HomeMy WebLinkAbout13000990550000_Variances_03-05-1981Uo ^ SWhite - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota \
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Last Name
/J/g - V3<r)Owfjer:Phone No.MiddleFirst
TyCity StatiStreet & No.Zip No.
Legal Description: Lake No..Lake Name Lake Class
Twp.Sec. 3 /■tf’Twp. Nam&
6^/22^
If applicant is a corporation, what state incorporated in___
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant ( ) 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 conditonsfound in
what Section of the Ordinance:____
EXPLAIN YOUR PROBLEM HERE:
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30'
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
Application dated_____~ /v5 i9^V ■y Signature of plicantcOO'-—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administratioa 19___
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
Filing acknowledgement_____
Date^JtiJnejnd place of hearing
By Signature
v3-tT' y/
day of I~ j /19 WITH THE FOLLOWINGDEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
Approved contingent upon approval of Dane PrairieTown Board.
/.Signature,,
Chairman
Otter Tall Planning Advisory Commission
Deviation
Approved this 7^
Lee, Shoreland Management AdmmjifttBwr
19^
day of.• By.Malcolm K.
Otter Tail CounBOOK-1^ PAGE^,5MKL-0871-016
171988-A®
VICTSH LUN»C(N 00.. POlNTCIIO. rCMOUt fM.L0. MIHIt.
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1 CD597.'<09 8i
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f ujf; rf Ccxii.ty Recorder
Cc'enty of Otter Tail
1 hereby certify that the within Instrument
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was filed in this office for record on the // ■**
day of
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jQustuu. a.d. 19^/ . at
o’clock J^M.,
Book
ouly Kccortled in
_ on page
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4s j i
Ccnfiity Recorder
,, Deputy
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GRID PLOT PLAN SKETCHING FORfeet/inches.Scale: Each grid equals
.19.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.
119
Sewage System Permit Number.
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19Dated Signature
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