HomeMy WebLinkAbout37000990349000_Variances_06-20-1977White - Office
^ellow — Owner Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Owner:Phone No.First Middle
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Street & No.n State Zip No.
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Sec.
Lake Name Lake Class
Twp.Twp. Nama
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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
yes 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 conditonsfound in
^caJ) Swhat 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: maps,
plans, information about surrounding property, etc.
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ij> 'c2.o 19 . XApplication dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
Cs ~ o>Q 19Date application filed with Shoreland Management Administration.
Both ( )Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By Signature
Date, time and place of hearing
DEVIATION APPROVED this_____
(OR ATTACHED) REQUIREMENTS:
day of_19____WITH THE FOLLOWING
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Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this 1day of.19,. By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL-0871-016
171988-A®
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