HomeMy WebLinkAbout28000990459000_Conditional Use Permits_04-16-2002A/
0 OTTER TAIL COUNTY T'
o"ConditiorTal Use Permit
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s0-^ "its E-«J (/IEarthmc^inji shall^^do
Entire are^Sha I be stabilized within 10 days of the completion of any earthmovi ig.
On ~Owner is l^ally responsible for all surface water drainage that may occur.
i 3 5'le between &1.Q.oI§-®Q>XI 30^So3.fVi o <oo g/■*•4.No fill shaltentor or be taken frc
Natural Resour :es.
m the beds of a public water without a valid per nit from Ihe State of Minnesota Department of ii/3I »§t/5. If the terms of this permit are violated the entire permit may be revoked and thepwner n^py be subject to legal prosecution.
ive^rabe on the premises on which work is to be done,
OI/Ii6. This card shall be placed in a conspicuous place not more than
and shall be maintained there until corripletigrL ^
7. NOTIFY DEPARTMENTX)FT.AND'ANDhteloijrhCE MANAGEMENT, TELEPHONE (218) 738-2271, WHEN AUTHORIZED
WORK. HAS BEEN COMPLETED.
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296.111 • Victor LundMn Co . PrMon • Forguo F«M. MN • 1-600-346-470
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Please use this sheet for the required scale drawing of your proposal. Be sure to include lot dimension, water
frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper
vious surface.
Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance)
%X 100 =4-
Total Lot Area
(FT2)
Total Impervious
Surface Onsite
(FT2)
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Signature Dated
BK —OSOO —029 304 676 • VicicM Lur>d«an Co. Piiiysrs ■ Fergus F4Hs. MN • 1-60O 346-4S70
0902492 OFFICE OF COUNTY RECORDER
OTTER TAIL MINNESOTA
I hereby certify that
this instrument # _
was filed/recorded in this office
0902492
for record on the dav ofm____2002 at R .^r/afflpm
Wendy L, K/letcalf, Cqunty
by: Xaio.co
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recording fee O' ^ well certificate
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THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR CONDITIONAL USE PERMIT
COUNTY OF OTTER TAIL
121 W Junius Suite 130, FERGUS FALLS, MN 56537
(218) 739-2271
COMPLETE THiS APPLiCATiON iN BLACK INK ***
Application Fee
Receipt Number ( 3 H ^3^
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DAYTIME PHONPROPERTY OWNER
M 1 ‘~1 |3 r Q g LO (kADDRESS r fV6LAKE CLASSLAKE NAMELAKE NUMBER
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la ____PARCEL NUMBER LoV f) f '~Tr^/) CYp ~VV\< f’A
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TOWNSHIP NAMETOWNSHIPRANGESECTION
E-911 ADDRES >L)e
LEGAL DESCRIPTION
{ VU,(s) To/’
CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request)
(^^^opographical Alteration (2) Commercial Use (3) Cluster Development ( 4) Extractive Use (5) Industrial Use
(6 ) Forest Land Conversion (7 ) Miscellaneous_____________________________________________________
EXPLAIN YOUR REQUEST
\jOe_ pT'opose "Vo cio ■^0 W;ld(KCtC\3
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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 OF PROPERTY OWNER DATE
APPLICANT MUST BE PRESENT AT THE HEARING(Applicant Will Receive Notification As To The Date/Time Of Hearing)
BK-060(M)06
301 '508' • VTctor Lundeeh'Co.. Pfihtere •' Fergus'Falls, Minnesota
Accepted By Land & Resource ^-V/z/o z.
M)y
L & R Official/Date
Date Of Planning Commission Hearing Time
Planning Commission Motion
March 20. 2002:
Motion: A motion by Maske, second by Bergerud to approve as presented.
MChairman/Otter Tail County Planning Commission
County Board Action
Approved As Recommended
____Denied As Recommended
:her
JaUDate 'of Firfal Action
0^
Chairman/Otter Tail County Board of Commissioners
D.on...: ‘iJ/i.Jis.
L & R Officiai/Dat/ 'CONDITIONAL USE PERMIT #
Permit(s) required from Land & Resource Management
NoYes (Contact Land & Resource Management)
Copy of Application Mailed to Applicant And MN DNR
L & R Official/Date
/_inch(es) equals ^0 feet:__grid(s) equals Jeet, orScale:
\0
Please use this sheet for the required scale drawing of your proposal. Be sure to include lot dimension, water
frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper
vious surface.
Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance)
X 100 =_%
Total Impervious
Surface Onsite
Total Lot Area
(FT2)
(FT2)
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Dated
BK — 0500 — 029 304,678 • Vidor Lundeen Co., Primers • Fergus Falls, MN ■ 1-800-346-4870 .i