HomeMy WebLinkAbout22000990467000_Variances_06-04-1981White — Office
V Yellow — Owner
— Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Owner:Phone No.:3Last Name First Middle
Te,^ 7Lc 'y<CityStreet & No.State Zip No.
SjkzJiH.f<oLegal Description: Lake No.,Lake Name Lake Class
y ^Twp. / 3 V3 FL I -Ln/SSTHSec.Range Twp. Nama
I F%^ F CO
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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: jr /</ !o fidO IK/ >9 :^dA:1ixrJ
ujouLz> ee
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5 AoLoF LIa/S.
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
J- ~c^S
Application dated.
—DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both { )
ByFiling acknowledgement Signature
foate, time and place of hearing ^ ,
PijV_VvO^ -Xj^U-kAj-olL ,
-O/e/nCX. 19k/DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_WITH THE FOLLOWING
f JOO_L-^y y-,1
r
. (g.Signature.
Chairman
Otter TaM Planning Advitory Commlation
Deviation
Approved this 19.^ By.day of.
Malcolm K. Lee, Shoreland Managem^i^^Ad^inj
V I /'
strator
MKL-0871-016
171988-A®'LA PAGE:?^pryVtCTSN LUH9ICN SO.. PHINTCKO. riROUt fM.Lt. HINN.
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I >Office of County Recorder
County of Otter Tail
1 hereby certify that the within Instrument OfI*
was filed in^ this office for record on the // -
day of A.D. 19 S'! ■ at
iSiifU
o’clock
Book i_
Was duly Recorded infpage«St21_\on
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Coxinty Recorder
Deputy
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GRID PLOT PLAN SKETCHING FORM^ i/e; Each grid equals
'^Application for Building Permit Dated.
Application for Sewage System Permit Dated
.feet/inches.
.19
19
Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
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-9-7119.Dated Signaturevr 1
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159104 ® vkto* u«uua a G*.MKL-0871-029 miaft
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