HomeMy WebLinkAbout17000990500000_Variances_05-30-1989689056APPLICATION FOR VARIANCE
FROM
OTTER TAIL COUNTY, MINNESOTA Receipt No.
Application Fee $ 23 —
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__£tLOwner;Phone:
Last Name First Middle
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Citv^Street & No.State Zip No.
QD- 7fL 1 c aLake No.Lake Name _Lake Class
1 i2a f/Sec.Twp.Range Twp. Name
Legal Description;Pjj/^Fire No.
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Parcel Number I '^1
Explain your request:
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//? order to properly evaluate the situatiori, 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 Tall 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.
3o 19Application dated
d /Signature of ApplicantV
— DO NOT USE SPACE BELOW—
Dote of hearing 19.Time M.
Court House, Fergus Falls, MN. 56537
DEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
day oL 19____WITH THE FOLLOWING
Oifm Gf CoiiP.iy Recordsr
Caiistjf of Otfer Tsil
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Signature:
Chairman
Otter Tail Board of AdjustmentMKL 0483 -001
231,616 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota
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Scale: Each grid equals feet/lnetfe5=-.OT PLAN SKETCHING FORMGRID P
.//-^ So 19 ^9Dated:
C7 Signature
ieyard for each building currentlyPlease sketch your lot indicating setbacks from road right-of-w ay, lake and si
on lot and any proposed structures.VJO
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