HomeMy WebLinkAbout17000310370003_Variances_07-15-1983APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA
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Application Fee $ 10
Poss C •3.3.3- WSO?Owner:Phone;
Last Name First Middle
S6S'^0K/N
Street & No.City State Zip No.
Rb,L\2JLIc.Lake No.Lake Name . Lake Class
B.I buNMmSec.Twp.Range Twp. Name
Legal Description: 1^$.$ C.C^S> o4
75' Lk.
Lot No.Block No.
(Ifyllel UtN Sub-Division Name:
Parcel Number
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 PRESENT AT THE SCHEDULED HEARING.
SigrretiTre of Applicant
7-/S •STApplication dated.19.
— DO NOT USE SPACE BELOW—
Date of hearing 19.Time
'!Court House, Fergus Falls, MN. 56537
., 19___WITH THE FOLLOWING^DEVIATION APPROVED thisi____
(OR ATTACHED) REQUIREMENTS:
. day of_
Signature:
Chairman
Otter Tail Board of AdjustmentMKL 0483 -001
2I5601@
VICTOt* LUNOttN CQ., PfilHteHS, fCHCUS * ‘LLS . UtHN.
GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals
'Application for Building Permit Dated..19.
Application for Sewage System Permit Dated 19
Building Permit Number.Sewage System Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
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S ig n a tu re ’ VJ19.Dated.
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159104 ®MKL-0871-029
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