HomeMy WebLinkAbout14000310238006_Variances_01-05-1977White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Owner:Phone No.First Middle
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Street & No.City State Zip No.
Legal Description: Lake No.-^^~ ^o___ Lalce
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Name Lake Class
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4oSec.Twp.Range Twp. Name.
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If applicant is a corporation, what state incorpcfeted m___
Applicant isX^ ) Owner ( ) Lessee ( ) Occupant
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( ) 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 conditonsfound in
what Section of the Ordinance:____
EXPLAIN YOUR PROBLEM HERE:Zt^iSL.0O<yvJtSi JUJ^
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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.
'Signaturq^f AVpiicantApplication dated.
—DO NOT USE SPACE BELOW—
19^^/ o? <=2/Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval { ) Shoreland Management approval only ( ) Both (J»d
Filing acknowledgement By Signature
i'-'SorfA. (InuJOCkcru,^^ P yyijY\.Date, time and place of hearing
19 'I'tWITH THE FOLLOWINGDEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
day of_
Signature
Chairman JlAYyOOtter Tail Plannli^ A^laory Committion
txDeviation
Approved this day of.
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
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