HomeMy WebLinkAbout17000990755000_Variances_05-18-1972White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Last Name
Phone NoOwner;MiddleFirst
City State Zip No.Street & No.
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If applicant is a corporation, what state incorporated in___
Applicant is: (>^Owner ( ) Lessee ( ) Qccupant ( ) Agent
/70 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 provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
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—DO NOT USE SPACE BEL]
19___Date application filed with Shoreland Management Administratioa
Deviation requires: Planning Commmission approval ( )Shoreland Management approval only Both ( )
ByFiling acknowledgement Signature
Date, time and place of hearing
19____WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR A TTACHED) REOUIREMENTS:
day o f_
Signature.
Frank Alstadt, President
Otter Tall Planning Advisor
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'Otter Tail County, MInnesot
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imission
Deviation
Approved this 19.^. By'triiday of.
nt Administrator
MKL-0871-016
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