HomeMy WebLinkAbout38000110077008_Conditional Use Permits_06-20-2012(o'^O'^0)2.Date Stamp
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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
Application Fee
COMPLETE THIS APPLICATION IN BLACK INK Receipt Number
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MAILING ADDRESS
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LAKE NUMBER
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LEGAL DESCRIPTION
CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request)
Topographical Alteration^
Forest Land Conversion___
Commercial Use___ Cluster Development___ Extractive Use
Commercial WECS Miscellaneous
Industrial Use66 ^ isoaA
SPECIFY YOUR REQUEST. PLEASE BE BRIEF AS THIS WILL BE USED FOR PUBLIC NOTIFICATION.
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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
CONTi^T LAND &^SOURCEAMAtyVGEMENT R£GARDING THIS MATTER.
SIGNATURE OF PROPEfCTY OWN^ / AGE\T-^ OWNER
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DATE
APPLICANT MUST BE PRESENT AT THE HEARING
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
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TimeDate Of Planning Commission Hearing
Planning Commission Recommendation
June 20. 2012- Motion: A motion by Boyer, second by Maske to approve as presented, provided
there is appropriate erosion control and that the road easement goes to the end of the current (or
acquired) property line.
Chairman/otter Tail County R*lartning Commission
County Board Action
X Approved As Recommended
____Denied As Recommended
Other
Chairman/otter Tail Cou^t^oard of Commissioners “^Date of Final Action
^ / T& R Official/DateCONDITIONAL USE PERMIT #
Permit(s) required from Land & Resource Management
Yes (Contact Land & Resource Management)No
Copy of Application Mailed to Applicant, Co. Assessor and MN DNR )fficia!/Date
bk 072011 -006
OTTER TAIL COUNTT
Conditional Use Permit #
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Property Address 'bmoT.iec, JJ__Twp!Vf_ Range Twp. Name
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Work Authorized: uo,' ^ „
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Land andTIes^rce Management Official/Date
1. Entire area shall be stabilized within 10 days of the completion of any earthmoving unless otherwise stated.
2. Owner is legally responsible for all surface water drainage that may occur.
3. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject to legal prosecution.
4. This card shall be placed in a conspicuous 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.
5. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEMENT,TELEPHONE (218) 998-8095, WHEN AUTHORIZED
WORK HAS BEEN COMPLETED.BK-1004-046
J19.993 • View LuoOMn Co.. PnnWf* • Forgui F*l», MN • t-800-346-4870
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