HomeMy WebLinkAboutBayview Shores_55000990484000_Conditional Use Permits_10-28-199610-22-9 (p
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APPLICATION FOR CONDITIONAL USE PERMITOifice of County Recorder County of Otter Tall
I hereby certify that the within Instrument was filed
.day of Otter Tail County
Fergus Falls, Minnesota 56537
(218) 739-2271
for record in this office on the
A.D. 19at
and was duly Micronimed as Doc.i
.M.
County Recorder ______Deputy — PtBasm ComptBte With Black ink —
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Owner:Phone:
Last Name First Middle
' OffStreet & No.Slate Zip No5i;/eKF>. Zxiti'e7SC’Lake No.Lake Name Lake Class
Jj_____Twp. !3'7Sec.Range Twp. Name
Leoal Descrip^n 4 I Fire # or L^e tO #U)<2ST J5"tde ctVroL.r-\
(^BALfO/'eA^.^/iore^ ^&5~aT4 J
Parcel Number - OOO ~— 00 7/ —00/
EXPLAIN YOUR REQUEST:fertf7i$s’/lp'^ ~h^
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tn order to property 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 ofthia request applies only
to the use of the land. Any construction also requires a site permit
Signature Of 4pp//canr
Application dated
- DO NOT USE SPACE BELOW -
9'00 B.u(r 19Date of hearing:
Ptannl
. Time:
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Minnesota Commissioner of Natural Resources notified this .day of., 19.
CONDITIONAL USE PERMIT NO.
Land A Resource Manape Ofter Tail County, Milmeat Official nnesota
mailed copy of Application to Applicant.(Date/Initial)
BK 0798-00B
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GRID pYoT PLAN SKETCHING FOftM!:!,/;,1/o feet/inches i I ISchte: Each grid equals
' lii HH-n;' mi6 m '190^9^^ir^Dated;_19
Sign^tun
Please sketch your lot Indicating setbacks from road right-of-way, lake and sldevard for each building currenth
on lot and any proposed structures. ; i ! ; ; ; i i : ! i i i 1 : . : i : : |
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