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Request for Zonin C zn l.iance Permit <br />City of :Gem Lake, Minnesota <br />4200 ❑tferIake Road, Gem Lake, MN `553-10. <br />.651 747-2790/92.- fax 651747-2795 <br />c i tv@ gem1 akenu-L. ora <br />(Applicant) <br />is hereby requesting. a Zoning Compliance Perrxdt to allow operation of the. fallowing activity*': <br />at property located at 19 '32 6 se Lai P) o a � ►"yl [ I17ti15SI Q <br />Gem Lake, Minnesota.. (Address) <br />Applicant. <br />O�L <br />C1 <br />ate <br />Contact information: <br />Applicant <br />Mailing address of.appiicant: <br />Iy3o Gras L t rh LR. ? SSIr <br />Phone/cell. 6�7 s r - �a bo <br />Email: <br />".Applicant must` submit complete description of. requested activity and copies of plants for Zoning. <br />Administrator approval. <br />-'*Add i tional Information. <br />For office We.on1p.. <br />$100.00 fee paid <br />be requested by the <br />Zoning Administrator Approval.. <br />Yes: <br />Signature. and date: <br />No: <br />Signature.and date <br />Comments: <br />$20HO deposit paid <br />Date Application Complete-. <br />(GO day .rule compliance) <br />tar and.for tne.Qity of Uem La <br />