dfkr aOij(cSec.Twp.Range Twp. Name.
fU-t- 2-r ‘
If applicant is a corporation, what state incorporated in____
Applicant is: ( L^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: C} ^ 0 M. ///A-e TV ^
^ 3 ^ 'p'//7< €.f>rv^o
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
Z119.Application dated.
Signature of Applicant
— DO NOT USE SPACE BELOW—
5>19Date application filed with Shoreland Management Administration,
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both
ByFiling acknowledgement Signature
A
//aP 7 Pa\. (jsuxrJ^^Date, time and place of hearing Ty
, 19 WITH THE FOLCbwiNGday of 1DEVIATION APPROVED this
(OR ATTACHED) REQUIREMENTS:
Otter Tail Planning Advisory Commission
Malcoirn K. Vee, Shoreland Management Administral^^.^
Otter Tall County, Minnesota —
Deviation
Approved this
9^. By.<^5 "TlPou.day of.1
7MKL-0871 016
vicroD kvHocCN « CO . »iiiHTca«. r(««u» r«u-i..... 159079
a
feet/inches-GRID PLOT PLAN SKETCHING FORM iScale: 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.
.. -i-.19.
.19
- -4
Sewage System Permit Number.
i—)■
Dated.
S ignatu re M'
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