HomeMy WebLinkAbout25000990553000_Variances_10-04-1984Variances
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APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA
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Application Fee $
Owner;Phone:/Last Name First Middle
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<SUpS /t)Street City
/?/^ ^ e c ^/S />Lake No.Lake Name Lake Class
^ /-j:/Sec.Twp.Range Twp. Name
Legal Description:1^/^-4~ /O Block No.Lot No.
LaKI- ^^gvC-W Sub-Division Name:BIaiOcvl
Paiftel Number
ain 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. APPLICIANT SHALL BE PRESENT AT THE SCHEDULED HEARING.
7fi: .XApplication dated.197 ✓/Signature licant
— DO NOT USE SPACE BELOW—
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Date of hearing 19 Time
Court House, Fergus Fails, MN. 56537
DEVIATION APPROVED this_____
(OR A TTACHED) REOUIREMENTS:
day of_., 19____WITH THE FOLLOWING
0: .cc of Ccsirr-v R~cor'''?r
County of Gi!cr foif'
^Fcioi-^ied asD
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Chairman
Otter Tail Board of AdjustmentMKL 0483 - 001
215601®
VICTOR LUNDECN CO.. PRINTERS. FCROUS ‘«LLS. M'NN.
*m GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
.19.Application for Building Permit Dated_____
Application for Sewage System Permit Dated
Building Permit Number_________________
Applicant agrees that this plot plan is a part of application (s) indicated above.
.19
Sewage System Permit Number
.19.Dated.Signature
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