HomeMy WebLinkAbout14000990421000_Conditional Use Permits_08-07-19968-1-/99 (p
Receipt I ^ ^
7*95520
APPLICATION FOR CONDITIONAL USE PERMIT\V Office of County Recorder County of Otter Tail
I hereby certify that the within instrument was fiied for record in this office on the 2-2- day of
__A.D, 1at
and wastluiy Microfilmed as Doc.# *
Otter Tail County
Fergus Falls, Minnesota 56537
(218) 739-2271 Application
Fee$____90-
County Recorder
______Deputy — Please Complete With Black Ink —
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_____£)At/>c(
Last Name
7/'7 f\i/e
/e/v -M!Owner:Phone:
First MiddI
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City
Ml 'yconop
Zip No.Street & No.State
Lake ClassLake No.Lake Name
La\^P^0/3^Sec.Twp.Range Twp. Name
^4 S Sec
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Legal Description:Fire # or Lake ID If
ji/t, p /30
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Parcel Number
EXPLAIN YOUR REQUEST:
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans^nmlQ^ion about sur-
rounding property, etc. APPLICANT SHALL BE PRESENT ATTHE SCHEDULED HEARING. I understand that approval of this request applies only
to the use of the land. Any construction also requires a site permit.
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7 0^ 7n
19 9(^ . X -pApplication dated
Signature Of Applicant
- DO NOT USE SPACE BELOW -
?-qJ f- »Aj 7,. Time:Date of hearing:
Planning Commision recommendation as follows:
8-7-96 - Approved As Presented.
AT.Chairmen
The County Board of Commissioners motion as follows:
approved with conditions as recommended by
the Planning Commission
Chairmen
Conditional Use Permit issued in accordance with compliance with existing Conditional Requirements and Special Regulations and
Minnesota Commissioner of Natural Resources notified this day of
J5M ySjlAy\
Land & Resource Management Official Minnesota
CONDITIONAL USE PERMIT NO.
(Date/Initial)
Otter Tail County,
mailed copy of Application to Appiicant.
BK 0795-006
277.204 • Victor Lundeen Co.. Printers • Fergus Falls. Mirtneosia
OTTER TAIL COUNTY
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Conditional Use Permit CUP^ SS11
in /K/e^^Koo^sfi/n . .s'U?/^
LiOCSltlOni Lakfi Twp /^O Rangp ^ Twp. NamR
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SOS^OWNER’S NAME:
Address
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Issued_/■'/^ 19?^ , Expires__^^3 19 ^7
Work Authorized Le»^e.l fof> a (i^f ^,6
o<- 3 ^ At gey. ■uu (jM^r, f<iy\A.
BY:
NOTE; This card shall be placed in a conspicous 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. NOTIFY DEPARTMENT OF LAND AND RESOURCE
MANAGEMENT, TELEPHONE (218) 739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED.
OTTER TAIL COUNTY, MINNESOTA
Board of County CommissionersLA^jSiSLeLn^
ADMINISTRATOR, Land and Resource Management
1. Earthmoving shall be done between I ^ ^ (.
2. Entire area shaii be stabiiized within 10 days of'the compietion of any earthmoving.
3. Owner is iegaily responsibie for aii surface water drainage that may occur.
4. No fiii shaii enter or be taken from the beds of a pubiic water without a vaiid permit from the State of
Minnesota Department of Natural Resources.
5. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject
GRID PLOT PUN
feet SKETCHING FORM/Jnch(es) equals.grid(s) equalsScale:feet, or
, 19 ■Dated:
Signature
Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently
on lot and any proposed structures.
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276.428 • Victor Lundean Co., Printers • Fergus Falls, MN • 1-800-346-4870MKL — 0871 — 029