HomeMy WebLinkAbout55000990724000_Variances_05-17-1979White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Macageme'nt Ordinances Otter Tail County, Minnesota
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Last Name J First Middle
^ Street & N<C.
Phone No^ ^ 3 ^ ^ 3^^Owner:
Pi'os
City State Zip No.
STo " 5^ CLegal Description: Lake No..Lake Name Lake Class
/ 3~? Range ^3Sec.Twp.Twp. Name_:;
If applicant is a corporation, what state incorporated in__________________
Applicant is: Owner ( ) 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
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what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
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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Application dated.AppMigna
—DO NOT USE SPACE BELOW—
y~ 19Date application filed yvith Shoreland Management Administration
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Deviation requires: Planning Commmiooion approval ( ) Shoreland Management approval only ( )Both —’
Filing acknowledgement By,Signature
19____WITH THE FOLLOWING
Q> P./A. ^daojM
_____________________day of_
. 01 •..«l^-«Dstertime and place of hearing
DEVIATION APPROVED this
(OR ATTACHED) REQUIREMENTS:
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Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
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