HomeMy WebLinkAbout32000070055003_Variances_08-03-1978Variances
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White Office ^
Yellow — Owner
PjQk — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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^ First
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7/9- 'ZJ7//7l.Owner:Phone No.")g,n C
Last Name Middle
7^csrC,’^/3i /)fl StateStreet & No.City Zip No.
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Lake Name ^ T7 NJ
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Legal Description: Lake No. ^Lake Class
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Twp. Name ipA O ^ Lx C5^tSec.Range
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If applicant is a corporation, what state incorporatea in_____
Applicant is: (^) Owner ( ) Lessee { ) Occupant
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( ) 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:
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In order to properly evaluate the situation, please provide as much supplementary information as p>ossible, such as: maps,
plans, information about surrounding property, etc.
7/19.Application dated.
Signature of Applicant/2ec not use space below—
Date application filed with Shoreland Management Administration.19___
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both ( )
Filing acknowledgement By
Signature
Date, time and place of hearing ~f 1 'KQ ft 1| 7 ^rnL3a~r Fg
/Awith the followingDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS: ^
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day of_19.
Chairman
Ottar Tail Planning advisory Committion
rDeviation
Approved this
//y/h.Malcolm K. Lee, Shoreland Management Administra
Otter Tail County, Minnesota
Gluj,day of.19 . By.
MKL-0871-016
171988-A®
VICTOR CUNOCCN «0.. PNiMTtRt. rCMUt fM.U. HIHN.
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A.■?GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals I
19 yJ IApplication 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.
.19
Sewage System Permit Number.
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Signature '
f^T“19 y<P.Dated.
On this 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 feet; lake setback, side yard setback and
yard setback.
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