HomeMy WebLinkAbout25000990252000_Variances_05-03-1978Variances
Barcode 128
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Y, Minnesota
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^-3White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail
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First I
' Owner:Phone No.
Last Name Mlddl^y
^ity / /’ S&te Zip No.
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’ Street & No.
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c;JDLegal Description: Lake No Lake Name Lake Class
/2J/LSec.Twp.Range Twp. Nama
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Ca^. W- P.)If applicant is a corp^ation, what state incorpor^
Applicant is: ( IHiwner
d in_________________
( ) Lessee ( ) Occupant ( ) Agent
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Ves or no
List Partner's name and address below:Is Applicant a partnership.
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
what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:
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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.
iZ' ,x19.ttJ!Application dated.ignature o-f^'^Applfcant
— DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administration 19
Both ( )Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By
Siju;iature
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oToK57, 19 W!TH THE FOLLOWING '
Date, time and place of hearing
DEVIATION APPROVED this
(OR ATTACHED) REQUIREMENTS:
day of_
Cruet 0>^zh> JlCxiyot.
^A-C-A-U,;
Signature
Chairman
Otter Tail Planning Adviaory Commltslon
Deviation
Approved this day of.19,. Bv-Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
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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 D^ed____
.19^^
19
Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
19 >g'.Dated Signature
r;.-;On this Com make a drawing of your lot. Indicate all present buildings" I j; ; :v;itti solid lines and all proposed buildings or additions with dotted : :
lines. Also indicate in feet; la^e setback, side yard setback end rearj ydrd setback, ''
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Scale: Each grid equals
Application for Building Permit Dated ^^
Application for Sewage System Permit C^ed___
Building Permit Number____________________
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Applicant agrees that this plot plan is a part of application (s) indicated above.
GRID PLOT PLAN SKETCHING FORM.feet/inches.
,19_2£
.19
Sewage System Permit Number.
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Dated rt
On th-ls form make a drawing of your lot. Indicate all present buildings
with solid lines and all proposed buildings or additions with dotted
lines. Also indicate in feetj lake setback, side yard setback and rear
yard setback, ^
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MKI.-0871-029
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