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5-l'iq^APPLICATION FOR SPECIAL USE PERM IT
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
White — Office
Yellow Applicant
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V/19 7 y Application Fee $.
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Permit No.Date.
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Sketch and supporting data submitted
PROPOSED USE OF LAND:y3"+ cXo oci r^ck^
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AppI icant______
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Applicant Signature
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CONDI TIONA L REOUIREMEN TS:
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This application is hereby recommended for approval by the Otter Tail County Planning Advisory Commission.
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^jCy'rr>JGChairman
19Z^Zday of.Approved by the Board of County Commissioners of Otter Tail County this.
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Special Use Permit issued in accordance with compliance with existing Conditional Requirements and Special Regulations and
Minnesota Commissioner of Natural Resources notified this t±.day of 19.1iAASPECIAL USE PERMIT NO.
t^afcolm K. Lee, Shoreland Administrator
Otter Tall County. Minnesota
MKL-0871-010
159034-A (g)VlCTOI LUMBIIH t C» . »KI«Tt«e. rC»Sul rM.CI. MINN