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<o-2*\R'15White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shorejand Management Ordinances Otter Tail County, Minnesota
Sl>1Phone No.Owner:MiddleLast Name First
^ox I \XOL*vy^
Zip No.CityStreet & No.
Lake ClassLegal Description: Lake No..Lake Name
IM-Twp. Name.Twp.Sec.
- /
ir //J)
If applicantjsa corporation, what state incorporated in____
Applicant isTT^I 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 conditonsfound in
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE: /^ / / / j 6
tdovjl MXx 'f-or^
so'. (?V
oJLP
loT.
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
4^Application dated.
ignature of Applicant
—DO NOT USE SPACE BELOW—
19/S
Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Botfrr* )
Filing acknowledgement By
y; sc> G(ju.F.f: .7
., I9~f^ WITH THE FOLLOWING
Date, time and place of hearing O
5 '-m1DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day ot
Signature.
AIsLaUl, Fjysldiarlt
Otter Tall Planning Advisory CommiMron
Deviation
Approved this J 19 ^Ry/>-)day of.
Malcolm K. Lee. Shoreland Manage
Otter Tail County, Minnesota
ministrator
MKL-0871-016
VICTO* LUMOCtN t CO . POlNTCIIt. FfllfiuS FlLkt.
159079