HomeMy WebLinkAbout17000991071000_Variances_09-20-1972White — Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Last Name ~7 First
/?ff/
Owner:Phone NiMiddle
' StateCity Zip No.Street & No.
£ALegal Description: Lake No..Lake Name Lake Class
/J?V VSec.Range Twp. Name
If applicant is a corporation, what state incorporated in___
Applicant is: p>^Owner ( ) Lessee ( ) Occupant
Is Applicant a partnership
( ) Agent
List Partner's name and address below:
yeSor 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:
4/
X f
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
' Signature of Applicant
719.Application dated.
—DO NOT USE SPACE BELOW—
?- C 19jSDate application filed with Shoreland Management Administration.
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
ByFiling acknowledgement Signature
^ G) P/n CL.
day of ^ _______!9 ZjUnith the following
Date, time and place of hearing
DEVIATION APPROVED this
(OR A TTACHED) REOUIREMENTS:
\
's
Pfanu^todt, Pfeoi^t- «=KV.^ O-Azt^i
OtteiJ^ail Plajjning AdvisoryCommission ^
Signature.
Deviation
Approved this 3'e^By.day of.
M^lcotnr/K. Lee, Shoreland Management Administrator
Otter T^l County, MinnesotaMKL-0871-016
wictoi 159079
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