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APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA Receipt No.
Application Fee $
Last Name First
■*~f C\ ^ !o<^d\C — V ^<1 QfVOwner:Phone:
Mkidie /'■/^d 3 / -3 > ^ /
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City State Zip No.Street & No.
Dr P c? aS'L-i^o Lake ClassLake No.Lake Name / »\J (2^a Twp. Name '■L.2£L£.-» SiSec.Twp. Range
Legal Description:Fire No. or Lake ID #■i ^ ^dd' d'^ ‘-iJOlr~?^ ' O
Parcel Number S ^ 00 6 — / s~- Od^w^adZ.
^ <L '(3!^GVARIANCE REQUESTED IS:“a'-vV
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APR ! I 1994
land & RESOURCE |
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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. APPLICANT 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.
m
Application dated . X
Signature Of Applicant
Date of hearing: ____
MOTION AS FOLLOWS:
19 . Time:M
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Prior to the June 2nd, 1994 meeting the applicant requested that he be allowed to withdraw his variance
request.
Chairman
Otter Tail County Board of Adjustment
NOPermitfs) from Land & Resource Management required:YES
1 mailed copy of Application to Applicant.(Date/Initial)
MKL — 0483-001
i .258,371 — Victor Lundeen Co.. Printers. Fergus Falls. Minnesota
<Scale: Each grid equals___feet/inches
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GRID PLOT PLAN SKETCHING FORM*' •
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zzDated:
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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