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0^1c6^c^^::5,White — Office
Yellow — Owner
Pinlf — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
^^02-3Phone NoOwner:MiddleLast Name First
State Zip No.CityStreet & No.
■? O'Lake Name Lake ClassLegal Description: Lake No,
1 /^7/f Twp. Name.Twp.RangeSec.j
■il
If applicant is a corporation, what state incorfxirated in
Applicant is: Owner ( ) Agent( ) Lessee ( ) Occupant
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
,/V ✓>V7> «r <6^S'-what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
Y-i- F. a JU.t^^ 9jr: y ^
/if -
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
!I
19 ?3 . X,Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
-9^19iL?Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval p() Shoreland Management approval only ( )
__________________ By Signature
Both ( )
Filing acknowledgement
Date, time and place of hearing
-tA , /sar/ U.//WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of
f\ (>P^ 0 CYC, o/
Vi,4
FranU AIsLdUf, rr^iaerft
Otter Tail Planning Advisory Commission
Signature.
iq7.5 p,. 'TTlcxAlO JIA
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, Minnesota
-aDeviation
Approved this
cTtIXday of.
MKL-0871-016
VICTO* LVHBICM t CO . VRIHTCaO. FCRfluS FALLS. MINN
159079