HomeMy WebLinkAbout25000990361001_Variances_05-02-1974Variances
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White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
rX\ )er Phone NoOwner:First MiddleLast Name
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State Zip No.CityStreet & No.
/?n>Lake NameLegal Description; Lake No Lake Class
£~iJi^r'h.SL‘-/C-sRangeSec.Twp.Twp. Name.
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If applicant is a corporation, what state incorporated in____
Applicant is: (j__LOwner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:Is Applicant a partnership.
ves 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
h)(o rAwhat 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.
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T~ y' Signature of Applicant
19 ~7Application dated.
— DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration________________________________
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
Filing acknowledgement By Signature
Date, time and place of hearing
, !9____W!TH THE FOLLOWINGDEVIATION APPROVED this______
iOR ATTACHED) REQUIREMENTS:
day of_
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Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
Deviation
Approved this 19day of.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
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GRID PLOT PLAN SKETCHING FORM.feet/inches.
Application for Building Permit Dated.
Application for Sewage System Permit Dated
• Scale: Each grid equals
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19
Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
19.Dated.a2i
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