HomeMy WebLinkAbout13000990367000_Variances_03-06-1987ceeiteAPPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA Receipt No.
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' Last Name
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First Middle
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Street & No.City Zip No.State
VaJI I'c Lake ClassLake NameLake No.
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C cUl cT lo t G Block No.Lot No.o^\‘.
Sub-Division Name:
Parcel Number
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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.
19 Sf7-/7Application dated
Signature of Applicant
— DO NOT USE SPACE BELOW—
ioU.Dafe of hearing Time M.
Court House, Fergus Falls, MN. 56537
DEVIATiON APPROVED this_____
(OR ATTACHED} REOU!REMENTS:
day or 19____l/VITH THE FOLLOWING
Oiiica of County Recorder
County of Otter Tsil
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Signature:
Chairman
Otter Tail Board of AdjustmentMKL 0483 -001
231.616 — Victor Lundeen Co.. Printers. Fergus Falls. Minnesota
2 feet/inchesScale: Each grid equals GRID PLOT PLAN SKETCHING FORM
7-/7Dated:
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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