HomeMy WebLinkAbout17000991115000_Variances_08-02-1978White - Office
Yellow — Owner
Pink — jTownshIp
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Phone No.-I ^^3.5Oi,0 Ai-0 (g.tcU+A leoOwner:
Last Name MiddleFirst
ro i^Ja)ST.<rt.r^o
Street & No.City State Zip No.
Legal Description: Lake No..Lake Name Lake Class
!h OiorASec._^RangeTwp.Twp. Nama
If applicant is a c(^oration, what state incorporated in____
Applicant is: Owner ( ) Lessee ( ) Occupant { ) Agent
Is Applicant a partnership^______
yes or no
NAME, ADDRESS AND ZIP NO.
List Partner's name and address below:
NAME,
nagemenjwrf inanc*7 Otter Tail County, Minnesota for conditonsfound inThis application for deviation is from Shorel^^
what Section of the Ordinance:________
EXPLAIN YOUR PROBLEM HERE: ^ ^ ^
5!b
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
-r/ ________
' Signature of Applicant
19.Application dated
—DO NOT USE SPACE BELOW—
19___Date application filed with Shordland Management Administration.
Deviation requires: Planning Commmission approval { ) Shoreland Management approval only ( )Both ( )
Filing acknowledgement By
Signa^re ./i\ . ^ r\f! Y'Aand place of hearing__-//'WO ', W____WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day of.
Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this 19day of.■ By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
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