HomeMy WebLinkAbout32000160124001_Variances_10-04-1972Variances
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lo'M'imWhite — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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^ Last Name
Street & No.
First
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State Zip No.City
PaLake Name Lake ClassLegal Description: Lake No.,
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If applicant is a corporation, what state incorporated in____
Applicant is: («-TT)wner ( ) 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
2Z.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.k>nr,Pf>^SU
^gnature of Applicant19 . X %7Application dated.
—DO NOT USE SPACE BELOW—
19^^~cZ-Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) BoTFTt* )
ByFiling acknowledgement Signature
Date, time and place of hearing ~ ^
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, w/'p WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_
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Frank Alstadt,
Otter Tall Planning Advisory Commission ^
Signature.
Deviation
Approved this
~tA Bv_^day of.
Malccyrn K. Lee, Shoreland Management Administrator Ottei/Tail County, MinnesotaMKL-0871-016
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GRtD PLOT PLAN SKETCHING FORM.feet/inches.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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Sewage System Permit Number.
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19.Dated.TSignature
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