HomeMy WebLinkAbout16000990460000_Variances_04-06-1977White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
701 -'Ua-|gn . H'AnT'rord
Last Name ' First
Phone NoOwner:Middle
PiocoiBt'ooHTr'e ■€. PahK AO
CityStreet & No.State Zip No.
lOtiT McOomalJLegal Description: Lake No..Lake Name Lake Class
/3<^Dora^Sec.Twp.Range Twp. Nama
If applicant is a corporation, what state incorporated in___
Applicant is: (X) 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 conditonsfound in
what 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.
Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both (/-)—
Filing acknowledgement By
Signatu re
- ri (S> P./p. Onu^rrADate, time and place of hearing CM.£JL
DEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
day of_., 19____WITH THE FOLLOWING
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Signature
Chairman
Otter Tail Planning Adviaorv Commlnlon
Deviation
Approved this 19day of.. By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL-0871 016
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id'^ ■GRID PLOT PLAN SKETCHING FORM.feet/inches.Scster, 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.
.19.
Sewage System Permit Number.
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%-X ‘IV 19 rl.Dated..A .. I.7 Signatui^
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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
yard setback.WEST McDonald
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