Laserfiche WebLink
CITY OF GEM LAKE <br />City Offices 1369 East County Rd E Gem Lake, NN 55110 <br />APPLICATION FOR BUILDING PERMIT <br />Date /&I 1 Zz / Building Permit No. <br />-9Z <br />Owners Name O�J`�/ / G�� Phone <br />Address %� �� T C, �Z <br />Contractors Name <br />Address 1E Phone 4 - ✓ 23 <br />Description of Work to be done <br />What is the structure to be used for <br />et Address of Property ���� L7�;2 <br />Street p y <br />or <br />Legal Description of Property <br />Present Zoning Classification [ 1 R1 [ 1 R2 [ 1 R3 [ l R4 <br />(check one) [ Pr B [ I GEII [ 1 RB [ 1LB [ 1 LDB <br />Value of construction $ [ I New [ I Remodeling <br />[ I Primary building size sq ft. <br />[ 1 Building addition size sq ft. <br />[ 1 Garage or accessory building size <br />Specials <br />[ 1 Special use permit needed [ I SAC charge (sewer available) <br />[ I Other <br />NOTE: Attach to this permit application the following: Property <br />surveyors report, plot plan defining building locations and setbacks <br />and drawings giving dimensions of proposed and existing structures. <br />Signature of Applicant "���`e 'J� Date <br />Approved by <br />Building inspector <br />Form Gembp 6190 <br />Fee $ <br />