HomeMy WebLinkAbout32000300203007_Variances_04-05-1978White — Office
Yellow — Owper
Pink ^ Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota0
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' Last Name
' Street & No. / City
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ma 'i‘/i-srA2S-Phone NoOwner:First
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State Zip No.
LLake Name Lake ClassLegal Description: Lake No.
ijo/77Sec. J 0
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If applicant is a c^pora^i^fwhal^tat^in^rpo^ted in______
Twp.Range Twp. Name.
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( ) Agent( ) Occupant( ) LesseeApplicant is: ( ) Owner
List Partner's name and address below:Is Applicant a partnership.
yes or no
NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO.
1
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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Signature of Applicant
19Application dated.
—DO NOT USE SPACE BELOW—
19^7^3Date application filed with Shoreland Management Administration________________________________
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )BotRV )
ByFiling acknowledgement Signature
7:3iO P/y\. ■ J . f~y^Znn.Date, time and place of hearing r-j
19____WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day of_
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Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19.. By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
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159079
GRID 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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.19
I--1Sewage System Permit Number.+
- ■;>Ml 19JS..Dated.
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