HomeMy WebLinkAbout37000030015004_Variances_12-02-0982White — Office
Yellow — Owner
P'^k — Township
APPLICATION FOR VARIANCE
FROM
Otter Tail County, Minnesota
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EXPLAIN YOUR PROBLEM HERE:
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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.
19 S’ 3Application dated.. X
Signature of Applicant
—DO NOT USE SPACE BELOW—
> z -,9_S^fA.TimeDate of hearing
Court House, Fergus Falls, MN. 56537
19____WITH THE FOLLOWINGday of_DEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
Signature.
Chairman
Otter Tail Board of Adjustment[^EVliW SATUC LAKE. MINNESOTA
GRID PLOT PLAN SKETCHING FORM.feet/inches.Siii/e: Each grid equals
.19.Application for Building Permit Dated_____
Application for Sewage System Permit Dated 19
Sewage System Permit Number.Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
19.Dated.Signature
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