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APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA Receipt No.
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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.
I understand that I have applied for a variance from the requirements of the Shoreland Management Ordinance of Otter Tail County.
I understand I must contact my township in order to determine whether or not any additional variances and/or permits are required
by the township for my proposed project.
Application dated.1 4 Signature of Applicant
— DO NOT USE SPACE LOW—
Date of hearing 19,Time M.
Court House, Fergus Falls, MN. 56537
19 ^WITH THE FOLLOWINGDEVIATION APPROVED this_____
iOR A TTACHEDj REQUIREMENTS:
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Signature:^'
Chairman
Otter Tail Board of AdjustmentMKL 0483 -001
231.616 — Victor Lundeen Co.. Printers. Fergus Falls, Minnesota