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APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA
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/oApplication Fee $
Phone: ~NVo<^av-sOwner;
Last Name First Middle
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Street & No.City State Zip No.
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Sub-Division Name:
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33 Lin
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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. APPLICIANT SHALL BE PRESENTLAT^THE SCHEDULED HEARING.
L- !(Application dated.19.
Signature of Applicant
— DO NOT USE SPACE BELOW—
7'b'„2iDate of hearing Time M.
Court House, Fergus Falls, MN. 56537
JiiLyDEVIATION APPROVED this__Mk
(OR A TTACHED) REQUIREMENTS:
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., 19 S4 W!TH THE FOLLOWINGday oL
Signature:
Chairman
Otter Tail Board of AdjustmentMKL 0483 -001
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VICTOA LuNOeCN CO . PMlNTERS. FERGUS ‘«UL.S.