HomeMy WebLinkAbout17000990988000_Variances_08-23-1972White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Last N«me First Middle/-
Phone No
CitW State Zip No.
r,-/)Legal Description; Lake No__Lake Name Lake Class
£ZI2 o ^Twp.RangeSec.Twp. Name.
^OOCf^4/L(>/
If applicant is a corporation, what state incorporated in____
Applicant is: (u.+'Owner ( ) Lessee ( ) Occupant ( ) Agent
/>o_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
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
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used
ib^^^uch as: maps.
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In order to properly evaluate the situation, please provide as much supplementary information as possi
plans, information about surrounding property, etc.
/ / f/'- f SIg^allrfe Appllcan22. .19.Application dated.
—DO NOT USE SPACE BELOW—
19_2^Date application filed with Shoreland Management Administration.
Deviation requires; Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
ByFiling acknowledgement______
tP^e. time and place of hearing
DEVIATION APPROVED this
(OR ATTACHED) REOUIREMENTS:
Signature
(V^A -I- .ye-^
JZWITH THE FOLLOWINGday of_
Cj£> ■
REJECTED
Dated:
, l9.H?lnitials ,1^1/^
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23:a
fjyxJi rj'^A.AASignature.
rWaiiK AtbidUCPresident
Otter Tall Planning Advisory Commission
Deviation
Approved this 23 ^ -----1 X/.
Malcoird K. Lee, Shoreland Management Administrator
Otter Tall County, Minnesota
l^i:!. By.day of.7MKL-0871-016
VICTO* CVHOtCH t CO . rCDflUl TALLS.
150079
A .f^t/inches. GRp PLOT PLAN SKETCHING FORM
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19___
Scaie: Each grid equals
Application for Building Permit Dated
Application for Sewage System Permit Dated
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Building Permit NiimherA^^>;g3^ j ^J Sewage System Permit Number
Applicant agrees that this {Wt plan is a part of application (s) indicated above.
G■ TXDated1Signature
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