HomeMy WebLinkAbout37000050028002_Variances_05-03-1972White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE .FROM (
Requirements of Shoreland Management Ordinances Otter Tail Courr 5-'Minnesota
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Last Name
suPhone No.Owner:MiddleFirst
City State Zip No.Street & No.
Lake NameSZ'?^oA A/atLake ClassLegal Description: Lake No.
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Range Twp. Name.Sec.
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If applicant is a corporation, what state incorporated in____
Applicant is: (X Owner ( ) 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 conditons found in
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
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i 1 In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.it
y!a\^----A A/f/'C ^ r IQ'PtA . X \U Signature of Appl^antApplication dated.
—DO NOT USE SPACE^ELOW—
IsZir'Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both tX)
ByFiling acknowledgement #Signature
y eft's *' A ^ AA?c/^ AAi C V u/trDate, time and place of hearing
19____mTH THE FOLLOWINGDEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
day of_
Signature.
AljluUi, PMJ.>i'nent
Otter Tail Planning Advisory Commission
Deviation
Approved this r ig2i^.day of.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
159079
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