HomeMy WebLinkAbout56000010003007_Variances_08-05-19738-5- 1873White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Phone No.Owner:
Last Name MiddleFirst
Street & No. Cny
^:ry/pStateZip No.
aOLake No " 3 S ^Legal Description:Lake Name Lake Class
Range /ISec.Twp.Twp. Name.
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If applicant is axorporation, what state incorporated in____
Applicant is: (*--FOwner ( ) Lessee ( ) Occupant ( ) Agent
-----yes or no
NAME, ADDRESS AND ZIP NO.
List Partner's name and address below:Is Applicant a partnership.
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 possible, such as: maps,
plans, information about surrounding property, etc.
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Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
Filing acknowledgement By
Signature
DEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
REJECTED By_
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^ 19.^ InitialsDated:
Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 ■ By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
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