HomeMy WebLinkAbout28000100073001_Variances_09-05-1985' t
APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA
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/Application Fee $
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Owner:Phone:
Last Name First Middle
//g lA/.Ml ,<r^ ,rj-;7'CY.<t -YStreet & No.City State Zip No.
^F'c/tprLake No.Lake Name Lake Class
FrjlMLIRSec.Twp.<S»/^£5RangeTwp. Name
Legal Description:Lot No.Block No.
Sub-Division Name:
Parcel Number
Explain your problem here:
On.
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.1
Signature of Applicant
— DO NOT USE SPACE BELOW—
Dofe of hearing Time M.
Court House, Fergus Falls, MN. 56537
DEVIATION APPROVED this_____
(OR A TTACHEDI REOUIREMENTS:
day of , 19____WITH THE FOLLOWING
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Signature:
Chairman
Otter Tail Board of AdjustmentMKL 0483 -001
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VICTOR LUNOEEN CO.. PRINTERt. fEftOuS ‘«LL8.
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GRID PLOT PLAN SKETCHING FORMfeet/inchesScale: Each grid equals
19Dated: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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