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r <br />c. <br />CITY OF GEM LADE, MN <br />4200 Otter Lake Road <br />.jilt <br />Gem Lake, MN 55110-3227 <br />Telephone 651-747-279..0 <br />Cify ,gemlakeMN.or <br />CONDITIONAL USE PERMIT <br />APPLICATION FORM <br />INTRODUCTION <br />A . Conditional Use Permit may he granted or denied by the City Council after <br />recommendation by the Planning Commission in accordance with Ordinance. No. 43K <br />(Zoning), Section '17'.5, Conditional and Interim Use Permits. <br />S� <br />APPLICANT(S) -z�(m SJE`vi , ��r✓ PHONE (Home) <br />(Business) 3 j-Li `T j g <br />(Cell) &.Sr� ' <br />ADDRESS Imo,._ ?— <br />PROPERTY <br />OWNER _:tf r�j SA r <br />ADDRESS OF J ZONING <br />SITE 4 S rL4t.tr2 <br />�'j <br />EXISTING USE OF SITE --z; <br />DESC IPTI N OF CONDITIONAL USE BEING REQUESTED <br />jan a 1s fnu; d;V <br />Fee: Conditional or Interim Use Permit (Other than a PUD) <br />+ . IEY`esorow for review <br />CHECKLIST: -zco <br />Site Plan <br />Building locations (dwelling, garage, accessory building). <br />Site improvements (parking areas, drives, sidewalks, <br />fences, decks, lighting, etc.). <br />Yard (front, side, rear setbacks). <br />Wetlands (delineation of streams, water bodies, wetlands &. <br />100. year storm elevation). <br />Existing trees (B inch in diameter or more), large shrubs <br />proposed landscaping.-- E` r` <br />Location of site, with.adjacent.land use. <br />Topography,. grading. <br />