HomeMy WebLinkAbout41000030019000_Variances_05-21-1975Variances
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■o ilWhite — Office
Yellow — Owner
PinV — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
- J’J’S.LSAm T.Phone NoOwner:
Last NamCi MiddleFirst
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Street & No.City State Zip No.
Legal Description: Lake No..Lake Name Lake Class
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Sec.Twp.Range Twp. Name.
S'
If applicant is a corporation, what state incorporated in____
Applicant isT'S'J) Owner ( ) Lessee ( ) Occupant ( ) 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 conditons found in
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
,
/so SC
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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.
Signature of Appllcawjr
19,Application dated.
— DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administration.
Both (Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only { )
Filing acknowledgement By
Signature
Date, time and place of hearing
DEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
day of_19____WITH THE FOLLOWING
dM[A (/LtP ftn.REJECTED By
CuHo . CL.yy[/YU/ri
SDated:
Signature
Chairman
Otter Tail Planning Advisory Commlssfo^
Deviation
Approved this day of.19 . By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
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