HomeMy WebLinkAbout37000991174002_Conditional Use Permits_07-09-2008OFFICE OF COUNTY RECORDER
OTTER TAIL MINNESOTA
I hereby certify that 1042579
this instrument #------------------------
was filed/recorded in this office
for record on the_.24—% Ai2008at |1 (X) (am^m
^cording W/
" well certific^
1042579
THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR CONDITIONAL USE PERMIT
COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER
540 WEST FIR, FERGUS FALLS, MN 56537
(218) 998-8095
Otter Tail County’s Website: www.co.ottertail.mn.us
^ CCApplication Fee
Receipt Number/COMPLETE THIS APPLICATION IN BLACK INK
I J]N A- ■ DAYTIME PHONE 3\9 ^
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Accepted By / Date
lloMhjLPROPERTY OWNER(S)
MAILING ADDRESS
LAKE CLASSLAKE NUMBER LAKE NAME
~rr,IAU‘itl iP_______LlL(lLSECTION TOWNSHIP
660 ^Kl^d6-Z.Q)
sn600^^/]L-iOcno€>
RANGE TOWNSHIP NAME
^-911
ADDRESS
PARCEL
NUMBER
LEGAL DESCRIPTION
/.IT 3 i fMr Cfie.rcT Lcf / of ■Uui‘>j^/Ivirioir mb
PfKF OF /3 /■ ‘SO (4er
CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request)
Topographical Alteration__ Commercial Use
Miscellaneous
Cluster Development__ Extractive Use Industrial Use
t/Forest Land Conversion__ __________________________ _____________________
This home is currently licensed (License # I (X)9657-3-AFC by the MN Department of Human Services to provide services, 203-Adult Foster Care
(AFC), subject to the standards of MN Statutes, Chapter 245A and MN rules, parts 9555.5101 to 9555.6265 under Agency: Otter Tail County
Human Services, Adult Foster Care Home) signed by Jerry Kerber, Director of Licensing & Cal R. Ludeman, Commissioner. This home has
provided care for residents, 55 years and over, and has been occupied by 7 individuals since 2001. A new septic system was installed in 2003 and
determined, by Wayne Roisum, Inspector for the Department of Land and Resource Management Otter Tail County Government Services Center,
in compliance with the provisions of the Sanitation Code ofthat the Sewage Treatment Installation, Permit #16203, servicing this property was
Otter Tail County, for a 6 bedroom home. Otter Tail County Shore Land Management Ordinance defines commercial use as the use of land or
buildings for the sale, lease, rental or trade of products, goods or services, includes storage or transmission structures. This home does not sell or , ^
trade any services as it is licensed by the state of MN Department of Human Services, MN Department of Health, and Otter fail County Dept, of ^
Human Services to provide care for elderly residents. The rate of reimbursement is governed by Federal and State Law. Tluj home wi|l L„ ^
mid cipirrjitoJ hy in individual with 17 yearn fiiperiense-tit—*ntnll Fw^l*"l MU jiwufif r imu^^hin Oi^jiiiii.^iiww ^nH will prnififlc j|psident care
24 hours/7 days a week by trained staff and supervised by a Registered Nurse. There are 6 visitor parking spaces which is ample as the residents do ^
not drive. Since 2(X)1 only 5 of the 6 bedrooms in this home have been utilized for 7 occupants. This conditional use permit is r^uesting an
increase of 2, with the utilization of the 6“’ bedroom, from 7 to 9 occupants which conforms to the MN Department of Human Services and MN v
State Department of Health for a Class F, Home Care Provider, Housing with Services License. This provides the continuum of excellent care for
elderly residents in this home according to MN statutes. No structural changes will be made to this property inside or out and no signage in use.=
I uivi./i.rvo I MiMU iriMl Mrrrvt^VMi-i nid Ktctucd I AKHLItb UINLT lUTHEUbb UP I Hb LAND.
I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO
CONTACT LAND & RESOURCE MANAGEMENT REGARDINGrTHIS MATTER.
