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HomeMy WebLinkAbout53000990712000_Conditional Use Permits_08-23-1989I\ IIII II ll lllll Ill Ill II llllll 11111111111111111 Conditional Use Permits 1 Barcode 128 Owner: H /Ed,£ Le,,, Last Name Street & No. APPLICATION FO~~~ ~ I FROM OTTER TAIL COUNTY, MINNESOTA Receipt No. ______ ~7/Y--+-~---Application Fee $ V<-,4/11' k~/ /l/ Middle Phone: '112 -Y J 'f--t'j // 7': State Zip No. Lake No. 5 b -/ '-f / Lake Name R US h Lake Class (;., D, -----------------------------------'------ Sec. __ 3,_b _____ Twp. __ \_3_5 ____ Range __ 3_q..___ __ Twp. Name _~_U_.S._~-'---{_-A_t.._~---- Legal Description: tJ ,4-/r .5,//0/LI! S1 Fire No. ______ _ Parcel Number y In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans, information about surrounding property, etc. APPLICIANT SHALL BE PRESENT AT THE SCHEDULED HEARING. I understand that I have applied for a variance from the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional variances and/or permits are required by the township for my proposed project. · ______________ 19 __ Time __ M. se, Fergus Falls, MN. 56537 19 __ WITH THE FOLLOWING Signature : _________________ _ Chairman Otter Tail Board of Adjustment