HomeMy WebLinkAbout22000990481000_Conditional Use Permits_06-01-1983' -MV
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OTTER TAIL COUNTY
Special Use Permit SUP No_
Location: lakeNo^s
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Owner s Name-.
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ADDRESS
Rangej{A_Twp. Nameec.
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Issued 19 , Expires-
Work Authorized U lA'^ehu -L
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n6tM: This card shall he placed in a crinspicuous 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. N jtif\ Department of Land and Resource
Management. Telephone (218) 739-2271 when authorized work has been completed.
I EY;
OTTER TAIL COUNTY, MINNESOTA
Board of County Commissioners ,r*
DMINISTRATOR, Land and Resource Managementj
1. Entire area shall be stabilized within 10 days of the completion of the moving project..
/2: Owner is legally responsible for all surface water drainage that may occur.
3. No fill shall enter or be taken from the beds of a public water without a valid permit from the State of Minnesota Depart-
s>
APPLICATION FOR SPECIAL USE PERMIT
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
White - Office
Yellow — Applicant
^0.0053Application Fee $.Permit No.,-19.Date.
/3^^3Range Twp. NameSec.Twp.Legal description of land; Lake No:
R-0Lorre.Lake ClassLake Name
L^t I CjOL /Trm h/ Ir ^ rJjD f)OX) .
Sketch and supporting data submitted
PROPOSED USE OF LAND:
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________AddressApplicant.
Applicant Signature
Home Phone P 3 ^^ Bus. Phone
&Time3lZf_^_M,19Date of Hearing
CONDITIONAL REQUIREMENTS:CLf^prup crued. ^ 4^ Jumr.
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jtb •
'—•lO'lyLALA^yyyxyLi/jnr^
Office of uou^^/ Recorder
Count)/ of Cticr Tail
I hereby certify that the withm instru
ment was filed in ffie office for reconl
the__dayA.D. 13_£a4I_,
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This application is hereby recommended for approval by the Otter Tail County Planning Advisory
Depu^
Chairman
-dv iQ^7 day 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
3Minnesota Commissioner of Natural Resources notified this
/9lt>SPECIAL USE PERMIT NO.
MKL-0871-010
171988®vieroi LUMPCCa co.. MiHtcwp. r8w*u» r«c«. ■•••••
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Each grid equals ;
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Application for Building Permit Dated______' I ' I ■ ; ■ ^ :
Application fpr Sewage System Permit Dated.
Building Permit Number.
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GRID PLOT PLAN SKETCHING FORM
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.19.
.19
1 Sewage System Permit Number.
Applicant agrees that this plot plan is p part of application (s) indicated above.
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19.Dated V7signature1
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