HomeMy WebLinkAbout57000990282000_Variances_05-03-1978Variances
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^ *3 'White - Office
Yellow — Owner APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Pfnk — Township**
/ Last NSfne First Middle
Owner:Phone No.
Street & No.City State Zip No.
M iPj'^Lake ClassLegal Description: Lake No..Lake Name
Twp. J X-XLSec.Range Twp. Nama
If applicant is a corporation, what state incorporated in____
Applicant is: ( ) Owner ( ) 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 conditonsfound in
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
rea in^<J
Application dated.19.signature Applicant
— DO NOT USE SPACE BELOW—
Date application filed with Shordland Management Administration
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both (a-)—>
Filing acknowledgement By Signature
-17 (S>. y. ^ P. M. , F- P. fYlPn
5^7
W!TH THE POLL OWING '
Date, time and place of hearing
3 ,, ISL^V71,DEVIATION APPROVED this
(OR ATTACHED) REQUIREMENTS:
day of_
(XPY>uOyL^ ouo
-Chairman
Otter Tail Planning Advisory Commission3:6
-Z^,9^. ... YAn.Ulr, ,
Malcolm K. Lee, Shoreland Management Administra^cT^T
Otter Tail County, Minnesota
Deviation
Approved this
/Vy\day of.1MKL-0871 016
171988-A®
V1CT0N CUNtCCH 00.. PRlMTeMI, riMOUt MINN.
I 1-
--1
V ft GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals_! '
Application for Building Permit Dated.;.. 4—.19.
4 .19Application for Sewage System Permit Dated
Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
.4
Signature
^ -y- 4? y 19bated.
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