HomeMy WebLinkAbout22000240216006_Variances_04-03-1974White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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"^Last Name ^
_________Street & No.
Phone NoOwner:MiddleFirst
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O City State Zip No.
ij-anLake ClassLegal Description: Lake No..Lake Name
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If applicant is a cortx>ration, what state incorporated in____
Applicant is: (i>Owner ( ) Lessee ( ) Occupant
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List Partner's name and address below:/90Is 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
Zci Mwhat 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.
Signature of Applicant
^.x \ih.19.Application dated.
—DO NOT USE SPACE BELOW—
25/2 Pg 19Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
ByFiling acknowledgement Signature
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Date, time and place of hearing
, /ali WITH THE FOLLOWINGday ofDEVIATION APPROVED this
(OR ATTACHED) REOUIREMENTS:
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Signature.
FronU AlatJdt, Prei-irlant OrvN,W9
Otter Tall Planning Advisory commission
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« Malcolm Lee, Shoreland Managemer^ AdministratorOtter Tail County, Minnesota jloVW^r!)
Deviation
Approved this day of.
MKL-0871-016
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