HomeMy WebLinkAbout14000990515000_Variances_04-19-1978White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Phone No.Owner:i
Last Name
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' Street & No.
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City State Zip No.
V>^AiU\/e.fL -Legal Description: Lake No ike Name Lake Class
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%tiATwp.Sec.Twp. Name,ange
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If applicant is a corporation, what state incorporated in____
Applicant is: (Xi Owner ( ) Lessee ( ) Occupant ( ) Agent
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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:J£S > ^15 /V' , ^
p^op\iogy\C To uy'— p
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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.
19.. XApplication dated.
Signature of Applicant/
—DO NOT USE SPACE BELOW—
‘\9/ZfDate application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both (‘'T
ByFiling acknowledgement Signature
Pfh. OguKT/time and place of hearing ^ ~ T ^^ F t. nijn,7 .'3dDate,IT"
DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
19____WITH THE FOLLOWINGday of.
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Signature. , _ , ,,_Chairman
Otter Tail Planning Advl«<^ Committlon
iq7^ ny P oGiSL._________,
Malcolm K. Lee, Shoreland Management Administw^ot^^
Otter Tail County, Minnesota ,^^rT\
Deviation
Approved this z day of.7MKL-0871-016
171988-A®
VIOTOM LUHOEIN 00.. POlMTCKt. PCIIOUt PiltLt. WINN.
Scale: Each grid equals /O GRID PLOT PLAN SKETCHING FORM.feet/inches.
>1 foApplication for Building Permit Dated
Application for Sewage System Permit Dated/^>^// /D 19*7^
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Sewage System Permit Number.Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
SignatureJ
--4-.t19.Dated.
On this form^mcke a drawing of your lot. Indicate all present buildinga
w.lth solid lines and all proposed buildings or additions with dotlod
lines, also indicate in feet; lake setback, side yard setback and reap
yard setback.
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GRID PLOT PLAN SKETCHING FORM.feet/inches.Scd/e; Each grid equals
« mApplication for Building Permit Dated
Application for Sewage System Permit /C
Building Permit Number
4T4. Applicant agrees that this plot plan is a part of application (s) indicated above.
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. 4_,.Sewage System Permit Number.t
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Signature 7j
T19Dated
On this form make a drawing of your lot. Indicate all present buildinga
with solid lines and all proposed buildings or additions with dotted
lines, also indicate in feetj lake setback, side yard setback end rear
:yard setback, 4
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