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CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br />(Please complete this section and sign on the back.) <br /> <br /> City of Ramsey Use Only <br /> <br />Cash .Receipt Number: ~' ,I & "~ <br />Fee Amount: "7 ~. c_x3 <br />Escrow Amount: '~ (5 e~. ~ <br />Date P~d: 4'/--~1 q o~ <br /> <br /> l//Rezoning <br /> IViinor <br /> Subdivision <br /> _ ~ Conditional Use Permit <br /> <br /> Subdivision Variance .... Interim Use Permit 1 <br /> <br />~ Administrative Subdivision Site Plan b/f Other <br /> All applicable information must be complete before this application can ~~-" I <br /> <br /> In divi dual Ap pli can ts Partnership/C orp orate App Ii cants <br /> <br />Name of Applicant:. <br /> <br />Address: <br /> <br /> City: <br /> <br />· Social Security Number: <br /> Driver's License Number: <br /> Home Telephone Number: <br /> Employer's Name: <br /> Work Telephone Number: <br /> <br />State:~ Zip: <br /> <br />Contact Person (if ctifferent from applicant): <br /> <br />NalTle: <br /> <br />Address:. <br /> <br />City: <br /> <br />Telephone Number:. <br /> <br />State: Zip: <br /> <br />Zoning: Ordinance #, <br /> <br />Fee T/tle Owner: <br /> <br />Please provide a brief description of your application: <br /> <br /> (Please complete this section and the back of this document.) <br /> <br /> Telephone Number&/':2 ) ,5' 7C - ¢'/2-/ <br />Fax Number: ('6/2 <br /> <br /> Contact Person <br /> <br /> Telephone Number:. (~/ <br /> <br />Fee rise Owner: f,L~ <br />Please pro'Adc a brief description of your application: <br /> <br /> <br />