HomeMy WebLinkAbout17000991036000_Variances_08-02-1972White - Office
Yellow — Owner
Pink Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
(l/s)Phone NoOwner:MiddleLast Name First
pf A t ^ t-x yU I ■I? I tr e
City State Zip No.Street & No.
; c 4Lake Name Lake ClassLegal Description: Lake No
3 Pll2RangeTwp. Name.Twp.Sec.
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If applicant is a compration, what state incorporated in___
Applicant is: (u^wner ( ) 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:0
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
1Q~Z2 C . _____
^ELOW—
nApplication dated.7
—DO NOT USE SPACE
19:^7- / -7Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )BoltHy)
ByFiling acknowledgement Signature
^-2 - 7,- ^/on. (OrryuOA
pate, time and plaoe of hearing
19 ^ WITH THE FOLLOWINGX) c7DEVIATION APPROVED this
(OR ATTACHED) REOUIREMENTS:
day of_
£>''—^Signature.
franli AljluJl, Pi'63idenl^^;;]^^>rTpl--y*>
Otter Tall Planning AdvisoryT^nimisslon
Deviation
Approved this 19/^.. By..^i3C"sh^7and"l^anagetT«nt Administratorday of.M«f&0
Otter Tail County, MinnesotaMKL-0871-016
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GRID PLOT PLAN SKETCHING FORM.feet/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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Sewage System Permit Number.
1 19Dated.Signature
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