HomeMy WebLinkAbout56000340259001_Variances_11-15-1979APPUCATIONJW, VARIANCE I )-l5 ''ll
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota ^
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First Middle
White — Office
Yellow — Owner
Pink — Township
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Phone No. ^ ^ ~ ^—Owner:
Last Name
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Street & No.City State Zip No.
h£A~n MbLegal Description: Lake Not Lake Name Lake Class
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Range-------Sec.Twp. Nama
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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 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.
Signature sf At^plicant
fo - roApplication dated.
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administration__________________________
Deviation requires: Pf^in^ r'lrmr^isfijnli^^rr^val ( V(^ Shoreland Management approval on
19___
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Filing acknowledgement By
Signature
Mov ■_mlDate, time and place of hearing I
DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day of.19____WITH THE FOLLOWING
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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