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APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA h-^Receipt No..
Application Fee $
673693
Phone; S’^3'2Owner:
Last Name First Middle■i
.<'/D Of aJ ,s'ronC"oftv
aJ Pat
Street 8t No.Zip No.State
(oDLake No.Lake Name Lake Class
i3 AimacHoTwo. / 3<-/Sec.Range Twp. Name
Legal Description;/oLot No.Block No.
Sub-Division Name:Sw* /£■ * ^
Parcel Number
Explain your problem here:
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RECEIVED
MAR 0 A 1983loj- /;
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V'£lrJtinA>
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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. APPLICIANT SHALL BE PRESENT AT THE SCHEDULED HEARING.
I understand that I have applied for a variance from the requirements of the Shoreland Management Ordinance of Otter Tail County.
I understand I must contact my township in order to determine whether or not any additional variances and/or permits are required
by the township for my proposed project.
;73-g-/'jytryue-.'19 . XApplication dated
Signature of OXpplicant
— DO NOT USE SPACE BELOW—
Date of hearing 19.Time M.
Court House, Fergus Falls, MN. 56537
DEVIATION APPROVED this_____
!0R ATTACHED) REQUIREMENTS:
day of.19____WITH THE FOLLOWING
J. CiJ)
uitice of Counfy
County of Otter Tail
Reoxdef
) hereUy ctriily mu K)i «ahn Instfu-
attct tor sNwti ,mfloi w«
awon
to 19 /r
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fcoMir
3/-S/3Signature:*»Mv-Chairman
Otter Tail Board of AdjustmentMKL 0483 - 001
231.616 — Victor Lundoon Co . Printora. Forgua F«Ha. MinnoaoU
f Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM
3 ^8'Dated:19
Signature
Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently
on lot and any proposed structures.
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RECEIVED
MAROa1983
LAND £ RESOURCE
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21598 7@MKL-0871-029 VICTOH LUNDCEN CO . PRINTERS. PERCUS fALL$. MINN.