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SIGNATCTrE of PF^PERTY OV^R (S) FOl/pWNERS ^
^lnD)i
DATE
APPLICANT MUST BE PRESENT AT THE HEARING
(Applicant Will Receive Notification As To The DatefTime Of Hearing)
'i
R Deeded Acres Plat: 00384
CRYSTAL
. 00 Y:
Blk:2009 ,^HILLS 7TH ADDN
Twn: 136,i n»cT 2J “ 5“
27 6- f73\EG% 949' S 1^' TO
PT OF BG 1 20 AC AUDITOR'S
SOTDIVISION #111 PARCELS
*1174-002 & #63^TO BE SPLIT
Rng: 042
.00 Z:
Desc: Set: 02 .00
X::
NOT
R
2009 Deeded Acres:
Plat: 00378
DesC: CRYSTAL HILLS 1ST ADDN
Set:
Blk:Lot:LOT 3 Sc THAT PT OF LOT 4 COM ^
MOST ELY COR LOT 4, NWLY 62'
ON ELY LN TO BG, NWLY ALONG E
LN 32', SW 62 DEG 2.95', SELY
25 DEG 32', THENCE NELY 71 DEG
2.34' TO PT OF BG PARCEL NOT
TO BE SPLIT PARCELS #630 &
#1174-002 NOT TO BE SPLIT
Rng: 042Twn: 13602 .00.00 Z:.00 Y:X:
TimeDate Of Planning Commission Hearing
Planning Commission Motion
July 9. 2008:
Motion: A motion by Gill, second by Maske to approve as presented.
Chairman/Otter Tail County Plarfning Commission
County Board Action
Approved As Recommended
Denied As Recommended
Other
- ■■•nU>V
on 115/0^
Date of Final ActionChairm^/Otfer f&tl County Board of Commissioners J
CONDITIONAL USE PERMIT # (g S tQ jl^Qa »>» 1
V L & R Official/Dflte
Permit(s) required from Land & Resource Management
Yes (Contact Land & Resource Management)
Copy of Application Mailed to Applicant, Co. Assessor and MN DNR
bk 0204-006
n.
y L & R Offici&l/Date
326,356 • Victor Lundeen Co., Prir^ters • Fergus Falls, MN
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Tax Parcel Number(s)
The scale drawing must include the outside dimension (lotlines) of the property above the ordinary high water level, and must identify the type,
size (square feet), and location of all existing and proposed structures, additional onsite impervious surfaces, road right-of-way(s), ordinary high
water level(s), septic tank(s), drainfield(s), bluff(s) & wetland(s). Must aiso include all proposed topographical alterations.
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Impervious Surface Ratio
(Must Complete Worksheet On Other Side)
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IMPERVIOUS SURFACE CALCULATION WORKSHEET:
List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing):
R2
Ft2Structure(s):
Deck(s):
Ft2Driveway(s):
in Ft2Patio(s):
0 Ft2Sidewalk(s):
n Ft2Stairway(s):
a Ft2Retaining Wall(s):
A Ft2Landscaping;
(Plastic Barrier)
Other:o Ft2
Ft2TOTAL IMPERVIOUS SURFACE:
(QO Ft2LOT AREA:
\b, t ao 230.23 X100 =.%
IMPERVIOUS SURFACE RATIOLOT AREATOTAL IMPERVIOUS SURFACE
IMPERVIOUS SURFACE CALCULATION WORKSHEET:
List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing):
Ft2Structure(s):
Ft2Deck(s):
kM FPDriveway(s);
Ft2Patio(s):
Ft2Sidewalk(s):
Ft2Stairway(s):
R2Retaining Wail(s):
Ft2Landscaping;
(Plastic Barrier)
Other:Ft2
mi.Ft2TOTAL IMPERVIOUS SURFACE:
p.LOT AREA:
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IMPERVIOUS SURFACE RATIOTOTAL IMPERVIOUS SURFACE LOT AREA
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size (square feet), and location of all existing and proposed structures, additional onsite impervious surfaces, road right-of-way(s), ordinary high
water level(s), septic tank(s), drainfield(s), bluff(s) & wetland(s). Must also include all proposed topographical alterations.
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(Must Complete Worksheet On Other Side)
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