HomeMy WebLinkAbout32000210155005_Variances_05-03-1978Variances
Barcode 128
5-3'm-SWhite - Office
'Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
nLast Name
Owner:Phone No.MiddleFirst
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Street & No.City State Zip No.
/fiOSC -e^Legal Description: Lake NosS~ ^ ~ O
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Lake Name Lake Class
J-lr^LojCt4-0/37Twp.Range Twp. Name.
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If applicant is a corporation, what state incorporat
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 conditons found 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, such as: maps,
plans, information about surrounding property, etc.
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—DO NOT USE SPACE BELOW—
Application dated.
Date application filed with Shoreland Management Administration.
BothDeviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By
Sjanatu rePa- Cyn^’oiLc^c^Date, time and place of hearing 5~~S ^^7;Sn 7
, 19____WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of.
Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 . By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
VICTOH CUH*ItN M.. PMINTtl tALU. HINIi.
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GRID PLOT PLAN SI^^HING FORM.feet/inches.Scale: Each grid equals
Application for Building Permit Dated.
Application for Sewage System Permit Dated
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Sewage System Permit Number.Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
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19.IDated
t g n'a t u r e
th:ts form moke a drawing of your lot. Indicate all present
Hj w.ith solid lines and ell proposed buildings or additionsth deiitod
ISnes, Also Indicate in feet; lake setback, side yard se^ack
; yard setback.
11dings 1
ci rear*
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P-I'4-dA^A'iru. /60 W'159104 ®I VlCTBIt LWNBCIH 4 CO.. OOlHTCAt. FCROUl F*4k>.MKL-0871-029
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