HomeMy WebLinkAbout32000280192012_Conditional Use Permits_09-14-2011lD9blS2
DOC# 1098162RECEIVED 1098162
Fee: $46.00
Certified, Filed, and/or Recorded: Well Certificate [ ] Rec'd
October 03, 2011 1:30 PM
Wendy L. Metcalf, Recorder
OFFICE OF COUNTY RECORDER
OTTER TAIL COUNTY, MINNESOTAAUG 2 2 2011
land RESOURCE
Returned To:
LAND & RESOURCE
By: NDB
THE ABOVE SPACE IS RESERVED FOR THE COUNTY 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
Application Fee
ICOMPLETE THIS APPLICATION IN BLACK INK Receipt Number .
Accepted By / Date
DAYTIME PHONEPROPERTY OWNER(S)
MAILING ADDRESS
Lc*r\C:52^‘-.388 LAKE CLASS R PLAKE NAMELAKE NUMBER
SECTION oVotsi TOWNSHIP NAMETOWNSHIPRANGE
E-911
ADDRESS
PARCEL
NUMBER *ry\}jih/^juh. nim
R- 3aofV» i9v 17 'Vi'''
LEGAL DESCRIPTION
&L f • •
CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request)
Industrial UseCommercial Use__ Cluster Development__ Extractive Use
Miscellaneous ____
Topographical Alteration
Forest Land Conversion
SPECIFY YOUR REQUEST. PLEASE BE BRIEF AS THIS WILL BE USED FOR PUBLIC NOTIFICATION.
uOOulcP
hrvc K. 4 ' I ^ P
rt p/> rO)<( ,
U)ov^ tf he. 3..^ fkif' f«5t 11.
arao'^d a<, di^Uhnj (S u'' to -^0 Is"'' f'
€> C^AS t"0 i=>^ hiiul ed f-f S, lit/ . ______
LOodIA ^U>xl kc>of bcL^s-r^e k-\4 .r- cx
4 ^ d »cx,oA»v^
LOo'-’ld -hyp i'^'cfso)!
CoUiC \j<xr(i^ O-T pCNDjecI" -CjCbO/c^^ i>^
cxx. t/A.'ieJ^ m ajt.
/a^p pyr'oX VhS ' K 2.^7 ' K 4 ' de.idh ,
b hL /<r>ss .
yy \ A cOa I J
#hut tdtAj , Any
^ I
fia
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 PR^^^^^^/VNER / AGENT FOR OWNER //jLO fl/
DATE
APPLICANT MUST BE PRESENT AT THE HEARING
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
'/'3/0 'P.^./V MlDate Of Planning Commission Hearing Time
Planning Commission Recommendation
September 14, 2011- Motion: A motion by Boyer, second by Maske to approve as presented,
project must be completed by November 1, 2011 and appropriate erosion control measures must be
implemented.
Chairman/Otter Tail County Planning Commission
County Board Action
Approved As Recommended
_____Denied As Recommended
Other
J
"J
Date of Final Action
dLOllO
Chairman/Otter TalTCounty Board of Commissioners
CONDITIONAL USE PERMIT #
L & R Official/Date
Permit(s) required from Land & Resource Management
X NoYes (Contact Land & Resource Management)
L'& R Official/Date
Copy of Application Mailed to Applicant, Co. Assessor and MN DNR
bk 062007-006
OTTER TAIL COUNTY
Conditional Use Permit #
Owner’s Name
Property AddressLocation: LakeNo.'^^ SecT^g Twp.1^7 Range Twp~Name
. .. jUt^Jsl2f G______
Work Authorized: ?^^i±u 4h^
I!
!
ID-3-III Expires:Valid:
«nc/ and Resource Management Official / Date
1. Entire area shall be stabilized within 10 days of the completion of any earthmoving unless otherwise 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.
;
BK-1004-046
319,993 • Victor Lundeon Co., Printers • Fergus Falls. MN • 1-800-346-4670
.1..
