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HomeMy WebLinkAbout29000990522000_Conditional Use Permits_05-12-1993Conditional Use Permits Barcode 128 c0-iz-q30 APPLICATION FOR CONDITIONAL USE PERMITOffice of County Recorder County of Otter Tail I hereby certify that the within Instrument was filed day of Otter Tail County Fergus Falls, Minnesota 56537 (218) 739-2271 Receiptfor record In this office on the No.A.D. 19at and was duly Microfilmed as Doc.# M. Application iFee$ . W lIlMASoTnCounty Recorder ______Deputy — PteasB Compl&to With Black Ink — Middle Owner:Phone;"3bttut57r7 5Last Name First Middle (y State ^ Lake Class____V CrV rare 733 |-<^taollv\/(y(}() Gf street a No.Z,tp No. Gb IP- OLake No. s«._36 Lake Name 33.Twp.Range Twp. Name Legal Description:Fire # or Lake ID # ui-fs \ vwL fili rd M sk qM£i 5 'V' i/hi. AJ) AsA ^ T O^^FOOQ "koMo Parcel Number EXPLAIN YOUR REQUEST: (yra^d'e. o'P'f , ]oolcL ay\.cL ho-u^i '^hc d.ih^(xp CX. !A/etL^\//' 'V94 -7T G<pF<jcrrv J y— Vj C^s \r-e cP f V" [ d Q m ■Gs^vloVsy btvJi2- s 0 K\X FRc bl\0 v\\p«-o n k)r\ In order to properly evaluate the situation, please provide as much supplementary Information as possible, such as: maps, plans. Information about sur­ rounding property, etc. APPLICANT SHALL BE PRESENT AT THE SCHEDULED HEARING. I understand that approval of this request applies only to the use of the land. Any construction also requires a site permit. 1. ^ Signame^ ApplicantApplication dated - DO NOT USE SPACE BELOW - Date of hearing: _____ Planning Commision rei Time*19 AAIoG OifipilrCM 'ihat Hdd IxrMJ hopai/o Ltt MoU^ (jUxAfWi/)§.-'.jYWu^^^ urudd' ,4dMJ MUUMd WR, iJja/rnimMLvi " PiNK"^'^ ilrmen The County Board of Co L irmen umJjuu er^isiirig oonoitional Requirements and Special Regulations andConditional Use Permit i VTItll Minnesota Commissioner of Natural Resources notified this day of.19 CONDITIONAL USE PERMIT NO.. Land & Resource Management Official Otter Tail County, Minnesota mailed copy of Application to Applicant.(Date/Initial) BK 0795-006 277.204 • Virior lundaen Co. Prirttrs • Fergus Falls. Minnaosis GRID PLOT plan' feet SKETCHING FORMScale: 4 gricKs^ equals A feet, or.inch(es) equals 19 3kDated: 6>~ Jfc Slgnaturt 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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' I I i I I I I I M i MM I II!I I II1 M M M II I I < M I * M ! :!1 I 1 M I I IiiiI \i I IM I I i ’ I I ' I < I ! M I I I i 'n M M I 'I I i11 I I 11 1 I M M ! I I I■Ml i i M ; ■ * I i ■ ’ I '! 1I I■ IM M M M I M I ! i I I I I 1 I 1 t t1 1 > iI■'ll !II )I I I I t ‘ I Mil t • 1 ! M " ■I Mili:'■ M M I i i M ! I iI I!i I iI I i I I Ii I ;i !;I 1 > i I I f I;}i:} M i M I I I 1 iI I >(1 I I 5 1 I ! II( ! 1I I I II< j i t i I i 1M > M M'I I I I I!I !I I I I I * ! 1 ! I I I } i I I1MM'I I I ! !I!!I I!i I 1!III Ii!I;\it!*i tiI, !I . 1 I I i IMKL>~0871 —029 278.428 • ViciDr Lundeen Co.. PrinUft • F«But F«Ks. MN • 1'SOO-34a-4870i ii / OTTER TAIL COUNTY Conditional Use Permit CUP^Wv ipOCDarJ U o h A s O hJOWNER’S NAME: Address LiOCSt^tlOXl! Lake No.^l$ec..^--. Twp.Jg3_.Range.^l Twp. Name ___________LoX" 3 \-V6\vKy 117-j4 VN^/y\ ivJ -5T C* •S3'' f —m'l Issued 1 9P- _, Work Authorized- /o sf xpires -ho roy* A V«<w'vv\cV \ OVS ^ V-x<l V>VnWx O VuiyNC oWVsw Hva' O't- \<>VC(. .1^0 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 Commissioners Land and Resource Manag^ent Official '^-7-93&1. Earthmoving shall be done between 2. Entire area shall be stabilized within 10 days of the completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or ^ taken from the beds of a public water without a valid permit from the Statp nf MInnAertitA r>—a *1_________« - Sjcai6: /Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM 7^ Dated:19 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.61\taO F-P ..Jm"" s jVtuid -Jo (h Ia/C^" > 'P Ph pt r ^isw -(i) SK^^AP3 JS 7 ^<4 ^ 5 AF ,rs 720 0 A ('O 21598 7®MKL-0871-029 VlCTOn LUNOEEH CO . PRINTERS. FCRCUS FALLS. WINN.