HomeMy WebLinkAbout55000020020003_Variances_05-16-1973White — Office
VbNow — Owner
Pink — Township
APPLICATION FOR VARIANCE
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Shoreland Management Ordinances Otter Tail County, Mii^ne^t^Requirements of
Phone NoOwner:MiddleLast Name First
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cUy& No/Si A).0State Zip No.Street
M on.Lake ClassLake NameLegal Description: Lake No..
Sr A )(^IL Twp. /T? ~7 Range Twp. NameSec.
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If applicant is a corporation, what state incorporated in____
Applicant is: (j/tt)wner ( (Lessee ( (Occupant jScih K S/ore( ( Agent /70^
iprvtfienpList 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
A/ewhat 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 . X/Application dated.
Signature of ApplicantBf^W—
—DO NOT USE SPACE
19_^^5"- /Date application filed with ShorEland Management Administration.
Deviation requires: Planning Commmission approval ( (Shoreland Management approval only ( ( BotR^ (
ByFiling acknowledgement Signature
place of (5^ Y: So ^ ClcTHJttA
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^ y19XS WITH THE FOLLOWING
<3X/X-T
day of.DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:7
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Signature.
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Otter Tail Planning Advisory Commission
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Mafcolm K. Lee, Shoreland Managemeat Adm^
Otter Tail County, Minnesota O
Deviation
Approved this By.day of /T7 1
istrator
MKL-0871-016
159079
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