HomeMy WebLinkAbout16000080048005_Conditional Use Permits_04-23-1996‘i-3S'/99^APPLICATION FOR CONDITIONAL USE PERMIT♦rr(K.iv M)t County Recorder County of Otter Tail
I hereby certify that the within instrument was filed
for record in this office on the___
A.D. 19at
and was duly Microfilmed as Doc.#
Otter Tail County
Fergus Falls, Minnesota 56537
{2-\6) 739-2271
Receipt.day of No..M.
County Recorder
______Deputy — Please Complete With Black Ink —
'TljutL'f'e Ay £1)0 'Jl/COwner:Phone:
MiddleLast Name First
Bair mJlfstreet & No.aty State Zip No.
«(jZ 'S'o ^^ n ILake No.Lake Name Lake Classf
UL)3 C jJo nq iSec.Twp.Range Twp. Name
Legal Description:So OFire # or Lake ID If
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t
/(o ~ £> £>a - o g - a o oParcel Number
EXPLAIN YOUR REQUEST:OU>UU>
tpfu€. <fot< " T'te "]£ i&ccUtn.'ce. o£ JCzO,
!, irwrmajkIn order to properly evaluate the situation, please provide as much supplementary Information as possible, such as;map^ rounding property, etc. APPLICANT SHALL BE PRESENT AT THE SCHEDULED HEARING, luund^t^ th0^r^6fa
to the use of the land. Any construction also requires a site permit. ^ ^
about sur- ^iffi^nlyt.
19 9'G XiMApplication dated . X Signature Of AppiiSSht
- DO NOT USE SPACE BELOW -i
Date of hearing:
Planning Commision recommendation as follows:
19 . Time:M
Chairmenf
The County Board of Commissioners motion as follows:
Chairmen
Date
Conditional Use Permit Issued in accordance with compliance with existing Conditional Requirements and Special Regulations and
Minnesota Commissioner of Natural Resources notified thisI
CONDITIONAL USE PERMIT NO..
day of.. 19
Land & Resource Management Official Otter Tail County, Minnesota
mailed copy of Application to Applicant.(Date/Initial)
BK 0796-006 J27T704 • Virior lnnd**n Co. Printers • F^rgirs Faffs. MinnaotU
GRID PLOT PLAN inch(es) equals /oO feet SKETCHING FORM.grid(s) equals / S' feet, or IScale:__L*'
y I 19 9C=> ■Dated:
Signature
Please sketch your lot Indicating setbacks from road right-of-way, lake and sideyard for each building currently
on lot and any proposed structures.
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V' '15 pV.,
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______276,428 •"Victor Lundeen Co,, Printers • Fergus Falls; MN •MKL —0871 —029 1-800-346-4870