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Interim Use Permit AMplicati2n. <br />City of Gem Lake, Minnesota <br />4200 Otter Lake Road; Gem Lake, MN 551I0 — <br />551747-2790192 — fax 6517472795 <br />r <br />A,IntM.m use Permit maybe granted or denied by. the City CauncfI after recommendation by the PlanningCommission tt accordance with Ordinance NO,131 {zoning}. Se�tiv <br />Per snits; n 17:5p Conditional and Interim Use <br />Applicant: <br />Owner Phone/cell/Business; L; <br />email: t ` ' ?: t. i • :C 6. " <br />y G�.. . <br />Property Owner:' <br />4 <br />Site address: <br />Propertyis zoned as: Existing use of the site: <br />Fee; "ntMm Use Pmn't (other than a PLED) $75.40 plus $200-00 escrow for review <br />L�J Site Plan <br />Building locations (dwellings, garage, accessory buildings) <br />Site improvements (parking areas; drives, sidewalks, fences, decks, li.ghtin& etc.) <br />Yard (front, side, rear setbacks) <br />Wetlands (delineatiOn of streams, water bodies, wetlands & 100 year storm elevation). <br />Existing trees (6 inch in: diameter or more), largo shrubs ❑ &proposed landscaping Location of site, with adjacent land use. <br />❑ Topography, grading. <br />❑ Schedule (when application intends to construct) <br />El Additional information, if required <br />❑ Permits or written comments from other agencies (DNR, RCWD, VLAWMO, Ramsey <br />County, MND.ot, US Army. Corps. of Engineers, <br />❑ Certificate of Survey or`full legal description. <br />❑ Building plans {size, intended use of structures, exterior finishes, floor plans and elevatiox€s. <br />R vi .w Frogem <br />7: Sub] -Lit 15 copies of application and all supporting information to City Zoning Administrator <br />(minimum of four weeks prior to Planning.Comriussion meeting.. <br />