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H I'o'j^T^White - Office
Yellow— Oivner
Pink — Township
APPLICATION FOR VARIANCE
FROM ___
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Last Name
Zip No.
Phone NoOwner;MiddleFirst
(p / ^ !
StateStreet & No.
6^ -(9a P^.Lake No.X2jl/_3_11 Lake ClassLake NameLegal Description:
N l3-L 3^Twp. NameRangeTwp.Sec.
1(1 k ! I P
j (yL /i^ XoQ >
If applicant is a corporation, what state incorporated in------
Applicant is: ( ) 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:
« ■
i
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
7~A. XApplication dated.'of^A*PpTlc a n tIg
—DO NOT USE SPACE BELOW—
1 -iS
Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both M-
ByFiling acknowledgement Signature
^gJ)CU> -5(p5S7
Date, time and place of hearing
■ 19 m m TH THE POLL OWINGDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_
nrttfi, Tljf Pla.RSiEGED By
01 cqAQyYUnoY~>^
y-
j") .
, 19^ InitialsDated;SCANNED^
O^rJL^ t-] ■
Frowk Aletodt) President' \iljYy-y ^
Otter Tail Planning Advisory Commission
•SO/ASignature.\
X J.Deviation
Approved this (y-trfe 2^bv.yTO a.19day of.
Malcolm K. Lee, Shoreland Management Admin^rato^
Otter Tail County, Minnesota wMKL-0871-016
viCTpa kWHOCCH « CO aaiMTcat. rtacul
150079