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Barcode 128
APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA Receipt No.
Application Fee $
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Last Name First Middle
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Street & No.City State Zip No.
S'O- 3 lo rzoyj 1^ \ l< gLake No.Lake Name Lake Class
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Twp_________1 lf\nn 0 If ,WOI ^Sec.Range Twp. Name
53Legal Description:Fire No.
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Parcel Number 0*7^000 0
Explain your request:
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Z/7 o/’<yer fo 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.
tLApplication dated.19.. X
Signature of Applicant
—DO NOT USE SPACE BELOW—
Date of hearing 19.Time /M.
Court House. Fergus Falls, MN. 56537
7989 WITH THE FOLLOWINGApri 16thDEVIATION APPROVED this_____
(OR ATTACHED) REQUIREMENTS:
day of_/
Utilize the "string test" building no closer to the lake than the cottage on
either side. o( County Rscorder
County of OttBf T«(
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AD .IS
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Signature:
Chairman
Otter Tail Board of AdjustmentMKL 0483 -001
231,616 — Victor Lundeon Co.. Printers, Fergus Falls. Minnesota