HomeMy WebLinkAbout2024 ZONING REQUEST GARDEN OVERLAYCity of Gem lake
I-lcritagc Hall
4200 Otter Lake Road I (icm Lake, MN 55110
651-747-2790/921651-747-2795 (fix)
E-mail 6y6i;vemlakrmn_cirs,
Zoning Request
Interim Use Permit — Gem Lake Gardens
Expires March PVI of Each War
New Renewal
Proneriv Information '
Properly Owner:
City. - � . . -z—
Ilome Phone- i— ' Cell Phone:
Applicant information
Applicant:
Address:
City: --------
llonic Phonc: Cell Plwne.
LinI of Fertilizers. Pciticides-ion(I Other APricultural (Iicmicals Bvjn r,-Ll-%�-d
Received
MAY 0 1 2024
City of Gem La
State -tL. zip:<���7'/�
State: "lip:
Data Practices Athisoa 1Tennessen Warningl
I understand that sonic of the inrornration providLd on this furnt will be public data. Public data is available to anyone who makes a icgnem fix such information. Under
j the Minnesota Data Practices Act. your address. email and/or telephone nurnber are private data. You may choose not to provide sonic or all of this private data. but it
may cause your Conditional Use Permit request to be denied. By completing this inlirrtnaiion, you are consenting to allow the City of Gem Lake stai'f to share this
inlornatimt in order to administer Cr Lake C imanccs rcgardingCnnditionat ll:c Permitting. Please sign Ixlow to atTrrn that you have read this notice.
-- .A Applicant Signature: ,_.__ / / Datc:
A
i
i Office Use Only Permit No_
I
City Council: 3rd Tuesday afthe morah at 7:00 p.nr. at (lcritagc llall, J_'OU (Xtcr Like Road.
City Council tvlccting 1)41c:---_._..__._--- -—_----- .--
Condhionul t)w Permit paid: ED Cosh U Check
I
Check No.: -- —_ Receipt No.: ---- — _
Mae Permit Granted: Date Pennin Denied:
Conditions 1 Reyuireurtais
Merchant: CITY OF GEM LAKE
4200 Otter Lake Rd
Saint Pauf, MN 66110 651-747-2790
u5
lnfesrrr�atl:
'Desoriptiori: Garden IUP
ArderNumber P.O. Number:
Customer ID Invoice Number:
Billing Information.
Bryan Hansen
County Road E
Gem Lake, Minnesota 55110
United States
Phone. 209-275�-4915
Date/Time:
Transaction ID:
Entry Mode:
Transaction Type:
Transaction Status:
Authorization Code:
Payment Method:
Shipping Information
01-May-202412:29:17 CDT
120410476137
Keyed
AuthorErationw/Autai Ceptute
Captured/Pending Settlement
440367
MastsrCard.XXXM- 64,
Shipping: 0.00
Tax: 0.00
Total: USD 103.00