HomeMy WebLinkAbout17000990504000_Variances_04-19-1978White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
- FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Owner;Phone No
Last Name 7 MiddleFirst
Cf
Street & No.City State Zip No.
Legal Description; Lake No..Lake Name Lake Class
1 /37Sec.Twp.Range Twp. Nama
If applicant is a corporation, what state incorporated in____
Applicant is; ( ) 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 conditonsfound in
what Section of the Ordinance;_____
EXPLAIN YOUR PROBLEM HERE: . fy ' -V— 7 /7
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as; maps,
plans, information about surrounding property, etc.
g -r?/Application dated.
ignature of Applicant
—DO NOT USE SPA BLOW—
19___Date application filed with Shoreland Management Administration
Both ( )Deviation requires; Planning Commmission approval ( ) Shoreland Management approval only { )
Filing acknowledgement By
Signature
jl^Date, time and place of hearing
DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_19____WITH THE FOLLOWING
Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 . By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tall County, MinnesotaMKL-0871-016
171988-A®
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