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APPLICATION FOR SPECIAL USE PERMIT
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
White — Office
Yellow — Applicant
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Zo-Application Fee $l Permit No..19.Date
13^ Range V /Legal description of land: Lake Sec,^^Twp.Twp. Name
Pi HonuJc/Lake Name Lake Class
pdtr'r c?A (^0^ i^oT ^
)^ru)Sketch and supporting data submitted
PROPOSED USE OF LAND: . '/I / '/viqjMULt Xo tdijr JAjzjcC ,
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AddressApplicant.
Applicant Signature 7 X/U Bus. Phone,Home Phone
Time ~~? R M,19^5-Date of Hearing
CONDITIONAL REQUIREMENTS:
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This application is hereby recommended for approval by the Otter Tail County Planning Advisory Commission.
Chairman
.19day of.Approved by the Board of County Commissioners of Otter Tail County this.
Chairman
Special Use Permit issued in accordance with compliance with existing Conditional Requirements and Special Regulations and
19.day ofMinnesota Commissioner of Natural Resources notified this
SPECIAL USE PERMIT NO.
Malcolm K. Lee, Shoreland Administrator
Otter Tail County, Minnesota
MKL-0871-010[-
171988®
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