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Yellow — Applicant
APPLICATION FOR SPECIAL USE PERM IT-
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
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Date..19 '15'Application Fee $_Permit No..
Legal description of land: Lake No. /<SO Sec.-^S^ Twp.Range S Twp. Name.
^<0 _____________________ Lake Class_____L,
Lake Name.
l/v^
Sketch and supporting data submitted
PROPOSED USE OF LAND:
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Applicant.>t0Ltg.*^^CV\uvlvLj >
Applicant Signature.
Address.
Home Phone .Bus. Phone.
Date of Hearing.
CONDITIONAL REQUIREMENTS:
-,19 Time ^ ■ 0^ P..M
This application is hereby recommended for approval by the Otter Tail County Planning Advisory Commission.
Chairman ^polo-
Approved by the Board of County Commissioners of Otter Tail County this.
SCANNED
Special Use Permit issued in accordance with compliance with existing Conditional Requirements and Special Regulations and