HomeMy WebLinkAbout55000990291000_Variances_06-07-1978White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
0—Ld ■ X,Owner:Phone No
Last Name First Middle
CisOJL YlDctpM.
Street & No. ' City
/7T/nState Zip No.
Legal Description: Lake No..Lake Name Lake Class
i Twp. ^ ^ ~1____ Range ^ ^Twp. Name'5^ C_fi\TNr\ ^ V X~_Sec.
CoQ-CiNj^ B^PnC-V\
If applicant is a corporation, what state incorporated in____
Applicant is: (»#<t)wner { ) 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:
rVx> >c \ o *
>OK) OM'VO 'FQ-CV>i'r ^ N >si Vo
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 Applicanti9xaApplication dated.
—DO NOT USE SPACE BELOW—
19^
Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only { ) Both^J/T~
Filing acknowledgement By
.T • Signature
place of hearing* Y ^ J 0, Q - F~. 'TYKTY^ .
. !9^_
DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day of_WITH THE FOLLOWING
(Xpp^Cry^x:^ .
Chairman
Otter Tall Planning Advl
Signature
Commission
Deviation
Approved this ^^19Tg. Ry
Malcolm K. Lee, Shoreland Managefnent Administrator
Otter Tail County, Minnesota
♦ -a^day of.j
MKL-0871-016
171988-A®
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