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APPLICATION FOR.J('ARIANCE F^OM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
^____________________Phone No. 3.'~f! 'S
Middle
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Owner:FirstLast
' Street & No.‘^Clty State Zip No.
' 2 CrO Lake Class
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Legal Description: Lake No..
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If applicant is a corporation, what state incorporated in____
Applicant is: ( v^T^wner ( ) 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
' Lo-Vlc. Xwhat Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE: .atjJ JLUa-JL "to
^ ^
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 ^ . X_J^
Application dated.ApplicantSLrtuTi
—DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration________________________________
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only { )Both ( )
ByFiling acknowledgement Signature
Date, time and place of hearing
., 19____WITH THE FOLLOWINGday of.DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
•f':
Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.
. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
159079
VICTOR LURDEEN « CO . RRIRTERO. ftNOgS FAIL*. HIHN.