HomeMy WebLinkAbout16000990994000_Variances_05-16-1973White — Office
Yellow — Owner
Pink*'-^ Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Co J0 ’U'ak>\a?7- 7Phone No.Owner:
Last Name MiddleFirst
M l>.k n I State Zip No.Street & No.
n>ft-3 rfc )3( ^Legal Description: Lake No..Lake Name Lake Class
5 9 D n r11Twp. Nam&Sec.
/l/erT ACy.L. y
If applicant is a corporation, what state incorporated in
Applicant is: (Lf^wner ( ) Agent{ ) Occupant( ) Lessee
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
Tokl^what Section of the Ordinance:__________________________
EXPLAIN YOUR PROBLEM HERE: U.'o w I f ( h JJ
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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.
. XApplication dated.pplicantignature
—DO NOT USE SP>^ BELOW—
\19^Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( )Shoreland Management approval only ( ) BotTfS^ )
ByFiling acknowledgement
-7 - toDate, time and place of hearing
19____W!TH THE POL LOWINGday of_DEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
TED By
52^Z-----, 1S.^lnltialJi^^^Dated:
Signature.
Frank Alstadt, President
Otter Tall Planning Advisory Commission
Deviation
Approved this 19day of.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
VICTOR LuiteccR 4 CO . ooioTcao. rcoouo rM.LO. mao
159079
GRID PLOT PLAN SKETCHING FORM.feet/inches.
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.
Scaie: Each grid equals
.19.
19
Sewage System Permit Number.
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