HomeMy WebLinkAbout13000990451000_Variances_09-15-1976White — Office
Vellow — Owner
• ^jnk — Township
APPLICATION FOR VARIANCE ^FROM ['-'•n" )(^
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Owner:Phone No
Last Name First Middle
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* Street & No.rjZ>(4U>a
State Zip No.
sS6, - /Legal Description: Lake No..Lake Name Lake Class
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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.
ves 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 conditonsfound in
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what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:
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In order to properly eva
plans, information about surrounding property, etc.
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luate the situation, please provide as much supplementary information as possible, such as: maps.
^ Signature or Applicant
?' S’19.Application dated.
—DO NOT USE SPACE BELOW—
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Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only | ) Both ------
Filing acknowledgement By Signature
ClmA^rixA E'F. vTtjn,Date, time and place of hearing OU LP >T
19_^WITH THE FOLLOWING/6DEVIATION APPROVED this______
{OR ATTACHED) REQUIREMENTS:
day of_
(3Signature.
Chairman —
Otter Tall Planning Adviaory Commission
Deviation
Approved this
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day of.. By
Malcolm K, Lee, Shoreland Management Administrator ^
MKL-0871-016
171988-A®
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