HomeMy WebLinkAbout32000080065012_Variances_08-23-1972Variances
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Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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^ Owner:f Phone NoMiddleLast Name First
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City State Zip No.Street & No.
PnLegal Description: Lake No. 3s3 ^Lake Name Lake Class
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If applicant is a corporation, what state incorporated in____
Applicant is: ( i/pOwner ( ) Lessee { ) Occupant ( ) Agent
List Partner's name and address below:Z2CIs 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.
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19_^Z .Application dated.
iture of Applicant
—DO NOT USE SPACE BELOW—
QUUW-<^__UDate application filed with Shoreland Management Administration.
Both (Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By
Signature
Date, time and place of hearing ■+
, 19 73- mTH THE POLL OWINGDEVIATION APPROVED this______
(OR A TTACHED) REOUIREMENTS:
day of_
f)j\A' (Xf\/x^Jxa/vuixn[\Signature.
Otter Tail Planning Advisory Commission
19-25U ________
A ^ "" Malcolm K. Lee, Shoreland Man'^ement Administrator
Otter Tail County, Minnesota
Deviation
Approved this day of.
MKL-0871-016
159079
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