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2
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White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
nagement Ordinances Otter Tail County, MinnesotaRequirements of Shoreland
Last Name
Phone No.Owner:
' First I Middle
Mi A' r 7 Street & No7 syState
t.
Zip No.
Kh.Legal Description: Lake No..Lake Name Lake Class
Sec.Twp. Nama
7
If applicant is a corporation, what state incorporated in__
Applicant is: (yO Owner ( ) Lessee ( ) Occupai ( ) Agent
List Pactrlelsliame and address below:Is Applicant a partnership
yes or no
NAME, ADDRESS ANDyZIP|JO.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:
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
19 go . XiApplication dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
19___iministration
( ) Shoreland Management approval only ( ) Both { )
By
Signature
_____day of.., 19____WITH THE FOLLOWING
Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 . By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL-0871-016
171988-A®
vicToa ufNiita 00.. Mionoo. rCMut rM.L*. m<mm.
>
White - Office
Yellow — Owner
Pjnk — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
' 4 litf 'P
* 'c/
0 1- 'Phone No.Owner:
Last Name First Middle
f
!
\
■
Street & No.City State Zip No.
£JiSil ake Namef^ •- -• f Lake Class
Range
Legal Description: Lake No..
//'
Sec. /Twp.Twp. Nama
V >//,//r //■/'lO-
f
If applicant is a corporation, what state incorporated in____
Applicant is: {,) Owner { ) Lessee ( ) Occupant ( ) Agent
I
iList Partner's name and address below:Is Applicant a partnership__;
yes or no
NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO.1
■1
■ I\
,',-1
iThis 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:y1f V
. ,y .-y r. ’■i• •::-.J.y
' .•
/--1 »9r.iI
V ^ . '/■ ; ‘i/;.A
" /;
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
■
>
K
/X--
> p-19.Application dated.. X
Signature of Applicanti..
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administratioa 19___
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
Filing acknowledgement By Signature
Date, time and place of hearing
DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_, 19____WITH THE FOLLOWING
i /
I
f
(!
?
i
\4
I Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19.. By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL-0871-016
171988-A®
ViCTOH UfHlfCN M., MiNTtRt. fCMU* f«LLI. ttlNII.