HomeMy WebLinkAbout37000990880000_Variances_07-06-1977White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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City State "^Zip No. '
Owner:Phone No
Last Name First
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StreOT
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Legal Description: Lake No. ^ ^Lake Name Lake Class
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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 o
NAME, ADDRESS AND ZIP 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:/610 n - ujczy
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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.
Application dated.Meant
—DO NOT USE SPACE BELOW
19//Date application filed with Shoreland Management Administration.
Both ( )Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By Signature
X ^ 7 7 Y'3o POt-
day of
A' 'YOVr\ .Date, time and place of hearing
WITH THE FOLLOWINGDEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
appro ued
mnfJm Hrxj )r>Signature
Chairman
Otter Tall Planning Advisory Commission
Deviation
Approved this day ofO( J nr\rxOrnP/r^19.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL0871-016
171988-A®ocVtOTOR UIN
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