HomeMy WebLinkAbout55000990435000_Variances_06-07-1972White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Phone NoLastlyOwner:MiddleFirstme
City ^State 565Z2
Zip No.Street & No.
56-786 Lake Name PelicanLegal Description: Lake No.,Lake Class CT>
Sec. 12 Twp. 137 Range 43 Twp. Name
I oj-J o ^ I Tt
5 oM A1 e/1.Lot 4 Block 1
If applicant is a corporation, what state incorp)oratecl in____
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant (A) 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, Minnesota for conditonsfound in
Table 1 Setback from dedicated roadwhat Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:
Would like to place a garage within 10 feet of the dedicated right-of-way of the road.
This lot is a backlot on Sumner Haven Beach, 1st Addition, 50' x 150'. Front lot is
also about 50' x 150'.
low swampy area.
Setback requirement of 40 feet would place the building in a
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
.xH X>■A?lpd. w'May 25 19—12Application dated.
p MeantSignature of
—DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration________________________________
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Botli>> )
._________________ By___________________________________
y signature
Filing acknowledgement
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pale, time and place of hearing i
19.^^WITH THE FOLLOWINGday of ./DEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
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ISignature.
Frank AlstaUt; Preiidont
Otter Tail Planning Advisory Commission
Deviation
Approved this
19^_. By.day of ^ ) LU't-A.aMalcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
1^ vicTo* LUNOdN k ce . PR<Hrc>i. rcHsas r*cLi.150079
/a GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
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.
.19.
.19
Sewage System Permit Number.
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.19,Dated.Signature I
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