HomeMy WebLinkAbout37000270140017_Variances_04-04-1973White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
3Phone No.Owner:
Last Name First Middle
^ r:>CStateCityZip No.Street & No.
Legal Description: Lake No..Lake Name Lake Class
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Z7 Y I-Range Twp. Nam&
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If applicant is a corporation, what state incorporated in____
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:Is Applicant a partnership.Oiyes or no
NAME, ADDRESS AND ZIP NO,NAME, ADDRESS AND ZIP NO.
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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:
5T '
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
Q^icant
19^3 . XApplication dated.Signature of A
—DO NOT USE SPACE BELOW—
19^/ADate application filed with Shoreland Management Administration
Deviation requires: Planning Commmission approval ) Shoreland Management approval onlyj(^ Both P<.)
p..Filing acknowledgement
Signatu re/
A crz> YDate, time and place of hearing
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19 WITH THE FOLLOWINGday of_DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
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Signature.
Otter Tail Planning Advisory Commission
-t?cDeviation
Approved this strator
Otter Tail County, MinnesotaMKL0871-016
VICTOI UUHDtCII k CO.. rf*«UI FM.LI. MINN.
159079