HomeMy WebLinkAbout18000990393000_Variances_04-02-1975Variances
Barcode 128
White - Office
Yellow — Owner
PInh: — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
A'iJ-Phone No. toOwner:n/yu-i>
Last Name First Middle
Pn IS T.YTjy-, •
Street & No.City State Zip No.
£aSC - c£S'SLegal Description: Lake No..Lake Name Lake Class
Twp. / '3 ^/(Sec.Range Twp. Name
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Sa-CU-.J!, /DT^If applicant is a corporation, what state incorporat^in____
Applicant is: iu-^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 conditons found in
-lS-uJ-/o S'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 information as possible, such as: maps,
plans, information about surrounding property, etc.
19 .X__^Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
19_^"^ ~/oDate application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both
Filing acknowledgement By
Signature
4 ~J2~ ^ ’3:0 ^
=■? ir\&. day of CkpxdC 19 INITH THE FOLLOWING
(OR ATTACHED) REOUIREMENTS: ^
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Date, time and place of hearing
DEVIATION APPROVED this
cv^
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Chairman I)
Otter TaM Plmning Advisory i^mmisslon
LSignature
Deviation
Approved this y^ltxJpAJr^ P • Ju^
Malcolm I^Lee, Shoreland Management'Adminjstrator A
Otter Tail County, Minnesota ^
19^51. By.day of.
MKL-0871-016
171988-A®
ViCTOH LUNDCCN 00.. POlHTtOO. rCROUO fALL*. MINN.
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GRID PLOT PLAN SKETCHING FORM ; nXu-f /J.^fe^inches.Scale: 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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.19
Sewage System Permit Number.
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