HomeMy WebLinkAbout37000990797000_Conditional Use Permits_09-17-1997tojg)^?
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OTTER TAIL COUNTY
I?'Conditional Use Permit CUP^i5'75^
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Location* Lake No^yfysec./O Twp^^y RangeTwp. Name
Lo'fen^z^OWNER'S NAME:
Address
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Issued_19 ?7 > Expires 19
Work Authorized ^cc£^5 /o
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NOTE: This card shall be placed in a conspicous place not more than 4 feet above grade on the premises on which work is
to be done, and shall be maintained there until completion of such work. NOTIFY DEPARTMENT OF LAND AND RESOURCE
MANAGEMENT, TELEPHONE (218) 739-2271 WHEN AUTHORIZED
^ '''A"- COUNTY, MINNESOTA
Board of County Commissioners
HAS BEEN COMPLETED.
ADMINISTRATOR, Land and Resource Manageme
4nju,^v.4j)n1. Earthmoving shall be done between
2. Entire area shall be stabilized within 10 days of the completion of any earthmovirig.
3. Owner is legally responsible for all surface water drainage that may occur.
4. No fill shall enter or be taken from the beds of a public water without a valid permit from the State of
Minnesota Department of Natural Resources.
5. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject
to leoal orosecution.
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813203
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Office of County Recorder
County of Otter Tail
I hereby certify that the within Instrument was filed
for record in this office on the. ^ bay of
and was duly Microfilmed as Doc./O-LaXmOO
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County Recorder
__Deputy
THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR CONDITIONAL USE PERMIT
COUNTY OF OTTER TAIL
COURTHOUSE, FERGUS FALLS, MN 56537
(218) 739-2271
*** COMPLETE THIS APPLICATION IN BLACK INK ***
Application Fee
Receipt Number /
70/ - • I^^6^Oou<^Lf^< Lo DAYTIME PHONEPROPERTY OWNER
fhfiGo hjo iPniL.ADDRESS
7V7 LAKE CLASS <ojO
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LAKE NUMBERLAKE NAME
SECTION jO TOWNSHIP RANGE
FIRE NUMBER OR LAKE I.D. NUMBER 37 ~ ~ ~<3 7f7 -0^0
TOWNSHIP NAME
TD L HiL3>
LEGAL DESCRIPTION
Lot * SLO euL V Lio» SHoizes
EXPLAIN'YOUR REQUEST
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I UNDERSTAND THAT APPROVAL OF THIS REQUEST APPLIES ONLY TO THE USE OF THE LAND.
I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO
CONTACT LAND & RESOURCE MANAGEMENT REGARDING THIS MATTER.
97
SIGNATURE OF^^^pRTY OWNER DATE
APPLICANT MUST BE PRESENT AT THE HEARING
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
9*'
Accepted By Land & Resource
L & R Official/Date
Date Of Planning Commission Hearing Time
Planning Commission Motion
Approved as presented, the work may be done this fall provided the method for erosion
control is approved by the L&R Office.
0
mChairman/Otter Tail County Planning Commission
County Board Action
Approved As Recommended
Denied As Recommended
Other
---------------------i<fnty-6oard of Commissioners
m/azhv
hairma Date'of Final Action
CONDITIONAL USE PERMIT #
L&R Official/Date
Permit(s) required from Land & Resource Management
Yes (Contact Land & Resource Management)NoA
Copy of Application Mailed to Applicant And MN DNR
R Official/Dat
bk 0797-006
287.384 • Victor Lundcen Co.. Printers • Fergus Falls. Minnesota
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