HomeMy WebLinkAboutMecklenburg_10000120082001_Conditional Use Permits_08-12-1997tlj-eI ^ IH
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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
••• COMPLETE THIS APPLICATION IN BLACK INK « * •
Application Fee
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FIRE NUMBER OR LAKE I.D. NUMBER
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EXPLAIN YOUR REQUEST ^^7^^ 2- A/cpXAy'
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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
AND & RESOURCE MANAGEMENT REGARDING THIS MATTER.
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SIGNATURE OF PROPERTY OWNER
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DATE
APPLICANT MUST BE PRESENT AT THE HEARING
(Applicant Will Receive Notification As To The Oate/Time Of Hearing)