HomeMy WebLinkAbout13000990243000_Variances_06-06-1973White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Last Name
. Owner:Phone No.Middle
City StateStreet & No.Zip No.
5~r--Legal Description: Lake No..Lake Name Lake Class
V 2-Sec.Twp.Twp. Name
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:
c -X.
—»-
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? i> . XApplication dated.Signature*'of Applicant
—DO NOT USE SPACE BELOW—
-7Date application filed with Shoreland Management Administratioa
Shoreland Management approval only ( ) Both^ )Deviation requires: Planning Commmission approval ( )
ByFiling acknowledgement Signature
^ ^ TA Sc? ^ ^.^9&te',' time and place of hearing
7.9 WITH THE FOLLOWING2LDEVIATION APPROVED this_____
(OR ATTACHED) REQUIREMENTS:
day of_
/________
Alatarlt, Prnnirlr»a^
Otter Tail Planning Advisory Commission
X/Signature.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, Minnesota
Deviation
Approved this IE. By.7 19day of.
MKL-0871-016
150079
VICTOa UfHBCCN 4 CO . MittTt**. rtOOUt 741.1.1.