HomeMy WebLinkAbout29000990706000_Conditional Use Permits_06-17-1998Conditional Use Permits
Barcode 128
827319
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OfficlG of County Recorder
I hereby certify that the within instrument was fiiet)
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THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR CONDITIONAL USE PERMIT
COUNTY OF OTTER TAIL
COURTHOUSE. FERGUS FALLS, MN 56537
(218) 739 - 2271
sCOMPLETE THIS APPLICATION IN BLACK INK ** *%***
Application Fee
/ ^ 77 ^ 8Receipt Number
3 SIZO
j on DAYTIME PHONEPROPERTY OWNER
Ac a/ADDRESS I
/Vesf-(sOLAKE NUMBER LAKE CLASSLAKE NAME
[3im.TOWNSHIP RANGE TOWNSHIP NAMESECTION
intoFIRE NUMBER OR LAKE I.D. NUMBER
LEGAL DESCRIPTION
EXPLAIN YOUR REQUEST
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I UNDERSTAND THAT APPROVAL OF THIS REQUEST APPLIES ONLY TO THE USE OF THE LAND.
I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO
CONTACT LAND & RESOURCE MANAGEMENT REGARDING THIS MATTER.
SIGNATURE OF PROPERTY OWNER DATE
APPLICANT MUST BE PRESENT AT THE HEARING
lApplicant Will Receive Notification As To The Date/Time Of Hearing)
Accepted By Land & Resource
L 8rR Official/Date
TimeDate Of Planning Commission Hearing
Planning Commission Motion
June 17, 1998
A motion by Lackowitzer, second by Boyer to approve as
requested.
Chairman/Otter Tail County Plannini^ommission
County Board Action
Approved As Recommended
Denied As Recommended
mRate of Final ActionChairt^an/Otter Tail County Board of Commissioners
6V33CONDITIONAL USE PERMIT #
L & R Official/Date
Permit(s) required from Land & Resource Management
NoYes (Contact Land & Resource Management)
Copy of Application Mailed to Applicant And MN DNR
L & R Official/Date
bk 0797-006
267.364 «. Vic(0( Lundcon Co . Printers • Fergus Falls. Minnesota
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RR 3 Box 5220
Battle Lake MN 56515-9611
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GRID PLOT PLAN feet SKETCHING FORMScale: <5^grid(s) equals ’o?C» * feet, or inch(es) equals
,, / Signature
Please sketch your lot indicating setbacks from road right-of-way, lake, sideyard and septic tank and drain-
field for each building currently on lot and any proposed structures.
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iMKL — 0871 — 029 281,949 ■ Victor Lundean Co., PrinMfS * Fergus Falls. MN • 1-800-346-4870
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