HomeMy WebLinkAbout37000990469000_Variances_10-06-1976White - Office
Yellow — Owner
Pink — township*
APPLICATION FOR VARIANCE
FROM
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Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Last Name First Middle > 37 - 3^7?
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Street & No.City State Zip No.
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Range Twp. Nama
If applicant is a corpioration, what state incorporated in____
Applicant is: X\TOwner ( ) Lessee ( ) Occupant ( ) Agent
,A//'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:0 t'l 3/ie A ^ ffc'Op
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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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IC> -1^.XApplication dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
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Date application filed with Shordland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) BothT^)
19
Filing acknowledgement By
Signature
fc>~u~*lCoC^ y'So^PAm.^i^auJcrA ^ /"/" yyvA,Date, time and place of hearing
DEVIATION APPROVED this______
(OR ATTACHED) REOU!REMENTS:
day of_, 19____WITH THE FOLLOWING
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Signature
Chairman
Otter Tail Planning Advliory Commiaiion
Deviation
Approved this day of.19 . By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
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