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Inl2risePermit i i n <br />_ City of Gem Lake, Minnesota <br />-_t 4200 Otter.Lake Road, Gem Lake, W 55110 <br />651747-2790/92 — fax 651747-2795 <br />d1321cmlakem Orr- <br />A Interim Use Pennit maybe granted or deWed'by the City Counctl alterrecominettdatran by the Planning <br />Corr fnissioa to accordance tvitk Ordinance No.xSY (zantng),.Secnot[.I7.S. Conditional and Interirn Use <br />Permits. <br />Applicant L <br />Owner phon%lf &Mfness: F �5 <br />.r <br />email: �` rJ Ji <br />Propeity Owner:• ✓L.1 � � �',�C �' `.,.�,• <br />.site address; vrY: ��=� _ <br />Property Is zoned as:L Existing. use of the site:'`'t�G <br />Fee: InteHm Use Permit (other than a PiID) $75.00 plus $200.00 escrow for review <br />Site Plan <br />Building locations (dwellings, garage; accessory buildings) <br />Site. improvements (parking areas, drives, sidewalks, fences, decks, lighting, etc.). <br />Yard (ftont,'side, rear setbacks) <br />•Wetlands (delineation of streams, wafer bodies, wetlands.& 100 year Storm elevation). <br />Existing trees (6 inch in diarneter or more), large shrubs.&:proposed landscaping <br />❑ Location of site, with adjacent land use. <br />Topography, grading. <br />Schedule (when appiication.intends to. construct) <br />❑ Additional information, if regieix+ed <br />❑ Permits or written comments -from -tither agencies (DNIi, RCWD, VLAWMO, Ramsey <br />County, MNDot US Armjt. Corps of Engineers, <br />El Certificate. of Surveyor•ftill.legal description <br />❑ Building plans {sfze,.iniended use of structures,.exterior finishes, floor plans and elevations <br />Review Pr egG,* <br />1. Submit 15 copies of application and all supporifng:infprmation to City Zoning Administrator <br />(minimum of four weeks prior to Planning Corjindeslcin meeting. <br />