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Variances
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APPLICATION FOR VARIANCE
FROM
' • Requirements of Shoreland
o\vner: f1 S ~ /h] 4 h
Management Ordinances Otter ~&°j}~Y, Minnesota
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Last Name
3J 3 StrL::~ /VE ·
First Middle
ii\/~ City
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State Zip No.
Legal Description: Lake No. n -I '-I I IA.S~ Lake Name-~~~-~-Lake Class GD~
-::2.I Sec._~---3S-Twp.~~---38 Range ___ _ Twp. Name D J:ro
f ~
If applicant is a corporation, what state incorporated in ________________________ _
Applicant is: (0 0wner ( ) Lessee ( ) Occupant ( ) Agent
Is Applicant a partnership ________ List Partner's name and address below:
· yes or no
NAME, ADDRESS AND ZIP NO. NAME, ADDRESS AND ZIP NO.
This application for deviation is from Shore land Management Ordinance, Otter Tail County. Minnesota for conditons found in
what Section of the Ordinance: _________________________________ _
EXPLAIN YouR PROBLEM HERE.-w O"' l I) 11 _ Ke 1"r) C O V\ SI r u c, 1 C(.
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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.
Application dated __ '-+-/-,7,_/_/--'/ ______ 192.C . X ~1-q (f ~ ~r~
--DO NOT USE SPACE BELOW--
Date application filed with Shon!land Management Administratio ~------------------19_
Deviation requires: Planning Commmission approval ( Shoreland Management approval only ( Both ( )
Filing acknowledgement _____________ _ BY-------,_-,---,-------------signature
Date, time and place of hearing 5-1-I 5 Q 1 · 3Q p m . )
OE VIA Tl ON APPROVED rM, '1-t,;. day of -re, 7j
(OR ATTACHED) REQUIREMENTS:
Cou~F/=.~,
,Sd,5€$1
, 19~WITH THE FOLLOWING
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J' Signature~,a:;:,;;;a,:;;,k:::;;A;;,,~~;;;;;:J.;;;;;;~:---'~A~r-------
otter Tail~ory ~
Deviation _,,, -tJ... _ /) /,J ,/ J
Approved this __ .,c.z._ ___ day of_~/h--7~,_,,_-19_!/5. By ill~ ,(. c?_ '--'c.£-(__ ___ _
Malcolm K. Lee, Shoreland Management AdminiJ?ator /
MKL-oa71 _016 Otter Tail County, Minnesota ....t:::?Y> ~
• ,.Scafe: .. E_ach gric:I equals _____ feet/inches. GRID PLOT PLAN SKETCHING FORM
· Application for Building Permit Dated ~ ,1 S---191:{__
Application for Sewage System Permit Dated ______ 19
Building Permit Number_________ Sewage System Permit Number _______ _
Applicant agrees that this plot plan is a part of application (s) indicated above.
Dated, _ __w:°=196.::::;p,='--....,,,_/ ..,,,S:!,----19p. S ignature
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