HomeMy WebLinkAbout14000990421000_Variances_07-07-1976White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Manag^ent Ordinances Otter Tail County, Minnesota
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Owner:Phone No
Last Name MiddleFirst
^lcJuAJjLp vnr).Street & No.City State Zip No.
SAALegal Description: Lake No..Lake Name Lake Class
Sec, S'Twp.Range Twp. Name.
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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.
ves 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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In order to properly evaluate the situation, please provide as much supplementar
plans, information about surrounding property, etc.
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yOnformation as possible, such as: maps.7
iaApplication dated.1 . X
Signature of Applicant
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administratioa
Both ( )Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By Signature
^-r-yu , F, F. '-ftm 7Date, time and place of hearing -7y-OL YLDEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day of_.. 19.ITH THE FOLLOWING
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Signature
Chairman 1/YY\-&
Otter Tail Planning Advisory Commission
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Malcolm K. Lee, Shoreland Management Administr^^^T-^ X
Otter Tail County, Minnesota
Deviation
Approved this P r7~~19day of.■ By.
MKL-0871-016
171988-A®
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i GRID PLOT PLAN SKETCHING FORM.feet/inches.Beale: Each grid equals
Application for Building Permit Datech^
Application for Sewage System Permit Dd^ed
.19.
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.19
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Sewage System Permit Number
Applicant agrees that this plot plan is a part bf application (s) indicated above.
Building Permit Number
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.19.Dated.Signature
r On this form make a drawing of your lot. Indicate all present buildings
with solid lines and all piroposed buildings or additions with dotted
^4.nes» Also indicate in fjoetj lake setback^ side yard setback and rear
yard setback.
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