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APPLICATION FOR SPECIAL USE PERMIT
Shoreland Management Ordinance
Otter Tail County
Fergus Falls, Minnesota 56537
White — Office
. Yellow — Applicant
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Permit No. 6519 ^3 Application Fee $,Date.
Legal description of land: Lake No. Sec. ^•c q/Range 3^Twp. NameTwp.
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Sketch and supporting data submitted
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SO' A /SO'PROPOSED USE OF LAND:/T// jUi 41/ i^hcrU,'^
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Applicant Signature <L.7^-M9 Bus. Phone.Home Phone
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CONDITIONAL REQUIREMENTS:
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REjpED By
QA/yVYU 19;^lnitials ^7-//Dated:
This application is hereby recommended for approval by the Otter Tail County Planning Advisory Commission.
Chairman
.19day of.Approved by the Board of County Commissioners of Otter Tail County this.
Chairman
Special Use Permit issued in accordance with compliance with existing Conditional Requirements and Special Regulations and
19.Minnesota Commissioner of Natural Resources notified this day of
SPECIAL USE PERMIT NO. FK
Malcolm K. Lee, Shoreland Adminl*
Otter Tail County. Minnesota /
[orMKL-0871-010
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Proposed Cabin for
Ronald Donaldson
Blanche Lake, Minn.
Lot 21 and the westerly 10' of 22
S E H of section 6 Township 133
north range member 36 west of the
fifth principal meridian in the
county of Otter Tail State of Minn.
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