HomeMy WebLinkAbout53000990442001_Variances_04-19-1979Variances
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Barcode 128
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White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
. Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
9.Phone No.
Last Name First Middle
Street & No.ad No.State
Ct>Legal Description: Lake No. ~~/V/Lake Name Lake Class
RangeSec.Twp.Twp. Name.
/
,•1
If applicant is a corporation, what state incorporated in____
Applicant is: (X) 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.
i
This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in
what Section of the Ordinance:______
EXPLAIN YOUR PROBLEM HERE:..
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f. ^ . itxjJt yy\c^ ~to .
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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.
Ad.19.Application dated.. X/Signature of Applicant
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both'Hi )
Filing acknowledgement By Signature
/ ' ^ Pi\A ■ aLxZd^(iASLy j^/7^1 ■ jDate, time and place of hearing
DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day of_19____WITH THE FOLLOWING
Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 . By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
VICTBa bUM»flM «0.. aaiHTCI
GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
“1
.19Application 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.
19
1trSewage System Permit Number.
1 I
fL 5Tc19DatedSignature
4 - ^
'■T' '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 and rear
yard setback.
^^1973AP/fL
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