HomeMy WebLinkAbout16000990688000_Conditional Use Permits_07-14-1998OTTER TAIL COUNTY
Conditional Use Permit Cl IP* 5^ se
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OWNER'S NAME:
Address
Range Twp. Name
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BY:
NOTE: This card shall be placed in a conspicous place not more than 4 feet above grade on the premises on which work is
to be done, and shall be maintained there until completion of such work. NOTIFY DEPARTMENT OF LAND AND RESOURCE
MANAGEMENT, TELEPHONE (218) 739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED,
OTTER TAIL COUNTY, MINNESOTA
Board of County CommissionersMauJ^ jkA^a^
Land and nesource Management Official si
1. Earthmoving shall be done between
2. Entire area shali be stabilized within 10 days of the completion of any earthmoving.
3. Owner is legally responsible for all surface water drainage that may occur.
4. No fill shall enter or be taken from the beds of a public water without a valid permit from the State of
Minnesota Department of Natural Resources.
5. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject
to legal prosecution.
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MKL-0574-046
2S3.61S — Victor Lundeen Co.. Primers. Fergus Falls. Minnesota
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County of Otter Tail
I h#rebv' c«rtty that Uw within Instrument was filed
for resofd in this office on fhe Z 3
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THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR CONDITIONAL USE PERMIT
COUNTY OF OTTER TAIL
COURTHOUSE, FERGUS FALLS, MN 56537
(218) 739 -2271
COMPLETE THIS APPLICATION IN BLACK INK * * ** « «
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Application Fee
(iMhuA)Receipt Number
DAYTIME PHONE ■7^P/ - ^ 3 / ~ ^9^3PROPERTY OWNE
ADDRESS
M-^ Z2^yr-/(2^56 -CLASSLAKE NUMBERLAKE NAME
12L / TOWNSHIP NAMETOWNSHIPRANSECTION
FIRE NUMBER OR LAKE I.D. NUMBER
(KiH)nOAA-nfi> 'H^-noo ^ \ -
EXPLAIN YOUR REQUEST
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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.
signa7(3re op^pro^p^y owner
APPLICANT MUST BE PRESENT AT THE HEARING
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
/TjiAccepted By Land & Resource
L & R Official/Date
7- P^A TimeDate Of Planning Commission Hearing
Planning Commission Motion
A motion by Boyer, second by Bergerud to approve as presented.
Chairman/Otter Tail Coun^ Planning Commission
County Board Action
Approved As Recommended
Denied As Recommended
Other
^Tc pdte of Fina/Actionail Countv Board of CommissionersChairman/Otte
CONDITIONAL USE PERMIT #
& R Official/Date
Permit(s) required from Land & Resource Management
NoYes (Contact Land & Resource Management)
________-/L & R Official/Date
1Copy of Application Mailed to Applicant And MN DNR
0
bk 0797-006
287 364 • Victor Lundeen Co Pntttets ■ Fergus Falls Minnesota
. GRID PLOT PLANinch(es) equals feet SKETCHING FORM\-.grid(s) equals feet, or /t Seals:
Dated:, 19
Signature
Please si :etcn your lot indicating setbacks from road right-of-way, lake, sideyard and septic tank and drain- field for e ach huilding currently on lot and any proposed structures.
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MKL — 0871 — 029 281.949 • ViCTor Lundeen Co. Printers • Fergus Falls. MN • 1-800-346-4870
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