HomeMy WebLinkAbout37000990367000_Variances_09-08-1972White — Office
Yellow —jDwner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Last Name
Phone NoOwner:
First Middle -
City ' State
cT^ f C )>-<r
Zip No.Street & No.
.-b £r-Legal Description: Lake No..Lake Name Lake Class
/ Range__^ ^ ^Twp.Sec.Twp. Name.
If applicant is a corporation, what state incorporated in____
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant
■s'V
( ) 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 conditonsfound in
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
Cr^ ^
jf Y,? r-
/'JLX*—
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
Signature of Applicant
19.ZklApplication dated.
—DO NOT USE SPACE BELOW—
9 ‘EDate application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( )Shoreland Management approval only ( ) Bod^fJ )
ByFiling acknowledgement
Signatu re
Date, time and place of hearing
!9____WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day ot
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Otter Tall Planning Advisory Commission
Signature
Deviation
Approved this
nJ 193^. By.day of ^ ^.pT>
strator
Otter Tall County, MinnesotaMKL-0871-016
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