HomeMy WebLinkAbout13000990365000_Variances_08-23-1972SUsjizWhite — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Last Name ^
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^ Street & No.
S Phone No.Owner; _1 MiddleFirst
Zip rfo.StateCity
n-O/,u)!LSKLake No. 3 ~
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Legal Description:Lake Name Lake Class
I I^___ Twp. Name___
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Sec.RangeI;
If applicant is a corporation, what state incorporated in____
Applicant is: (^J^wner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:t>7C>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
r* ____Zwhat Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
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In order to properly evaluate the situation, pleZe provide as much supplementary information as possible, such as: maps.
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plans, information about surrounding property, etc.
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19 3^^ . XApplication dated.
Signature of Applicant
—DO NOT USE SPACE BELi
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
DEVIATION APPROVED this______
(OR ATTACHED) REOU!REMENTS:
,, 19____WITH THE FOLLOWINGday of.
REJECTED py /Mn.
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Dated:.
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ClAyt^ j /ijfj .f^Lvjn ASignature.
Frank AletodtpPresident
Otter Tail Planning Advisory Commission
Deviation
Approved this 22.19^^ ■ By.day of.MalcoIrVt K.^e, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
VICTOR UJNOCCN t CO.....iRN 159079
GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
Application for Building Permit Dated
Application for Sewage System Permit Dated
.19,
.19
Sewage System Permit Number___Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
19Dated
1-029