HomeMy WebLinkAbout29000990691000_Variances_05-21-1975Variances
2
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White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Lasl Marne
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Street & No. /
0nOwner;Phone No.Middle
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State '' Zip No.IL City
Ux /^cTMTl-e.Legal Description: Lake No.,Lake Name Lake Class
G-! nctr-j3'^1^3Sec.Twp.Range Twp. Name
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If applicant is a comoration, what state incorporated in____
Applicant is: (MUwner ( ) 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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much supplementciry information as possible, such as: maps, Jt(i^ j
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In order to properly evaluate the situation, please provide
plans, information about surrounding property, etc.
4 19.Application dated.
SigQ^ure of Applicant
— DO NOT USE SPACE BELOW—
s-c. .ptirDate application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both
Filing acknowledgement By
Signature
^ ~ - ------------/ • ------ ♦_____0^0? A d
Date, time and place of hearing
W Z'TWITH THE FOLLOWING'~maDEVIATION APPROVED this
(OR ATTACHED) REQUIREMENTS:
day of_1
A'l'3yLCp6 .
0
hJxiJu<y
Chairman J
Otter Tall Planning Advisory Commission
Signature
Deviation
Approved this
c/19 7s' By.7day of.
Malcolm K. Lee, Shoreland Management Administrato^^^ ^
MKL-0871-016
171988-A®
VICTON LUNBIIN 00.. PKINTtM. FIROUO TALU. UINN.
GRID PLOT PLAN SKETCHING FORM.feet/inches.
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.
Scale: Each grid equals
.19.
.19
Sewage System Permit Number.
ha19.Dated Signature
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