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A' -“7 “4White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
____________
Phone No.Owner:La^jJ^ame
139a/ U
MiddleFirst
OrT'iKo
StateStreet & No.City Zip No.
iULegal Description: Lake No.Lake Name Lake Class
^Xlald
Twp.RangeSec.Twp. Nama
If applicant is a corporation, what state incorporated in___
Applicant is:-~S») 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
'~7^ AJt jLt^what Section of the Ordinance:____
EXPLAIN YOUR PROBLEM HERE:__^
(X-ilyoO ztiso
IdovJiQ. JjJU ylo p Caxi^^jnry
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
H .X19.Application dated
Signature of Applicant
—DO NOT USE SPACE^ELOW—
td‘/-,sa 19Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval^ ) Shoreland Management approval onlyf-*^) Both { )
Filing acknowledgement By Signature
fnOQ.Date, time and place of hearing XjLd
DEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
19____WITH THE FOLLOWINGdayoL
Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
Deviation
Approved this 19,day of.. By-Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, Minnesota -7^
MKL-0871-016
VICTSK LUhBICH 4 CO.. »4IHH>0. riMOUS rw.L4.
159079