HomeMy WebLinkAbout54000990253000_Conditional Use Permits_06-18-1992APPLICATION FOR CONDITIONAL USE PERMIT
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
Receipt No.
752*Application Fee $
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Zip No.
Owner:
Lasf Name First Middle
City StateStreet & No.
Lake ClassLake NameLake No.
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Parcel Number
EXPLAIN YOUR REQUEST:
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as.- maps, plans,
information about surrounding property, etc. APPLICANT SHALL BE PRESENT AT THE SCHEDULED HEARING.
I understand that I have applied for a Conditional Use Permit from Otter Tail County.
I understand I must contact my township in order to determine whether >
township for my proposed project.
iny additional permits are required by the
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Date of hearing:
The Planning Commission recommends to the County Board of Commissioners the following:
19 Time:M
Chairman
The County Board of Commissioners on this
Approves the request as recommended by the Planning Commission.
Denies the request.
Approves as follows:
day of ia , hereby:
Chairman
Conditional Use Permit issued in accordance with compliance with existing Conditional Requirements and Special Regulations and
Minnesota Commissioner of Natural Resources notified this day of., 19.
CONDITIONAL USE PERMIT NO..
Land & Resource Management Official Otter Tail County, Minnesota
mailed copy of Application to Applicant.(Date/Initial)
MKL — 0390-006
258.370 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota
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Scale: Eaeti-^rid-equals_________feet/mches GRID PLOT PLAN SKETCHING FORM
Ce»~f^dated:19
Signature
Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently
on lot and any proposed structures.
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