HomeMy WebLinkAbout55000990489000_Variances_07-05-19721White — Office
Yellow — Owner
Pink —'Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
9^'7 ^Kclyiol.Daig
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Phone No.Owner:MiddleLast Name
aA/Z,^.7J, 71.State Zip No.Street & No.
A /J Lake ClassLake NameLegal Description: Lake No..
IL Range Twp. Name.Sec.Twp.
Gr& o fy /^eA-<2
If applicant is a corporation, what state incorporated in____
Applicant isTT' ) Owner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:Is Applicant a partnership.
yes or no
NAME, ADDRESS AND ZIP NO.
A':NAME, ADDRESS AND ZIP NO.
This application for deviation is fromShoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in
£I .v^J:what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:ixyiruLd JIaJuL ^4AAjt JL
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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.
Application dated CL ft C.19 9<SL . X
7 Signature of Applicant
—DO NOT USE SPACE BELOW—
C? ^ <g2L
Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )BotfriJ )
_________________________ By_______
7'3.0 P{A.
Filing acknowledgement
m.
Signature
C'liDate, time and place of hearing ^Cv>-oX«7 1
, 19^^ WITH THE FOLLOWINGS'DEVIATION APPROVED this______
{OR ATTACHED) REOUIREMENTS:
day of_
..rt
az-Signature.
riunh AtsluJl, PFOBlderrt
Otter Tail Planning Advisory Commission
-t!XDeviation
Approved this /o ---------------------TSflaIcbim K. Lee, Shoreland Management Administrator
Otter Tail County, Minnesota
19day of.
MKL-0871-016
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150079
Scale: Each aari equals feet/mches.
Application for Building Permit Dated_____
Application for Sewage System Permit Dated
GRID PLOT PLAN SKETCHING FORM
.19.
/none .19
h'oriE'Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
19rDated Signature
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