HomeMy WebLinkAbout17000310370004_Variances_05-22-1972White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM.
Requirements of Shorelapd Management Ordinancfes Otter Tail County, Minnesota»
9 ' LV—^ > K Phone NoOwner:MiddleLast Name First
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Street & No.State Zip No.City
mK/o"0_Lake ClassLegal Description: Lake No_s.Lake Name
Range Twp. NameTwp.rSec.
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If applicant is a corporation, what state incorporated in____
Applicant is: (l^Dwner ( ) Lessee ( ) Occupant ( ) Agent
fit ■ f-«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
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In order to properly evaliSfe the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
UjlaAS,what Section of the Ordinance:
EXPLAIN YOUR PROBLEM HERE:O-h-lcfc —
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/L. J19n\cy^^ ^3L . XApplication 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
, 19____WITH THE FOLLOWINGday of_DEVIATION APPROVED this______
(OR A TTACHED) REOUIREMENTS:
REJECTED By
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1Dated:
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Signature.■■
Frank Alstadt, President
Otter Tall Planning Advisory Commission
Deviation
Approved this 19.day of.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
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