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U>-ZhlWWhite — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
I U. ^ I d ir\ [_______________t ____________________Phone No. ~ O -T~7
Owner:MiddleLast Name First
/o'? Ct/np/g fl y /
Street & No. City /Zip No.State
/e5t-3(.o £)Lake Name Lake ClassLegal Description: Lake No.:
Md log. r1~~13 7 tlA Twp. Name.Twp.RangeSec.
i I aH r
( <Si// )
If V>plicant is a corporation, what state incorporated in____
Applicant is: (Hf^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
what Section of the Ordinance:_____________________________________________________EXPLAIN YOUR PROBLEM HERE: \aJqu.IQ }}k^ Jx> a 12^
hkt. QcflAv ^o'l'
T'o !q^<~ /i i i S )1-X0^
4^-w yLc'^^ ksi Joo'^, ~tL^ e)L^s'T/X'j u^/'// ke
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possible, such as: maps.In order to properly evaluate the situation,iplease provide as much supplementary information
plans, information about surroanding property, etc.PrpprOt' 3 00 ipr*
. Y^^yl If. IjjlJI 0 '■
' Signature of Applicant
19Application dated.
—DO NOT USE SPACE BELOW—
19.^
Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval { )Shoreland Management approval only ( ) BotfT'T )
ByFiling acknowledgement Signature
Ff.n\y^-Date, time and place of hearing t3f, ^ O A /H- Cc^d.,Ct.k
c^l -
t
;slH ini th the poll owingTSU-yuJDEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
Approved.
day of_
Building permit required.
L;Signature!■%
i^rank Alstadt, President
Otter Tail Planning Advisory Commission
-4^Deviation
Approved this H.... .........- , ,Malcolm K. Lee, Shoreland Management Adminlsj^ii||1i^
Otter Tail County, Minnesota
day of T 19
MKL 0871-016
vicre* Lu«Dic« « c» . vtiMunt. rcmna
159079