HomeMy WebLinkAbout16000990412000_Variances_09-01-1983GlilVK
APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA
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Application Fee $ j C‘{
S-ArCl N<a
Last Nai^1FiSt
Owner:Phone:
Middle
MoncLcaJisn EGS{>t>r/NStreet & No.City State Zip No.
f^/cLE;g6 -jg6 6Lake No.Lake Name Lake Class
13^'porASec.Twp.Range Twp. Name
Legal Description: /
Let cLoT I <g//ci
dry^iA-l
Lot No.Block No.
Sub-Division Name:
Parcel Number
s y
Explain your problem here:
jA4>y^ xJu. 'I- Vo ' ■
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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.
Application dated.
— DO NOT USE SPACE BELOW—
19 ^3Dote of hearing Time
Court House/ Fergus Fails, MN. 56537
TV 1^^ W! TH THE POLL OWINGDEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
day of_
Gvjvjry
Oiiice of CoLiiiy ilccniLor
Ccwftty Orter Ts.lS
I hereby certify that liie with-te tostrii-
inent was .ilad in iiia offloe r-aoord
d.jy of___<on the.
A.D.V5,
M.. aiid wae iWy Hc’cnnkti in
____
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Book r (jLSignatu re:J.
Chairman
Otter Tail Board of AdjustmentL 0483 - 001
, t ..w'.'ii (h N..1,
GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
t.
.19.Application for Building Permit Dated.
Application for Sewage System Permit Dated 19
Sewage System Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
Building Permit Number.
19.Dated.Signature
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