HomeMy WebLinkAbout55000990938000_Variances_09-01-1976White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Last Name
Owner:Phone No.First Middle
city ’ Sfate
V\.
Street & No.Zip No.
Legal Description: Lake No. «5*<£? ~~7 ^Lake Name Lake Class
/S~7Sec.Twp.Range Twp. Name.
CL S A H-AcK-tk
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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 conditonsfound in
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:txj d-x|co ^5- 9 y <^CLA.OL^
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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.
19~7(g . XApplication dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
x=S'-AO 19Date application filed with Shoreland Management Administratioa
Both ( )Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement______
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DEVIATION APPROVED this.
(OR ATTACHED) REOUIREMENTS:
By
Signature
1 ~~7 ~7 '
^7 7~^
. m,
day of_19____WITH THE FOLLOWING
Signature
Chairman
Otter Tall Planning Advisory Conrtmission
Deviation
Approved this day of 19.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
VICTOK LUH»EfN 00.. PHMtTCOt. PIUOUO fJILLO. yiON.