HomeMy WebLinkAbout22000990462000_Variances_07-03-1974White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Name
/}g
First
Owner:Phone No.c/oMiddle
/a Ds /Vr.L S'^ >
Street & No.City State Zip No.
/?nLegal Description: Lake No..Lake Name Lake Class
Twp.Range V 3Sec. /O Twp. Name.
If applicant is a corporation, what state incorporated in____
Applicant is: («.pt)wner ( ) Lessee { ) Occupant ( ) Agent
/76 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
/«3i,what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
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Corr>(Oir^ q.-P raptor 7-yro-rn>-
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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.
/zf?-19 7^ . XIApplication dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
6>9_Z/Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both { )
Filing acknowledgement By
Signatu re7-^ -‘111 ^ r P.(Zdyi^LZt^ISa^te, tirne and place of hearing
_p /o c/. is'yu WITH THE FOLLOWINGDEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
<=*■
day of_
jAqq_
Chairman ..-Chri k>
Otter Tall Planning Advisory Commission
Signature
/C-, /</. ^
Malcolm K. Lee. Shoreland Management Admlnistrato^!!^^
Otter Tall County, Minnesota
Deviation
Approved this ;r,day of.. By.
MKL-0871-016
171988-A®
VICrON kUNDCCH 00.. ^MIHTEI ''M.l
' 4 GRID PLOT PLAN SKETCHING FORM 2.feet/inches.Scale: Each grid equals
Application for Building Permit Dated.
Application for Sewage System Permit Dated
.19.
.19 r
Sewage System Permit Number.Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
r
19Dated Signature
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