HomeMy WebLinkAbout32000200151001_Variances_06-03-1974Variances
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White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Last Name / First Middle
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Phone No.Owner:
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State Zip No.CityStreet & No.
Lake ClassLake NameLegal Description: Lake No.
/AjJ37 A/Sec.Range Twp. NamaTwp.
Ur /y &.L- rjo s
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:
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In order to properly evaluate the situation, please provide as much supplementary information as possible,«dch4is: maps,
plans, information about surrounding property, etc.
Signature or Applicant
19.. XApplication dated.-A
I —DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration________________________________
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
ByFiling acknowledgement Signature
Date, time and place of hearing
19____WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_
Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
Deviation
Approved this 19.day of.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, Minnesota
MKL-0871 016
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159079
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m.GRID PLOT PLAN SKETCHING FORM.feet/inoheg. /Sc^le: Each grid equals
Application for Building Permit Dated.
Application for Sewage System Permit Dated.
Building Permit Number________________1
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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