HomeMy WebLinkAbout29000990721000_Variances_02-04-1977Variances
2
Barcode 128
White ~ Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Last Name
^ Lla^aSL.Owner:Phone No.First Middle
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Street & No.State Zip No.
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Legal Description: Lake No..Lake Name L- Lake Class
naA^/Js 39Sec. 0 Twp.Range Twp. Name
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
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what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:
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In order to properly evaluate the situation, please provide as much supplementary infi
plans, information about surrounding property, etc.
mation as possible, such as: maps.
vy5Application dated.19.. X/
Signature of Applicant
—DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration________________________________
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only'^)
Filing acknowledgement
Both ( )
By
Signature
Date, time and place of hearing
Pjih., 19_yyW!TH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED} REQUIREMENTS:
day of_
/
)
■<t/.i Signature
.,__Cb»irman —■— ------—_—_—■Otter Tall PliTnnlng~Ad^tbrvFromitir»ion
Deviation
Approved this day of.19 ■ By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
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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.
Sca/e; ‘Each grid equals
.19.
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Sewage System Permit Number.
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141
XS^T^ignatu re
^'3 19^Dated.
On this form make a drawing of your lot. Indicate all present buildings
with solid lines and all proposed buildings or additions with dotted
lines. Also Indicate in feet; lake setback, side yard setback and rear
yard setback.
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