HomeMy WebLinkAbout16000990435000_Variances_06-03-19820oWhite - Office
Yellow — Owner
Pink — Township
e^c:APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Last Name First
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^ ^Street & No. City State Zip No.
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Range_^J..
Legal Description: Lake No..Lake Name
Twp. PJA'Twp. Name f~) ^ P fZ___
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If applicant is a corporation, what state incorporated in____
Applicant is: ()^ Owner ( ) Lessee ( ) Occupant
Is Applicant a partnership AJ O---------------
yes or no
NAME, ADDRESS AND ZIP NO.
( ) Agent
List Partner's name and address below:
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:
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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.
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—19 yjL .X.Application dated.Si^nTturf^ Applicant
—DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration________________________________
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
ByFiling acknowledgement
Signatu reI
Date, time and place of hearing
, 19____INITH THE POL LOWINGday of.DEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
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Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
Deviation
Approved this 19day of.. By----------------------------------------------------------------------------------------------------Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL0871-016
159079
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