HomeMy WebLinkAbout13000990546000_Conditional Use Permits_06-07-1978o(e|on)l<T18
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APPLICATION FOR SPECIAL USE PERM IT
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
White - Office
Yeiiow — Appiicant
Date pr\ \ 3____19 IS Application Fee $ t ^ > Q Q
Twp.1,3-^. Range Twp. Name ^ P (S \ Q \ v~
Permit No.
Legal description of land: Lake No. Lo^^ Sec.
C>C7 ■Lake Name Lake Class
\ 3v
Sketch and supporting data submitted
PROPOSED USE OF LAND:
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V— \ Ni '\p ^Or^J=^^0 9v_DNi-rS^
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Address V ~ P> 0*1^ ^ V-_^ (r» 05^Applicant
B, iR.O'T^G-'fC-
/;j^pplicant Signature
Home Phone 13*^ Bus. Phone.
t. > SJ V~___
CONDITIONAL REQUIREMENTS: y / / / ■
,19.7 S Time 5\ M .Date of Hearing c(.OLr-\
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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 19,day of
SPECIAL USE PERMIT NO.
Malcolm K. Lee, Shoreland Administrator
Otter Tail County, Minnesota
MKL-0871-010
171988®
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=3^GRID PLpT PLAl^KETCHING FORM^.feet/inches.Sca/e: Each grid equals
Application for Building Permit Dated
Application for Sewage System Permit Dated
Building Permit Number_________________
Applicant agrees that this plot plan is a part of application (s) indicated above.
.19.
.19
r Sewage System Permit Number.
1.Signature
h 1972:.Dated 0St
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On this form make a drawing of your lot. Indicate all present buildings
with solid lines end ell proposed buildings or additions with dotted
lines, iilso indicate in feet} lake setback, side yard setback and rear
yard setback.f
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