HomeMy WebLinkAbout22000990503000_Variances_09-05-1973White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Street & No.
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City^ State Zip No.
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Legal Description: Lake No..Lake Name Lake Class
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If applicant is a comoration, what state incorporated in____
Applicant is: (lAOwner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:Is Applicant a partnership.
yes or no
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This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in
hu'i (cX.'t wo frwhat 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.
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^ Signature of Applicant
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Application dated.
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Boti^'V )
ByFiling acknowledgement
Signatu re
lOate, tirift and place of hearing t> "*7^ 7
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day of iyST-5DEVIATION APPROVED this______
(OR ATTACHED) REOU!REMENTS:
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Signature.
rI'anlc Alstadt, Pi‘esielcn<I^
Otter Tail Planning Advisory Commission
-tADeviation
Approved this
19J^. Ry d./O day of.
Malcolm K. Lee, Shoreland Management Administrator^J" y
Otter Tail County, Minnesota >MKL'0871-016
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5“GRID PLOT PLAN SKETCHING FORM
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.feet/wgbwr.Scale: Each grid equals
.19.Application for Building Permit Dated.
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Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
0White — Office
Yellow — Applicant
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Application Fee $lDate.Permit No..
/i H */ ^Legal description of land: Lake No Twp.Range Twp. Name
DL-O/VtLake Name Lake Class
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Sketch and supporting data submitted
PROPOSED USE OF LAND:
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AddressApplicant.
EaApplicant Signatur
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Date of Hearing 3CONDITIONAL REQUIREMENTS:
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This application is hereby recommended for approval by the Otter Tail County Planning Advisory Commission.
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Chairman
-p7 ^day ig?S^Approved by the Board of County Commissioners of Otter Tail County this
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