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MINOR <br />SUBDIVISION <br /> <br />SUBDIVISION <br /> <br />PLANNED UNIT DEVELOPMENT <br /> <br />APPLICATION NUMBER <br />FEE AMOUNT <br />ESCROW AMOUNT <br />DATE PAID /,~- <br />DATE RECEIVED BY CITY <br /> <br /> CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br />RE. ZONING <br /> <br />VARIANCE <br /> <br />GRADING OR FILLING <br /> <br />MINING and <br />RECLAMATION <br /> <br />SITE PLAN <br /> <br />CONDITIONAL USE <br /> <br />Contact Person: <br /> <br />City/State/Zip Code: <br /> <br />Fee ~tle Owner. <br /> <br />Subdivision Name <br /> <br />I understand the tee tora variance, conditional use permit and rezoning if approved or denied, is a non-refundable <br />fee. I also accept the conditions of this permit and all terms of the City ordinances which govern. I understand that <br />any changes trot these plans must be resubmitled. <br /> <br />~wned~epresentative(printed/typed) Date Owner/Representative(signature) Date <br /> <br />I hereby certify that I am the fee title owner or contract for deed vendee (circle one)cf record for the above <br />mentioned property. Failure to prove ownership may void any agreements enter into by the City of Ramsey and I will <br />be held liable for an), and all costs incurred by the City. <br /> <br />Owner (printed/typed) Date Owner (signature) Date <br /> <br /> <br />