HomeMy WebLinkAbout17000991366000_Variances_06-02-1976White — Office
Yellow — Owner
Pink ~ Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
0,^^ - U2o/SOwner:Phone No.
Last Name First Middle
/J,3J13 Z?'^
Street &Zip No.
Legal Description: Lake No.,Lake Name Lake Class
)5 1Sec.Twp.Range Twp. Name.
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.
Y'
f” '■
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:
i ‘
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
5Application dated.19 . X
Signature of Applicant
—DO NOT USE SPACE BELOW—
5 ~ <3^^Date application filed with Shoreland Management Administratioa 19,
BotHj )Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement
, W____WITH THE FOLLOWING
By
Signature
DEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
day of_
C A 47 f^ ^
■>W*A
Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 • By.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
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