HomeMy WebLinkAbout14000990452000_Variances_07-10-1973Variances
Barcode 128
White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
^ Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
\ ^
Phone No.
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L<>/ ___fS^Owner:MiddleLast Name First
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State ^9^/^ r
Zip No.CityStreet & No.
D/y^Legal Description: Lake No. ^ C ^ ^ 3 Lake ClassLake Name
L VOOf..
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Twp. Name_^RangeTwp.Sec.
ion, what state incorporated in___
{ ) Lessee ( ) Occupant
If applicant is a corppKtt
Applicant is: (—^^wner ( ) 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
\Jwt»at Section of the Ordinance:
PLAIN YOUR PROBLEM HERE:
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
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J__Application dated OzvZ ZA Signatu^ of Applicant
—DO NOT USE SPACE BELOW—
7-/0Date application filed with Shoreland Management Administratioa
BotiTV)Deviation requires: Planning Commmission approval { ) Shoreland Management approval only ( )
Filing acknowledgement By Signature
"9 ~ I ~ '1 ^ (T^ T Sq ^ ^ O ^ t oitHXDate, time and place of hearing
zjr:(J & / 19 W!TH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day of_
(F>o7
Frank Alatadt, Praaidowt *—^
Otter Tail Planning Advisory Commission
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Signature.
Deviation
Approved this a/v^day of.19
MalcoIrVi K. Lee, Shoreland Management Administratt^L^ /
Otter Tail County, MinnesotaMKL-0871 016
150079
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' feet/ inchesf GRID PLOT PLAN SKETCHING FORMScale: Each grid equals
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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/a__i9_Zf -Dated Signature
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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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