Fillable STEARNS COUNTY/TOWNSHIP PROVISIONAL USE REGISTRATION (Minnesota Department of Revenue)

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STEARNS COUNTY/TOWNSHIP PROVISIONAL USE REGISTRATION (Minnesota Department of Revenue)

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STEARNS COUNTY/TOWNSHIP
PROVISIONAL USE REGISTRATION
Environmental Services Department
http://co.stearns.mn.us/Environment/LandUseandSubdivision
Administration Center Rm 343 - 705 Courthouse Square - St. Cloud, MN 56303
320-656-3613 or 1-800-450-0852 - Fax 320-656-6484
Property Owner
Phone
Address of Property
Mailing Address
Applicant (if different from above)
Phone
Applicant Mailing Address
Parcel I.D. Number(s)
Township
Section
Legal Description
Structures and facilities may be required to meet the Handicap Accessibility Code portion of the State
Building Code, Minnesota Rules, chapter 1341.
Zoning District:
Provisional Use:
Provide a detailed description of the use that you are registering:
Describe how the use will comply with the standards contained in Ordinance #439 (ie – parking,
signage, lighting, screening, etc.)
* Provide a site sketch showing the building(s) and area(s) to be used for the provisional use, including
parking spots, outdoor display or storage areas, sign locations and size, screening, etc.*
Agreement:
I hereby acknowledge that the above listed provisional use(s) is subject to all Performance and General
Development Standards in Section(s) (list all applicable Sections of Ord. #439 that apply to this request)
of Stearns County Land Use and Zoning Ordinance #439 and that applicable standards have been provided to
me. I further agree that all uses performed will be in accordance with these sections and that I will abide by all
Stearns County and Township ordinances regarding actions taken pursuant to this registration. Signature of this
application authorizes Environmental Services Staff, Board of Adjustment and/or Planning Commission
members, and County Board of Commissioners to enter upon the property to perform needed inspections and
review. All have county-issued badges. Entry may be without prior notice.
Property Owner’s Signature
Date
Applicant’s Signature
Date
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STEARNS COUNTYTOWNSHIP PROVISIONAL USE REGISTRATION (Minnesota Department of Revenue)

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Completed 18 July 2020

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