HomeMy WebLinkAbout55000990343000_Variances_08-23-1972White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Last Name First
Phone No.Owner;
Middle
/3/0 SZSr o
Street & No.City State Zip No.
-ft < ri — ■7/^Legal Description: Lake No..Lake Name Lake Class
Twp. /S7Sec. J/Range Twp. Name.
re
If applicant is a corporation, what state incorporated in____
Applicant is: Owner ( ) Lessee ( ) Occupant ( ) Agent
I ist Partner's name and address below:
yes or no
Is Applicant a partnership.
NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO.
This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in
what Section of the Ordinance;______^
EXP LA IN YOUR PROBL EM HERE: '
..... .Z^WI.wZ ^
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 Applicant
7 U'19.Application dated.
—DO NOT USE SPACE BELOW—
Deviation requires; Planning Commmission approval ( ) Shoreland Management approval only ( )
192jr'Date application filed with Shoreland Management Administration,
Both (*<)
Filing acknowledgement By Signature
19 '19^!TH THE FOLLOWING
Date, time and place of hearing
0'^ day of,
u
REJECTED Ry to.
Dated: l9JZs^nitials_AZi±L^
DEVIATION APPROVED this
(OR ATTACHED) REOU!REMENTS:
(
OaJ:: t{v\xjs tcOMA^-y^Signature.
r rowU AIrtaeK, President
Otter Tail Planning Advisory Commission
Deviation
Approved this 19day of.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL0871-016
victo* LuMBiCN 4 ea.. fnutTCM. rcMv* rM.ua. mi«*
159079
GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
.19.Application for Building Permit Dated_____
Application for Sewage System Permit Dated.19
Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
1
.19.Dated.Signature
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