HomeMy WebLinkAbout18000090060002_Variances_05-03-1978Variances
Barcode 128
White — Office
Yellow — Owner
^Pink —^'ownship
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota 05'05>yAjOwner:Phone No.Last First Middleime
Street & No.StateCity Zip No.
Twp._/ 3f
Legal Description: Lake No..Lake Nam Lake Class
Sec.Range Twp. Name
/t/ ^ /3
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
what Section of the Ordinance:_____
EXPLAIN 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.
19 9/" . X-%Application dated.*\Silnature of Applicant
—DO NOT USE SPACE BELOW—
5~ 19Date application filed with Shoreland Management Administration,
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
Filing acknowledgement By
Signature
S /' f ? r y.' jij
, 19 yj? WITH THE FOLLOWING
Date, time and place of hearing / /
3DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_
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Signature
-Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this
IQ Hy X' t>^!Lo __
Malcolm K. Lee, Shoreland Management Adm^^^a^r
Otter Tail County, Minnesota
day of.
MKL-0871-016
171988-A®
vicTOM LWN»ctN ee.. pmiiTiiit. fkriu* rM.Lt. umt.
r GRID PLOT PLAN SKETCHING FORM.feet/inches. ' '
19
Scale: grid equals
Application forCuilding Permit Dated.
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19Application for Sewage System Permit Dated t1
Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
2^7;z-r 19.Dated Signature
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■ On th5s form moke a drawing of your lot. Indicate all present buildings,
-olid lines and all proposed buildings or additions dotted
Also Indicate in feet; lake setback, side yard setback end rear
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j: lines.- yard setback.
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