HomeMy WebLinkAbout53000060032034_Variances_08-02-1973Variances
2
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Wh^te — Office
Yellow — Owner
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Pinie — Townciiip
Last Name /
7^6 - PPhone No.Owner;MiddleFirst
State Zip No.Street & No.
)^cti ccy^Lake ClassLake NameLegal Description: Lake No.
h /Jb ^9 Twp. Name.RangeTwp.
yv^
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If applicant is a corporation, what state incorporated in____
Applicant~is?T^ ) 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, Minrmsota for conditonsfound in
what Section of the Ordinance: f
EXPLAIN YOUR PROBLEM HERE: _ » ^l0^yu<JiSL, JLaJLjL OoLAiL/uv.J!ti—
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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.
' ' Signature of A^pticynt
9^7S,19.Application dated.
—DO NOT USE SPACE BELOW—
19j^c>L^Date application filed with Shoreland Management Administration.
Deviation requires; Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
ByFiling acknowledgement
Signatu re
, 19 7^ W! TH THE POLL OWING
Date, time and place of hearing
DEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
day of_
*—cx<.^Cs>^ ^
Signature.
Otter Tail Planning Advisory Commission
Malcolm K. Lee, Shoreland Management Administrator Otter Tail County, Minnesota ^^'■'•^0
Deviation
Approved this J7 , ig7<^. By.day of.
MKL-0871'016
VICTO* LUMDtCI t CO . ••ixrflio. FIRfiUS TALC*.
159079
Scaie: Each grid equals __Z
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.
GRID PLOT PLAN SKETCHING FORMfeet/inches.
i r.19.
.19
Sewage System Permit Number.
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