HomeMy WebLinkAbout17000320375015_Variances_09-05-1973White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County,
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Middle
Minnesota
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Last Name
Phone NoOwner:First
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City ^ State Zip No.Street & No.
.5^ - ^UoLegal Description: Lake No.
Sec. '
Lake Name Lake Class
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If applicant is a corporation, what state incorporated in
Applicant isTT^) Owner ( ) Agent( ) Occupant( ) Lessee
Do 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
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
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In order to properly evaluate the situation, please |i7ovide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
Signature of Applicant
-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 ( )BotTV )
ByFiling acknowledgement Signature
<2>y. so QmisA r.^\CU.^'Ddte, time and place of hearing
, 19 d^f.WlTH THE.'POLLOWlNa'x>DEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
day of.
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I hereby ceriiiy lastru*
msit was
OB the
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v;;rrted InMlCitOf-
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Book.
6oL ^Signature.—Bco’itv
Frank Ahtadt, Praoident^-^
Otter Tail Planning Advisory Commission
-H.Deviation
Approved this
1Q 3S By______3day of.
Malcolm K. Lee, Shoreland Management Administra^r
Otter Tail County, Minnesota 6MKL-0871-016
159079
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