HomeMy WebLinkAbout22000130099012_Variances_08-25-1972White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
l)b /!:>3L- q?39Phone No.Owner:
Last Name First Middle
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^ Street & N^' J City State Zip No.
s-6.^ s?y C/DLegal Description: Lake No..Lake Name Lake Class
Twp. VSec.Range Twp. Name,
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If applicant is a corporation, what state incorporated in____
Applicant is: (H^wner ( ) Lessee ( ) Occupant ( ) Agent
/70 _List Partner's name and address below:Is Applicant a partnership
yes or no
NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO.
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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.
19 . XApplication dated.
Signature of
—DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( ) Both ( )
Filing acknowledgement By
S ignatu re
Date, time and place of hearing
DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
19____WITH THE FOLLOWINGday of_
Signature.
Frank Alstadt, President
OtterJ^]|«^lanning Advisory Commission
Deviation
Approved this By.__________^ ________________Maftolm K. Lee, Shoreland Management Administrator
Otter Tail County, Minnesota
day of.
MKL-0871-016
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