HomeMy WebLinkAbout16000120073001_Conditional Use Permits_06-13-20071022648 OFFICE OF COUNTY RECORDER
OTTER TAIL MINNESOTA
I hereby certify that this instrument # ^648O
was fiied/recorded in this office
for record.on the It day of ^
.2007 at/^jj^m/om
^Metea(^couWend’erby:^cording W
^ well certifi^e
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
<550Application Fee
COMPLETE THIS APPLICATION IN BLACK INK Receipt Numbeii_
Accepted By / Date S'7>c7
_______________DAYTIME PHONE 3
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PROPERTY OWNER(S)
MAILING ADDRESS
LAKE NUMBER LAKE NAME S-
I ^(^C> RANGE V (SECTION TOWNSHIP TOWNSHIP NAME
kud C?F
^y&JL LAKt' iWoPARCEL
NUMBER
E-911
ADDRESS/^COO /^iQQ
LEGAL DESCRIPTION fir AJ/Aid !i( AJuJc.S-JH.C - •o r-
PT NWl/4 NWl/4 BG NW COR
SEC 12, S 823.83' TO CENTER LN
NELY ALG CENTER LNTWP RD
112.52', N 55 DEG E 325.59',
N 581.54 '
TO BG.
!
, N 88 DEG W 368.56io CiAhjL^CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request)
Topographical Alteration Commercial Use__ Cluster Development__ Extractive Use
Forest Land Conversion
Industrial Use
Miscellaneous
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
CONTACT LAND & RESOURCE MANAGEMENT REGARDING THIS MATTER.
/
SIGNATUI^E OF PROPERTY OWNER (S)DATE
APPLICANT MUST BE PRESENT AT THE HEARING(Applicant Will Receive Notification As To The Daten’ime Of Hearing)
Wy /3.^7Date Of Planning Commission Hearing Time
Planning Commission Motion
June13, 2007:
Motion: A motion by Maske, second by Erickson to accept the withdrawal as requested.
Chairman/Otter Tail County Planning Commission
County Board Action
Approved As Recommended
Denied As Recommended
ACCcpfeii-•Othe
4:o(j n/c>i
Chairman/otter Tail County Board of Commissioners Date of Final Action
Vv/' ^h(ol
7 L & R Official/Date
CONDITIONAL USE PERMIT #
Permit(s) required from Land & Resource Management
Yes (Contact Land & Resource Management)
Copy of Application Mailed to Applicant, Co. Assessor and MN DNR IT L&R Official/Date
bk 0204-006
317.339 • Victor Lundeen Co., Printers * Fergus Falls, Minnesota
SCALE DRAWING FORM
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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 also include all proposed topographical alterations.
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Impervious Surface Ratio
(Must Complete Worksheet On Other Side)
Scale
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DateSignore of Property Owner
BK — 0207 329.086 • Victor UindMO Co. Pnnters • Fergus Falls. M4 • 1.800.3464870
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IMPERVIOUS SURFACE CALCULATION WORKSHEET:
List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing):
Ft2Structure(s);
Ft2Deck(s):
Q Ft2Driveway(s):t
Ft2Patio(s):
Ft2Sidewalk(s);
Ft2Stairway(s):
Ft2Retaining Wail(s):
Ft2Landscaping:
(Piastic Barrier)
Other:Ft2
•7(3 (D O
^ Ft2
Ft2TOTAL IMPERVIOUS SURFACE:
LOT AREA:
■r ^ ^(O ■2_Q_0_0 X100 =.%
IMPERVIOUS SURFACE RATIOAREATOTAL IMPERVIOUS SURFACE