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i <br />4 <br />j <br />I <br />4200 Utter Lake Road <br />r� Gent La€:e, NWN 55.1 W-3227 <br />-relel? have 551-747-2790 <br />CONDITIONAL USE PERMIT <br />APPLICATION FORM <br />INTRODUCTION <br />A Conditional Use Permit may be grantee or denied by the City Council after <br />recommendation by the Planning Commission in accordance with Ordinance No, 43K <br />(Zening).. Section 17.5,: Conditio. al and Interim Use Permits- <br />APPLICANT(S) (.yre tc I7t r 1 PHONE. {Home} 161�907 <br />C.'m I-t (Business) <br />�. (Cell) ( 5, <br />ADDRESS I � tom, �•; 4� ���e� s f� t: ";.i- i�c 'r,d <br />PROPERTY <br />OWNER - <br />ADDRESS OF _ ZONING <br />SITE '16), <br />EXISTING USE OF SITE <br />DESCRIPTION. <br />OF <br />CONDITIONAL USE BEING REQUESTED <br />? c <br />Fee: L��+isdiii�»z�sl ear. [nlerim l�:-sc I i.rii�is [[)chic tha�i �� l t;[]! <br />tsGru�� tc�r r4��ic�� <br />CHECKLIST: <br />�e Site Plan <br />Ruilding. locations (dwelling; garage, accessory building). <br />4Ma4ed Site improvements (parking areas, drives, sidewalks, <br />IX+ fences., decks, lighting, etc.). <br />Yard (front, side, rear setbacks). <br />S Wetlands (delineation of streams, water bodies, wetlands & <br />100 year storm elevation). <br />Existing trees (5 inch in diameter or more), large shrubs. & <br />proposed landscaping. <br />Location of site, with adjacent land use. <br />Topography, grading. <br />