HomeMy WebLinkAbout55000020020004_Variances_05-01-1986648599
15'APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA
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Application Fee $ c3 5.0<^
- 3l556
Phone: 5^3>L~ ~?SOOLi,)grvrH£EOwner:
Last Name First Middle
S(Z S€ YJ(23
Street & No.City State Zip No.
Py£L I ^ rV Lake ClassLake No.Lake Name
^3\5~)<>C tq<^r}L/rre.Sec.Twp.Range Twp. Name
pire. * p 19Legal Description:Lot No.Block No.
Sub-Division Name:
SuQL^) Pi- YyE L<PT ^<Call£ o
Parcel Number
Explain your problem here:
r
Ipy
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.
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'Signature of Applicant
%ia- -XivvApplication dated.19.y
— DO NOT USE SPACE BELOW—
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SeiJfime- >9./M.
Court House, Fergus Falls, MN. 56537
DEVIATION APPROVED this_____
(OR A TTACHED) REQUIREMENTS:
day of_., 19____W!TH THE FOLLOWING
applicant not singled out, purpose is to bringDenied
sewage systems into compliance with State Health Board
standards and this Board has not compomised with said
standard^jgg of CkXLSy Rir:cyiJ®r
Cocnfy D? C>:k*f Ti*
Wiiby Cir.'S(ry ¥;»! rt^ru-
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'$648599
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! its Signature:
Chairman
Otter Tail Board of AdjustmentMKL 0483 -001
215601®
VICTOR LUNOCCH CO . PRINTERS, FCROuS ‘*LLS. WINN