HomeMy WebLinkAbout54000020014002_Conditional Use Permits_11-18-200910G'r390 OFFICE OF COUNTY RECORDER
OTTER TAIL MINNESOTA
lOG/390I hereby certify that
this instrument #
was filed/recorded in this office
for record on the_^__dav of ^
Wendy L. Metcalf, County Recot^der
^ well certifica '^^
THE ABOVE SPACE IS RESERVED TOR THE GOUNI Y 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
li kSOApplication Fee
______DAYTIME PHONE 2.1? - 5??-75T^7
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COMPLETE THIS APPLICATION IN BLACK INK Receipt Number
Accepted By / Date
PROPERTY OWNER(S) Ka-I-U
MAILING ADDRESS
LAKE CLASSL-oinLAKE NAMELAKE NUMBER.
SECTION ^ TOWNSHIP IS I RANGE 0^ I TOWNSHIP NAME 34. ou-( T<||g
/?0culE-911
ADDRESS
PARCEL
NUMBER 5^0 OOP Zoo IH-oo 2-
LEGAL DESCRIPTION con^ SBC. ^ SFT 6L H CoKvt
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CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request)
Industrial UseCommercial Use Cluster Development Extractive UseTopographical Alteration
Forest Land Conversion Misceilaneous
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.
'signature op PROPERTY(jbwNER^(lO-Al-ol
GENT FOR OWNER DATE
APPLICANT MUST BE PRESENT AT THE HEARING
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
n:ZD 9.0f).Date Of Planning Commission Hearing Time
Planning Commission Recommendation
November 18, 2009 - Motion: A motion by Zimmerman, second by Maske to approve as
presented.
Cnairman/Otter Tail County Planning Commission
County Board Action
'9^Approved As Recommended
____Denied As Recommended
Other
'X Date of Final ActionChairman/Otter Tail County Board of Commissioners
CONDITIONAL USE PERMIT #
L & R Official/Date
Permit(s) required from Land & Resource Management
NoYes (Contact Land & Resource Management)
Copy of Application Mailed to Applicant, Co. Assessor and MN DNR
L & R Official/Date
bk 062007-006
OTTER TAIL COUNTY
Conditional L|se Permit #
Owner’s Name
Property Address j
Location: Lake f^r^Osk. Twp. f^§ Range%i Twp. Name Ob(|4
I
I\
Land and Resource Managewent Official / Date
1. Entire area shall be stabilized within 10 days of the completion of any earthmoving unless othenwise stated.
2. Owner Is legally responsible for all surface water drainage that may occur.
3. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject to legal prosecution.
4. This card shall be placed in a conspicuous 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.
5. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEMENT, TELEPHONE (218) 998-8095, WHEN AUTHORIZED
WORK HAS BEEN COMPLETED.
Expires:Valid:
BK-1004-046
319,993 • Victor LonOeen Co., Primers • Fergus Falls, MN • 1-800-346-4870
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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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Scale Impervious Surface Ratio
(Must Complete Worksheet On Other Side)
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F^rg js Falli MN ..El’-800-346 1870
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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):
Ft2Driveway(s):
Ft2Patio(s):
Lo Ft2Sidewalk(s):
13^Ft2Stairway(s);
Ft2Retaining Wall(s):
Ft2Landscaping:
(Plastic Barrier)
Other:Ft2
Ft2TOTAL IMPERVIOUS SURFACE:
\o°i .Son R2LOT AREA:
1.01rm^lDToH33xioo =%
IMPERVIOUS SURFACE RATIOLOT AREATOTAL IMPERVIOUS SURFACE
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