HomeMy WebLinkAbout55000990354000_Variances_05-07-1975White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Last Name
^SS /C2Owner:Phone NoFirstMiddle
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Street & No.City State Zip No.
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Legal Description: Lake No..Lake Name Lake Class
/sA—Twp. / 2 __ Range ^JPSec.Twp. Nam&
If applicant is a corporation, what state incorporated in_________________________
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:
yes or no
NAME, ADDRESS AND ZIP NO,
i
Is Applicant a partnership.
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:
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.
19 'ZjT . X/7.^y^y JApplication dated.
Sfgnature of Applicant
— DO NOT USE SPACE BELOW—
apMl 19?^LDate application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval { ) Shoreland Management approval only ( ) BotTfSv )
Filing acknowledgement By Signaturejpate, time and plac^of hearing X ^C> P. '7^). ^ c%jU^Juct<aj^—’ TTOX) ,
'H'tMy 19 Yf^WITH THE FOLLOWINGyn
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DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:CLfy^x^vcn/u^
day of
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Signature
Chairman Jj ^
Otter Tail Plannrng Adviiory Commitilon
______^)P~P)nLJ^l,6y^ jP. y^xJLJU
Malcolm K. Lee, Shoreland Management Administrator ~^ZT ^
Otter Tall County, Minnesota
Deviation
Approved this 19mday of.■ By.
I MKL-0871-016
171988-A®
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4-rGRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
/ ig -7 S'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.
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f' ■Sewage System Permit Number.i
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.19.Dated.Signature
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