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Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
APPLICATION FOR SPECIAL USE PERMIT
White - Office
Yellow — Applicant
Application Fee $.Permit No.Date,
i^r«h^s==./y i7/Range ' 'Twp. NameTwp.Legal description of land: Lake No.
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Sketch and supporting data submitted___________________________________________________________________
PROPOSED USE OF LAND: (jJ (^^1 ^ T^Z) <',// hac^
Affirom, /4T 4','//. 1t> U ^\l(ej ^ 2U//
70'
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fim Osi^ mir^-dfa <^s€.n AddressApplicant.
rg>r^^Applicant Signature
Bus. Phone.Home Phone
Do ~P. M77,19.Time,Date of Hearing
CONDITIONAL REOUIREMENTS:oCtb
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This application is hereby recommended for approval by the Otter Tail County Planning Advi^rv Commission.
Cco /S
Chairman C/trr\Jo
/o^A .19^day of.Approved by the Board of County Commissioners of Otter Tail County this.
Chairman J
Special Use Permit issued in accordance with compliance with existing Conditional Requirements and Special Regulations and
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Minnesota Commissioner of Natural Resources notified this day of
MSSPECIAL USE PERMIT NO.
Malcolm K. Lee, Shoreland Administrator
Otter Tail County. Minnesota
MKL-0871-010
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