HomeMy WebLinkAbout32000300203010_Variances_08-06-1981White - 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.
3 0^Owner:Phone No.First Middle
rnn.City Zip No.
jioT?- 3(^<r /r\ qtLegal De^ription: Lake No.;T Lake Name Lake Class
3o /77Sec.Twp.Range Twp. Name.(/V\ XS<iP t G A / J 0
If applicant is a corporation, what state incorporated in
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( ) Occupant ( ) Agent( ) 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.
This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditonsfound in
what Section of the Ordinance:
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EXPLAIN YOUR PROBLEM HERE: QkjJ <rvLi<-w o
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much supplementary information as possible, such as: maps.
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/'j ^^ &t5frStCire*Vf Applicant^ jf p/s-ykFJ-i FL .19Application dated.
— DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administratioa 19___
Both ( )Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By Signature
Date, time and place of hearing
y/j 19^DEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
day of.7 WITH THE FOLLOWING
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•''ChairmanSignature
Otter Tail Planning Advisory Commission
rzjLDeviation
Approved this ______________Malcolm K. Lee, Shoreland Management Administrator
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MKL-0871-016
171988-A®
VtCTOR bUMBtCN 00.. P0lNTC«l. fCROUl r«4.L0. MINtt.
Office of Coimiy r-iaci>*'aex
Coaiaty of Otter Tail
l hereby certify that the v/itliiin instmaisa; .
was filed office for rerard onA.D, 19^^, at ^Jj.^
y Recorded in
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Ccmty Kecorder
Deputy
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GRID PLOT PLAN SKETCHING FORMfeet/inches.Scale: Each grid equals
Application for Building Permit Dated
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Application for Sewage System Permit Dated
.19.
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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.r
S ig n a t u
19J-XDated
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