HomeMy WebLinkAbout32000990678000_Conditional Use Permits_06-20-20124i111912
Date Stamp
DOC# 1111912
ill Mfiiiliiiii III illOFFICE OF COUNTY RECORDER
OTTER TAIL COUNTY, MINNESOTA 1111912
Fee: $46.00
Well Certificate [ ] Rec'd
RC rD
MAY 2 2012
LAND & resource
Certified, Filed, and/or Recorded
July 11, 2012 10:15 AM
Wendy L. Metcalf, Recorder
Returned To:
LAND & RESOURCE
5L&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
DAYTIME PHONE
/\AaJ __________________________
PROPERTY OWNER(S)
MAILING ADDRESS '? D <Tl
LAKE NUMBER LAKE NAME 4 qO L;. L AK ^___________
TOWNSHIP / 3 "1 RANGE _QHi^OWNSHIP NAME
E-911 ^
ADDRESS TKD/______
LAKE CLASS
Ht) Bj4i^TLISECTION
S2.. OOb .01^1. 0<pTS ocoPARCEL
NUMBER
LEGAL DESCRIPTION
T/^K-Ct^ ^ 3^000. A A . OCo7« coo
Act 'S B10t-K t p( V I .S I 0tn-rz- C/fK.tD ii.uj
CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request)
Topographical Aiteration V. Commercial Use___ Cluster Development___ Extractive Use
Commercial WECS
Industrial Use
MiscellaneousForest Land Conversion
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 MANAGEI^^NT REGARDING THIS MATTER.
c^ignatUre ERTY OWNER / AGENT FOR OWNER DATE
APPLICANT MUST BE PRESENT AT THE HEARI^^^^NSQ
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
345.196 * Victor Lundeen Co . Printers * Fergus Falls, Minnesota
<^0j / oL Time ^7^30Date Of Planning Commission Hearing
Planning Commission Recommendation
June 20, 2012- Motion: A motion by Erickson, second by Wilson to approve as presented.
Chairman/Otter Tail County Planning Commission
County Board Action
y Approved As Recommended
____Denied As Recommended
Other
^ate of Final ActionChairman/Otter Tail Counjy Board of Commissioners
CONDITIONAL USE PERMIT#
L & R Offici
Permit(s) required from Land & Resource Management
Yes (Contact Land & Resource Management)
Copy of Application Mailed to Applicant, Co. Assessor and MN DNR
L & R Official/Date
bk 072011 -006
OTTER TAIL COUNTY
Conditional Use Permit # Wk____
Owner’s Name _________________________
Property Address ^^(A__________________________________
Location: Lake Sec. ^ ^ TwpJ^^ Range Twp.Name
32.-ooP’^*f- Oifit-ooo
Work Authorized: t.«»/el k<n(<(m(540^0^L€i/e( ^ Isijild Q/^v/g 1
f o^nn Q V hM
fArea 'd hp' Y 70' , ^ ^
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ld(A/u^ '^/\0r
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Land and Resource Management Official / Date
Expires:Valid:
1. Entire area shall be stabilized within 10 days of the completion of any earthmoving unless othenwise stated.
2. Owner is legally responsible for all surface water drainage that may occur.
3. It 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 ■ Vidor LurtdMn Co . Printers ■ Fergus Fals. MN • 1-800-348-4670
L
•rt SCALE DRAWING FORM i
3^.000,^^. 06. 7s - OOP
Tax Parcel Number(s)
The scale drawing must be a signed drawing which inciudes and identifies a graphic scaie (feet), aii existing and/or proposed structures, septic
tanks, drainfields, iotiines, road right-of-ways, easements, OHWLs, wells, wetlands, topographic features (i.e. bluffs), and onsite impervious surface
calculations.-t
S0 %Scale Impervious Surface Ratio
(Must Complete Worksheet On Other Side)
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BK — 0909 Lundden Co. Printers • Fergus ^atis. • 1'80&346-487033&596 f Victo iITt
IMPERVIOUS SURFACE CALCULATION WORKSHEET:'i
List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing):
3 3^ oc>Ft2Structure(s):
Ft2Deck(s):
H o to Ft2Driveway(s):
IPatio(s): v Ft2
Ft2Sidewalk(s);
Ft2Stairway(s):
Ft2Retaining Wall(s):
Ft2Landscaping:
(Plastic Barrier)
Other:Ft2
I 3L62<Ft2TOTAL IMPERVIOUS SURFACE:
Ft2LOT AREA:
LOT AREA
.%. /2 X100 =I 2,c>3i^______
TOTAL IMPERVIOUS SURFACE IMPERVIOUS SURFACE RATIO
i£5 %
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