SCALE DRAWING FORM
R ^Ooo d 'Bo nzoiz.
Tax Parcel Number(s)
The scale drawing must be a signed drawing which includes and identifies a graphic scale (feet), all existing and/or proposed structures, septic
tanks, drainfields, lotlines, road right-of-ways, easements, OHWLs, wells, wetlands, topographic features (i.e. bluffs), and onsite impervious surface
calculations.
t
%Scale Impervious Surface Ratio
(Must Complete Worksheet On Other Side)
i
I ici _Q P p _ tjOa\ 1< 067?->
I
1"
I■t'
r
d r
t .1..
•t.
•4i.r
L
I
-S■ [
1 ■ f ' [■'T ’
1IfI
!.i.7"• j...i„r ■1-4.t
2 f 4-'7
L i
4 ■r
■ : ‘ '4-mT'/fQ_r., t^1-.:ii i
1
1
4 >r'i' i i !4 1t
in
'i'.1
i ri....'-r
!
i
r-!■
'i
' r '-1 (;f
I
l....
!i .1....■t-■h
■r" I.....\Tt t
f.!.u.
4
t'
■i-I
i
r
t...i.i ii
;
■i...;..
!I
I T
Signature of Property 6wi Datet
^3&S96 • Vicuf LundMn7-BK —0909 Co. Printers * Fergus i alls.(uig * 1-800-346^870 :i
! i±
r
SCALE DRAWING FORM
^^ non ^i.'S I 1‘Kori.T
Tax Parcel Number(s)
The scale drawing must be a signed drawing which includes and identifies a graphic scaie (feet), ali existing and/or proposed structures, septic
tanks, drainfields, iotlines, road right-of-ways, easements, OHWLs, wells, wetlands, topographic features (i.e. bluffs), and onsite impervious surface
calcuiations.
J-T/
/! Scale %Impervious Surface Ratio
(Must Complete Worksheet On Other Side)
i
i
V
I
a/
t;i f fr
'-f-iIc
r-i ij
' i-'S E1■ ■ 1'r- c-1^,,. ,-?■! ' I
‘
V...."f'ti
4^; n ■
<L J:t(- :
7; ■■■
!■
h■■f ....5■ iI
y ... ; ..I £4.rIM -y ■i
:ftiK
-if.-
cfQ.a-I-'rt ■i -(-.4.c-->tT
9><r I
ifO'
.t t0 rIf. r \ ~r ■I•T"T
tfi r'trTT
t fc/
.1;f
ier .L.-f-T-„L.
I 1 Zl
k t
.5 \f
«c
T>.pOr r
t... T...i...I
:r;f T
;:;ixrnrr
[-f-k
1 i tt sI:tri4.
U i ftf
... 1..•' * •-r
/r \ ■\
%i \T■f*
f-
1.'ki.■i.T ..L
I
!i ■[■■t..}....I
■ ..[... [ .4..
..[I •t....k-..)...i..i.4-
;■!--+
ft
I.
1 ■1i
I
•ft
i
t
,L.
Signature of Property Omier
i .-i-1r :i7/d^//y
4—4 T" rDate 4-
BK —0909 338^596 < Victo Utnd««n Co, Primers • Per9UsJsUs.m » l^^8aO-34&4S40 :
1i
IMPERVIOUS SURFACE CALCULATION WORKSHEET:
List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing):
7^ Ft2
Structure(s):
Ft2Deck(s):
kiOn Ft2Driveway(s):
icm Ft2Patio(s):
Sidewalk(s):!Ft2
JOO Ft2Stairway(s):
/ i'y FPRetaining Wall(s):
Ft2Landscaping:
(Plastic Barrier)
Other:Ft2
Ft2TOTAL IMPERVIOUS SURFACE:
Ft2LOT AREA:
cP ^ ! h. o^/L xioo =■r .%
IMPERVIOUS SURFACE RATIOTOTAL IMPERVIOUS SURFACE LOT AREA
■SV •