HomeMy WebLinkAbout32000990481000_Conditional Use Permits_04-05-1978Conditional Use Pennits
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o^\ce.\mbAPPLICATION FOR SPECIAL USE PERMIT
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
White - 'Office
Yellow -* Applicant
7/3^
Application Fee ______
*7 Twp._^5Z_ Range ^ ^
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Legal description of land: Lake
Date..19 Permit No.
Sec..Twp. Name
>?c>Lake Name Lake Class
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Sketch and supporting data submitted
PROPOSED USE OF LAND:
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yfyAddressApplicant.
Applicant Signature "7 Home PhoneoPy^- 7Bus. Phone.
•Iz^g-. 00,19.Date of Hearing Time.
CONDITIONAL REOUIREMENTS:
This application is hereby recommended for approval by the Otter Tail County Planning Advisory Commission.
Chairman
Approved by the Board of County Commissioners of Otter Tail County this.day of..19
Chairman
Special 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.
SPECIAL USE PERMIT NO.
Malcolm K. Lee, Shoreland Administrator
Otter Tail County, Minnesota
MKL-0871-010
171988®viersa lunmcn co.. primtsm. PtR«u« 9hjl». minii.
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GRID PLOT PLAN SKETCHING FORM.feet/mehes.. Sca/e/ Each grid equals t*a
Application for Building Permit Dated.
Application for Sewage System Permit Dated
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19
Sewage System Permit Number.Building Permit Number.
Applicant agrees that this plot plan is a part of application (s) indicated above.
'1/19^1^.Dated Signature
On this form make a drawing of youp lot. Indicate all present buildings
with solid lines and all proposed buildings or additions with dotted
lines. Also indicate in feet; lake setback, side yard setback end reap
yard setback.
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GRID PLOT PLAN SKETCHING FORM.feet/inches.Scaled Each grid equals
^Application for Building Permit Dated.
Application for Sewage System Permit Dated
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Sewage System Permit Number.Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
rDated.QSignature
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On this form make a drawing of your lot. Indicate all present buildings
with solid lines and all proposed buildings or additions with dotted
lines. Also indicate in feet; lake setback, side yard setback and rear
yard setback.K
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