HomeMy WebLinkAbout38000990656000_Conditional Use Permits_06-02-19760^O2.Uc(-^^^
APPLICATION FOR SPECIAL USE PERMIT
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
White - Office
Yellow — Applicant
z4.Date..2___19 Application Fee $_Permit No.
~^ln Twp./3y Range ^ /6~l^'Legal description of land: Lake No.Sec..Twp. Name
Lake Name Lake Class
u!-- 4 ^ ^of- T
lih ft5nd St4\)erjOfVJ
Sketch and supporting data submitted
PROPOSED USE OF LAND:A)ou)d
■P* /) Cl /
/oA
Ct
V X:»re<^ r'I
Crerct )d d)C>UK jcAf /3 /^Vi n«prApplicantAddress
Applicant Signature^iO {aJjLOcSl^f^'cc^n ^ //<>^y\.
__Bus. Phone.Home Phone
/9 ,19 Z>L>Date of Hearing Time.
CONDITIONAL REQUIREMENTS:
JU-CJLXAitlclL •'toj&in LofCfcUl (>-(:iL>vwcvo
c9^ h nid s,
(i? ~c^ G?.
bne
/
This application is hereby recommended for approval by the Otter Tail County Planning Advisory Commission.
Chairman
Approved by the Board of County Commissioners of Otter Tail County this.day of..19
Chairman
Special Use Permit issued in accordance with compliance with existing Conditional Requirements and Special Regulations and
Minnesota Commissioner of Natural Resources notified this day of 19.
SPECIAL USE PERMIT NO.
Malcolm K. Lee, Shoreland Administrator
Otter Tail County, Minnesota
MKL-0871-010
171988®
VI«T»R UWtIIll M.. riMRTtM. rill«V« rM.L». MINN.
fl-
- -1-GRID PLOT PLAN SKETCHING FORM.feet/inches.I . Scale: Each grid equals
Application for Building Permit Dated.
Application for Sewage System Permit Dated
.19.
! 1-.19
1
J-Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.X.!-
19Dated
S ig n atu re
I
k 43
-i.
t
I -i-
T
+r
4-
-q
TL
:tL 1
dO 1
Id-.,
■id
I
!f--
-f ;
-it{
Le \.
---------h - 4-
CUUL
r
-I
t
LXixJXV''.il#
f-T
4--I-1-
r-JilCli-0871-029 i
150*104 ® VICTOfl tUMICH 4 M.. MIHTCM. »CMw4 r«4L*. HIHH.
iI