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APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland M^agement Ordinances Otter Tail County, Minnesota
Last Nanr>e
Street & No. ^ City State
On Phone NoOwner:
MiddleFirst
rzs-7)
Zip No.
Sl-T-Pf Lake Name Lake ClassLegal Description: Lake No..
Sec.
nTHr^^IM Twp. Name.Twp.
If applicant is a comoration, what state incorporated in____
Applicant is: t(yf^wner ( ) 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
/o' 'frx>^ p<rt>p. //V.-e - 2.o/,
So v^t '/7 U.i/f /7p7 T<p P
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.
fTr 19.Application dated.
Signature of ApplicantT
—DO NOT USE SPACE BELOW—
nilDate application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both {
ByFiling acknowledgement
Signatu re
r/ CD FM. .H^_EL/yu^.Date, time and place of hearing
, 19 WITH THE FOLLOWINGday ofDEVIATION APPROVED this
(OR A TTACHED) REQUIREMENTS:
OiPfytcrViJLoC .
Signatu
Otter Tail Planning Advisory Commission
19_^ By.Deviation
Approved this day of____Yn
Malcolm K. Lee, Shoreland Management Administrj^^^i^ ^
Otter Tall County, MinnesotaMKL0871-016
vero* LuuoccH t co . p*>HT[*a. fcaeui palli.
159079