HomeMy WebLinkAbout55000990714000_Variances_06-06-1976White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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First - ivTtddleJame* Owner:Phone No
Last N
A..Street &i No.City State Zip No.
Legal Description; Lake No.nnLake Name Lake Class
Twp. _/3 Range ^ 3Sec.Twp. Nama
^3
If applicant is a corporation, what state incorporated in
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant I ) 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:
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In order to properly evaluate the situation, please provide as much supplementary information as piossible, such as: maps,
plans, information about surrounding property, etc.
Application dated.Signature Meant
—DO NOT USE SPACE BELOW—
(o " I ,9Zi=Date application filed with Shoreland Management Administratioa
Both i/K)Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By
SIgnatu re
0jnjLA:h'^4<y^^ t MDate, time and place of hearing
day of.___DEVIATION APPROVED this_____
(OR ATTACHED) REQUIREMENTS:
19___WITH THE FOLLOWING
/i2ff^/A (jtTKvrtu.REJECTED Bj
i9/eC'm,QyvuYiuccifIr ~ ! (jp , ig initials
Dated:_____
Signature
Chairman
Otter Tall Planning Advisory Commission
Deviation
Approved this 19day of.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL-0871-016
171988-A®
VICTOR UJHOCCN CO..I TCI