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APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA714717 Receipt No.
2S^Application Fee $
pc./b, Si SSI
Owner:Phone:
Last N First Middle
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Street & No.State Zip No.
■5^' <~eS7 (®ss Wed I GOLake No.Lake Name Lake Class
a /3Z-DSec.Twp.Range Twp. Name
^ LaiA((
Legal Description:Fire No.
k)f fo
f 4 i-
13-000 53 -600Parcel Number
Explain your request:
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Office of County Recorder
County of Otter Tail
I h«r^y certify that the within Instrument was filed
day of//for record in this office on the_i:W=_A.D. 19iL at L^o'c^/m
andyas duly Microfilmed as Ooc. # v /3_ /
County Recorder
____Beputy/^7T
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. ?
C^~/
Application dated 19.. X
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— DO NOT USE SPACE BELOW—
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Dote of hearing Time M.
Court House, Fergus Falls, MN. 56537
6th 19 91 WITH THE FOLLOWINGJuneDEVIATION APPROVED this
(OR A TTACHED) REQUIREMENTS:
day of.
None
Signature: >
Chairman
Otter Tail Board of AdjustmentMKL 0483 -001
231,616 — Victor Lundeen Co., Printers, Fergus Falls. Minnesota
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