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CITY OF GEM LAKE, MN <br />4200 Otter Lake Road <br />Gem Lake, MN 55110-3227 <br />INTERIM USE PERMIT <br />APPLICATION FORM, <br />INTRODUCTION <br />W"'V-mm-1 <br />Telephone 651-747-2790 <br />City!r .gemlakeMN.orf <br />RECEIVED <br />TOWN OF WHITE BEAR <br />A Conditional or Interim Use Permit may be granted or denied by the City Council after <br />recommendation by the Planning Commission in accordance with Ordinance No. 43J <br />(Zoning), Section 17.5, Conditional and Interim Use Permits. <br />APPLICANT(S) �rcl.� ft'G� 7-2 ufe-A-k ,ePHONE (Home) jj'� <br />"�r,r.. %�r�ta►� ��-� (Business) <br />(Cell) Z-i <br />ADDRESS 123 h <br />PROPERTY LL// <br />OWNER <br />ADDRESS OF _ ZONINGC LI'w��jr <br />SITE Y: Cie, /2d <br />C. c�rzM pp <br />EXISTING USE OF SITE S e ,-1-i, i�gi 4Z CLP-Je dl <br />DESCRIPTION OF INTERIM USE BEING REQUESTED <br />�l.� r►-1., , r) c, -- Sat-c�c' �t � � �, <br />Fee: Conditional or Interim Use Permit (Other than a PUD) <br />�v + $1000 escrow for review <br />CHECKLIST: /°-` <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 (6 inch in diameter or more), large shrubs & <br />proposed landscaping. <br />Location of site, with adjacent land use. <br />Topography, grading. <br />