HomeMy WebLinkAbout17000990688000_Variances_09-19-1978White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
tz:. O ^ ' j ^ ^ Sb r/i ■Owner:' Aa)-y~3 ^Phone No
Last Name First Middle
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City "J StateK/ u./\ X~ 7
Street & No.Zip No.
^4- 7^^Legal Description: Lake No..Lake Name Lake Class
/3~/A//Sec.Twp.Range Twp. Nam
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If applicant is a corporation, what state incorporated in
Applicant is: Owner
Is Applicant a partnership
( ) Occupant ( ) Agent( ) Lessee
List Partner's name and address below:
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
what Section of the Ordinance:____________________ _______________
EXPLAIN YOUR PROBLEM HERE: M'/ iJU/CY-.
-AI'OL/ ^
.............................................................................. ■ ■-- ............................................................................. . ■ - ■ -■ -------------------------------- ^
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: mfe[is,
plans, information about surrounding property, etc.
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12__,92Z . XApplication dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
19Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) BotTTf^)
Filing acknowledgement By
S^na-ture |
l(|P«te, time and place of hearjnq^ X-3 d? Aj /uM)
So p~f______19? { WITH THE FOLLOWIN^ 'DEVIATION APPROVED this_____
(OR ATTACHED) REQUIREMENTS:
day of_
Clj^Coo eM. ,
y^cctuJl
{Signature Chair
■ Ottar Tatf PtaiiiilnoTWvln
man
liatton
,^-TvCDeviation
Approved this
Malcolm K. Lee, Shoreland Management Administrator^^>72
Otter Tail County, Minnesota
19^day of.
MKL-0871-016
171988-A(^
VICTOH UiNOCCN Oe.. PRiNTCM. FCHtUt FALL!. HIHH.
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GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
7;;£_2__I9.Application for Building Permit Dated.i
.19Application for Sewage System Permit Dated
Sewage System Permit Number.Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
^=7 '4.19.22^ /Dated.IS ignatu re I\
%pp;^tM;s form make a drawing of your lot^^^><fndicate all present id in
-solid lines and all proposed bui],«lng3 or additions with dol,tod
lines. j^l.so indicate in feet; lake
yard setback.etback, side /■ard setback and respfi
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