HomeMy WebLinkAbout37000270141004_Variances_06-05-1974fWhite - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Phone No.Owner:MiddleLast Name First
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Zip No.City StateStreet & No.
Uo anLake ClassLegal Description: Lake No..Lake Name
// cL)3<LTwp.Range Twp. Name.Sec.
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If applicant is a corporation, what state incorporated in____
Applicant is: ( ^^wner { ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:Is Applicant a partnership.
NAME, ADDRESS AND ZIP NO,
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yes or 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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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as:
plans, information about surrounding property, etc.
19 SnCApplication dated.Signature of Applicant
— DO NOT USE SPACE BELOW--
19.2?/Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
By.Filing acknowledgement Signature
> -7'^ ^ 7: 3o yr>. Cn:Date, time and place of hearing
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WITH THE FOLLOWINGDEVIATION APPROVED this
(OR ATTACHED) REQUIREMENTS:
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Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 . By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaM ■MKL-0871-016
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