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YellovO — Ciwrter
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
<1 Groc ^Phone NoOwner:MiddleLast Name First
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Zip No.City StateStreet & No.
R Du«Lake ClassLake NameLegal Description: Lake No..
J3 3 ^ / r Q r'I 3 3 Twp. NameRangeTwp.Sec.
If applicant is a corporation, what state incorporated in____
Applicant is: (‘-'fOwner { ) 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
fr\y(fyy^ '
what Section of the Ordinance:____
EXPLAIN YOUR PROBLEM HERE: ^^0'' — ^ ^ ''
XLso.
✓f
?r > ITO___________y0-O<yJ(i
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
.X19Application dated.Signature of Applicant
—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
WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
day ot
Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19.. By.Malcolm K. Lee, Shoreland ManagemdAt ^ n-i f
Otter Tail County, MinnesotaMKL-0871-016
V'CrOO lUHOCfM t CO Fr««US FALL*.
159079