HomeMy WebLinkAbout55000990722000_Variances_07-17-1974White — Office
Yellow — Owner
Plqk — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Last Name First Middle
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* Street & No.City State Zip No.
Lake Name^^ /yCp4 (S /?_____
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Legal Description: Lake No..Lake Class
a /12Sec.Twp.Range Twp. Name.
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If applicant is a corporation, wl^at state incorporated in
Applicant is: ('j^l Owner () Lessee ( ) Occupant { ) Agent
List Partner's name and addrifc^flppiinont pfirtnership tjetow:6Sb
Ves or no
N A MC, ADLJWLl>S ANU kiH IMU.NA^E. ANp ZIP NO.
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This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditonsfound in
S'cJ/^XT S/Ajf^O SACi~what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:r- fijLx'yxt")a A-0 /-/yy So /$ aXP <& A-ypr<i-
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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.
Signature of Applicant
3Application dated.
—DO NOT USE SPACE BELOW— '
19_^Date application filed with Shoreland Management Administration.
Deviation requires: Planning Cdmmmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By
Signature
■ srijn . 7nIacB of hearing +
DEVIATION APPROVED this\______
(OR ATTACHED) REQUIREMENTS:
day of.19____W! TH THE POLL OWING
REJECTED Ry fozzt. UJ do ■
QJh. Cof^/ayvL /y\ ,
^ IS^InitiafsV~/7Dated:
Signature.
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 . By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
VICTOII LUN0CIN eo.. MINTERI.l«LLa. MI«N.
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GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
Application for Building Permit Dated
Application for Sewage System Permit Dated
.19.
:zr:i.19
Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.T
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Dated.
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