HomeMy WebLinkAbout56000990482000_Variances_05-15-1974_White — Office
fellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesotat *Ck s / ??/y3
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Last Name First
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Street & No.Zip No.State
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/3 Range_'Ll__
•rz - 7/r ?Lake Name Lake ClassLegal Description: Lake No..
Twp. Nam&Twp.Sec.
If applicant is a corporation, what state incorporated in___
Applicant is: (^.^..•pOwner ( ) Lessee ( ) Occupant ( ) 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 conditons found in
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what Section of the Ordinance:
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YOUR PROBLEM j'^r^ dc/^
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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.- / /^ J' 'yy P {Oir j,\
U -119.Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
4 -QL 1924Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Bot^^f^)
ByFiling acknowledgement Signature
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Datertime and place of hearing
-day of/S
tDEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
WITH THE FOLLOWING. 19.
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Frank Alatudt; Oreflielowt- ^
Otter Tall Planning Advisory Commmion^
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Signature.
Deviation
Approved this snnday of.
Malcolm K. Lee, Shoreland Management A
Otter Tall County, Minnesota
inisyator
MKL-0871-016
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GRID PLOT PLAN SKETCHING FORM.feet/iofibss;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.
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4-Sewage System Permit Number.
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