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Yellow — Owner
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APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
N £-/)//?/£:77f9 tjLOwner:Phone No.
Last Name MiddleFirst
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Street & No.City State Zip No.
QDLegal Description: Lake No..Lake Name Lake Class
Sec. 3- ~7 13HTwp.Range Twp. Nama
■S-T 3,1 ROIfJEl. 6£/icH
If applicant is a corporation, what state incorporated in
Applicant is: ( Li'^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
TF)6L£ Swhat Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:
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To
c-Fills rofi.
h GFfiPtGE LLOSEfi^
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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.
S / g g 19_2jL . XApplication dated.
ure of Applicant
— DO NOT USE SPACE BELOW—
t) --2 a.Date application filed with Shoreland Management Administratioa 19___
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only { ) Both ( )
Filing acknowledgement By Signature
Juuvxj? ^1 1^7^ ^ 7 .'Ao /?/>\- T./}Ia^
' T~ /
Date, time and place of hearing
DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_19____WITH THE FOLLOWING
Denied 6-21-79 on basis of suggestion from County Attorney.
Signature
Chairman
Otter Tail Planning Advisory Commitalon
Deviation
Approved this day of.19_i.. By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
VICTOa LUaSIlN 00.. PRiMTCMi. fCROUO FM.Lt. HINR.