HomeMy WebLinkAbout55000990446000_Variances_03-06-1974White - Office
Yellow — Owner
• — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
-2 93
First Phone No.Owner:
Last Name Middle
____(X}r^ rl r/ O A) n.yr>
cSfTStreet & No.State Zip No.
fi).Lake NoLegal Description:Lake Name Lake Class
/ rO- Twp. / 3 ?Sec.Range Twp. Name.
I O’ 0 O F ' /O ^-o^ •
/fa-c’
If applicant is a corporation, what state incorporated in____
Applicant is: (\Towner ( ) Lessee ( ) Occupant ( ) Agent
7Vt\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 conditons found in
t /-.*S f ■ ( .what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HEBE: c£c
In order to properly evaluate the situation, please provide as mucn supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
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19.Application dated.Ignature of Applicant
—DO NOT USE SPACE BELOW—
rO - rg ^19Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) BothT^)
ByFiling acknowledgement Signature
-7*1^ P /Km.Date, time and place of hearing
■jtL ., 19 T^with the followingDEVIATION APPROVED this
(OR ATTACHED) REOUIREMENTS:
day of_
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Signature.
•FranU Alatod»;"Pf«9iHew< I .WNi^
Otter Tail Planning Advlsory^ommission
By V7{ ^
Malcolm K. Lee, Shoreland Managemern Admini«j|(gt<y
Otter Tail County, Minnesota
Deviation wApproved this___L fXcLHr'A nlL.\day of
MKL-0871-016
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159079
£L GRID PLOT PLAN SKETCHING FORM.feet/inehesT"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.i
11.19
Sewage System Permit Number.
19 7^.s-a'TDated.• rSignature4-
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