HomeMy WebLinkAbout22000100076003_Variances_06-07-1978White - Office
Yellow — Owner
Plitk — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Owner: VA
Last Name
Phone No.i I \First Middle
p,a PpvA ftp ([->
Street & No.City State
Legal Description: Lake No J^ fo ~^ ^O 6s Lake Class ^Lake Name
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Range___^ 3 Twp. Namp^Ll?Twp. ^ ^
Ni V *5 0,1' DKi
unSec.
^ L-OT"
VwOT vcy S clE>k^9
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 conditonsfound in
what Section of the Ordinance:_____________________________________________________
EXPLAIN YOUR PROBLEM HERE:
-VO P-OM
V\
In order to properly evaluate the situation, please provide as much supplementary information as prassible, such as: maps,
plans, information about surrounding property, etc.
vjyj 19. 1^ .1Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both
7v5'4>/Filing acknowledgement
Date, time and place of hearing S? ka
DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
By
Signatu re
^ r> V ^ VV\Vi
■ 19'^^ITH THE FOLLOWING
tonx
r l^^v
day of_
d/2/cpto ^S^Zo:6l.
<XO JLOCXajU-?^ .
z
Signa^
-Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 ■ By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL-0871-016
171988-A®
VieTOR UINtItN M..
irti
'iiLkt. uimi.
«GRID PLOT PLAN SKETCHING FORMfeet/inches.Scale: Each grid equals
:-r1 j--r‘-^4 t1.19Application for Building Permit Dated_____
Application for Sewage System Permit Dated r.19
5 Sewage System Permit Number.Building Permit Number____________
Applicant agrees that this plot plan is a part of application (s) in^cated ^bove.^^ ^
S ign atu re ^
4 .
.........
V
I 19.Dated.
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 end rear
yard setback.
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