HomeMy WebLinkAbout32000990292001_Variances_08-02-1973^-:i-n73White - Office
YeUGw — Owner
Pjn\— Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
{y, Ms Phone NoOwner:
MiddleLast Name F Irst
State
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City Zip No.Street & No.
Legal Description: Lake No Lake Name Lake Class
yrORange Twp. NameSec.Twp. _
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NBTi^ /or
If applicant is a corporation, what state incorporated in____
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant ( ) Agent
^.A) C)i /AsList 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
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what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:<?c/
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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./y^t i ^ .
JAz7 /,2 ’4-19 A3 . XApplication dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
19Z?Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( )Shoreland Management approval only ( ) Bottvf^)
Filing acknowledgement By Signature
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(XoT 19 /^:Sw!TH THE FOLLOWING
Date, time and place of hearing
day ofDEVIATION APPROVED this
(OR ATTACHED) REQUIREMENTS:7
Signature.
rnjiiii'. lOilctidt, Pi>LjiiJu,iit Otter Tail Planning Advisory ^mmiss^n
MalcolnV K. Lee, Shoreland Management ministrajor
Otter Tail County, Minnesota
Deviation
Approved this
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MKL-0871-016
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<rC GRID PLOT PLAN SKETCHING FORMfeet/inches. ’Scafe: Each grid equals
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'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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Dated.Signature
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