HomeMy WebLinkAbout32000990677000_Conditional Use Permits_06-20-20121111911
Date Stamp
DOC# 1111911 Ill llillli■l■lll il
1111911
Fee: $46.00
Certified, Filed, and/or Recorded: Well Certificate [ ] Rec'd
July 11, 2012 10:15 AM
Wendy L. Metcalf, Recorder
OFFICE OF COUNTY RECORDER
OTTER TAIL COUNTY, MINNESOTA
t^ECEIVED
MAY 2 9 2012
LAND & RESOURCE
Returned To:
LAND & RESOURCEL&R Initial
By: LL
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
Receipt Number _____
Accepted By / Date
COMPLETE THIS APPLICATION IN BLACK INK
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B ^ ^f^LAKE NAME L O
HoLrf
/Ad^rc Afci/zn^r DAYTIME PHONEPROPERTY OWNER(S)
MAILING ADDRESS
LAKE CLASSLAKE NUMBER
0‘i^ TOWNSHIP NAME Hd/ldr f'/i RANGETOWNSHIPSECTION
\i?E-911
ADDRESS
PARCEL
NUMBER ^>00 0 q*=^O02~7~l QOO
LEGAL DESCRIPTION
CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request)
Topographical Alteration X
Forest Land Conversion__
Industrial UseCommercial Use__ Cluster Development__ Extractive Use
Commercial WECS__ Miscellaneous ___________________
SPECIFY YOUR REQUEST. PLEASE BE BRIEF AS THIS WILL BE USED FOR PUBLIC NOTIFICATION.
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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.
f^nrc Me//Me 5~2'8-il
SIGNATURE OF PROPERTY OWNER / AGENT FOR OWNER DATE
i
APPLICANT MUST BE PRESENT AT THE HEARIN
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
34S.198 • Victor Lundeen Co . Printers • Fergus Falls. Minnesota
Date Of Planning Commission Hearing Time
Planning Commission Recommendation
June 20, 2012- Motion: A motion by Gill, second by Wilson to approve as presented.
Chairm^n/OtterTail County PIprming Commission^c/r\
County Board Action
Approved As Recommended
Denied As Recommended
Other
Chairman/Otter Tail County Board of Commissioners ^Date of Final Action
<
L & R Official/Date
CONDITIONAL USE PERMIT #
Permit(s) required from Land & Resource Management
Yes (Contact Land & Resource Management)No
/ L&R OfTicial/Date
Copy of Application Mailed to Applicant, Co. Assessor and MN DNR
bk 072011 -006
OTTER TAIL COUNTY
Conditional Use Permit #
MarcOwner’s Name
Property Address .Location: Lake No.^^jg^ec. ( ^ Twp. ^^'7 Range CP Twp.Name lfo^^T
3^■-C»g• ?^-Oti77-OOT
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Work Authorized: Ut/ai parShftuu jtuiCdtMA , Letfe.1 A? A"'>^77S'
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Land and Resource Management Official / Date
Valid:Expires:
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 • Vcior Lutyjeen Co . PnrH«r> • Fergus Falli. MN • 1-800-346-4870
SCANNED
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SCALE DRAWING FORMI
‘ o no. . O L~i ~i oon +
Tax Parcel Number(s)j.
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.
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Scale Impervious Surface Ratio
(Must Complete Worksheet On Other Side)
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5-2-3-IX :■ r 'r r.}" t II Signature of Property Owner Date
BK —0909 ^38.596 • Victc| Lunctoen Co. Primers • Fergus J alls. MN * 1-80O346-4870r
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IMPERVIOUS SURFACE CALCULATION WORKSHEET:
List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing):
Ft2Structure(s):3
Mont-Ft2Deck(s):
Driveway(s):
73 Ft2Patio(s):
Ft2Sidewalk(s):
Ft2Stairway(s):
Ft2Retaining Wall(s):
Ft2Landscaping:
(Plastic Barrier)
Other:Ft2
^^2£^Ft2TOTAL IMPERVIOUS SURFACE:
Wl3i3d Ft2LOT AREA:
0^X1OD=i^^^ 4.O'?MM iO\liO
rOlAL IMPERVIOUS SURFACE ^LOT AREA
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Impervious surface ratio
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