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YriioV-°own\r APPLICATION FOR VARIANCE
Pink — Township FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Owner:.a Q-Ctoe—
Last Name First Middle
6-lZ-l'HTZ
Phone No. 9=?/-=?o-2 ^
Street & No. City
Legal Description: Lake No.,
State Zip No.
Lake Class.Lake Name
Twp. /i'V Rangp ^____ Twp. NameJ^_2o.^__^0^2^
/*5
If applicant is a corporation, what state incorporated in__________________
Applicant is: (yf^wner ( ) Lessee ( ) Occupant ( ) Agent
Is Applicant a partnership..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 conditonsfound in
rr>X s.ddbr^L R jLAAVvvnj?.what Section of the Ordinance:______' -1-. ITN> L
EXPLAIN YOUR PROBLEM HERE: .
\jC> C3-'-'JL& p K>cu— CL<3-6-^ <^0
^ LiJ:>
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
Application dated./Yliuj /S 19 A Signature of Applicant
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administration..19.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both ( )
Filing acknowledgement________________________________ By
Date, time and place of hearing.
DEVIATION APPROVED this______
(OR ATTACHED) REOU!REMENTS:
. day of_
Signature
., 19._WITH THE FOLLOWING
SCANNED
Deviation
Approved this.
MKL-0871-016
@ VICTO» LUNOtEk i CO . PBIk
-A . day of.
. FES6US EALLS. tl
159079
Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
19P^ . Ry _____
Ma^ORTi K. Lee, Shoreland Management Administrator
Otter Tail County, Minnesota