Agenda - Parks and Recreation Commission - 09/09/2010

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AUG/18/2010/WED 10:09 ALJ K4DDEN'S ON QJLL IA FAX k 2188297698 P. 001/001 Please provide a.detailed description of your request' and attach n espy of your property layout (if applicable) Property Owu r Signature Date !•.ld. gAit 104 - L4 Lc 2of2 Updamrk knuory 2004, A « Land Use Sign" will be placed on the Subject Property to allow Ramsey Residents the opportunity to obtain information about your request. I unclembral that the application fee is nom-rafimdabie. Ali costs associated with the processing of this application are the responsibility oldie applicant whether this application is approved or denied Any excess of escrow account deposits over expenditures will be refunded at the time of closure. I also understand that as the applicant; it is my responsibility to obtain all other peimits or licenses required by any applicable regulatory agencies for this Land Use Application. A pii • At eoature Date Co- Applicant $1 uatare late L k a t on , c I hereby certify that 1. am the fee title owner/contract for deed vendee of record for the above- mentioned property: Frahm prove ownership may void any agreements entered iano by the City of Ramsey and I will be held liable for any and all costs incurred bythe City. 174-44 Co- Properly Owner Signature Date