HomeMy WebLinkAbout17000110146000_Variances_10-02-1973White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Last Name
Phone No.Owner:MiddleFirst
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/2k r.nLake Nn Lake Name CCli'^s^ Lake ClassLegal Description:
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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:/?oIs Applicant a partnership.
yes or no •h .
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
s~what Section of the Ordinance:______
EXPLAIN YOUR PROBLEM HERE:
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps.
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:5L0ar*\p.plans, information about surrounding property, etc.
' Signature of Applicant
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19^Application dated.
—DO NOT USE SPACE BELOW—
19^Date application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both (>r"
ByFiling acknowledgement 75^Signature-V.
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Date, time and place of hearing
, 79____WITH THE FOLLOWINGday of_DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
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^ 19.2L Initials .Dated:
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Signature.
Frank Alstadt, President
Otter Tail Planning Advisory Commission
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Deviation
Approved this 19day of.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
159079
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