HomeMy WebLinkAbout37000990425000_Variances_12-04-1974White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
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Reguirements of Shoreland Management Ordinances Otter Tail County, Minnesota
’ Last Name ( First Middle
X'S:Phone No. 7^/^Owner:
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Street & No.City State Zip No.
Legal Description: Lake No. ^7^
Sec. 7- ^
Lake Name Lake Class
4^Twp.Range Twp. Name :>
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If applicant is a corporation, what state incorporated in____
Applicant is: ^ Owner ( ) Lessee ( ) Occupant ( ) AgentV
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
4 what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE: /^ -A—^
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zIn order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
Zr.xApplication dated.19.
Signature of Applicant
—DO NOT USE SPACE BELOW—
yDate application filed with Shoreland Management Administration
Deviation requires: Planning Commmission approval (X) Shoreland Management approval only { )
. Signature
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, 19 m TH THE POLL OWING
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Both ( )
Filing acknowledgement
Date, time and place of hearing
DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_
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4r^cd2i} l/f.Signature
Chairntan
Otter Tall Plannlffg^dvlsory Commiuion
Deviation ^
Approved this___Z
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Malcolm K. Lee, Shoreland Management Administrator ZOtter Tail County, Minnesota -«-'^On w
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day of.
MKL-0871-016
171988-A®
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