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City+ of Gem Lake <br />Fleritap Hall <br />4200 Otter Lake Road 6 Gen) Lake, MN 551 10 <br />651-747-2790,192 f 651-747-2795 (fax) r `: <br />E-mail cifv,:er_:otmlakemn.or <br />Conditional Use. Permit <br />A Conditional Use Permit mckv be ?;rlanred or ikmied:ky the City Council rafter recommentlation kv the Planning <br />Comniissfatt In accorthinee. tvitlr Orrllatunce No. 131 (zoning), Section 17,5 Cotietitional andInteri►tr Use Permits, <br />LICENSE APPLICATION CHECKLIST: <br />To prevent delay, please ensure the following. infurmation is submittetl where applicable <br />El Nrntit Fee (if paying with cash we can. only accept exact change) <br />❑ $275.0 .(payable to the City of Gem Lake) <br />❑ Site Plan <br />❑ Building l.:peatidns (dwellings, garage, accessory buildings) <br />❑ Site lrnprovcnients (parking areas, drives, sidewalks, fences, decks, lighting, etc.). <br />❑ Yard (Front. -side, rear setbacks) <br />0 Wetlands.(delineation of streams. water bodies, wetlands- 100 .year storm elevation) <br />❑ Existing Trees (6 inch. in diameter or more}, large. shrubs & proposed.landseaping <br />❑ Location ofsite, with adjwent land use <br />❑ Topography, Grading <br />❑ Schedule -(when applicarit intends to construct) <br />❑ Additional information, if required <br />❑ Peri„its or written commetits. fro rn other agencieS..: <br />(DNR,RCWD, VLMVNI0,.Ranisey Ccunty,.NIi,DOT; IJS Army.Corps orEngineers) <br />❑ Cglilicate of Survey or fall legal description <br />© Building plaits (size, intended use of.structures, exterior finishes, floor plans and elevations) <br />Apnlinnt inror_mation <br />Name.- Greg Smith <br />]tome Phone: <br />1 mail: greg@gdphersign.com <br />Cell: 612-986-4715 Business: <br />Property Owner, Greg Smith <br />site Address: 5 Hillary Farm Lane <br />Ciiy Gem. Lake State: MN Zip; 55110 <br />Property. is zoned °as: R1 Existing use of the site: Vacant <br />Description of. Conditional Use being requested: •Accessory building. <br />:j Appiicant:Signature: <br />Data: <br />C.'ity i,t`Grm Lake Cni,JiGviiai L'sr Pcntiit = Page t ol`3� <br />