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APPLICATION (RECIEPT)NUMBER <br />FEE AMOUNT <br />ESCROW AMOUNT <br />DATE PAID [ Q" i ~' -~(~ <br />DATE RECEIVED BY CITY <br /> <br />CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br />MINOR MINING and <br />SUBDIVISION ' X REZONING RECLAMATION <br /> <br />SUBDIVISION VARIANCE SITE PLAN <br /> <br />PLANNED UNIT DEVELOPMENT <br /> <br />GRADING OR FILLING <br /> <br />CONDITIONAL USE <br /> <br />Name of Applicant: Good Value Homes Inc. Phone # 780-5510 <br /> <br />Contact Person: John Peterson <br /> <br />Address: <br /> <br />1460 - 93rd Lane N.E. <br /> <br />City/State/Zip Code: B'la~ne, Mn. 55434 <br /> <br />Property Identification number: 26-32-25-34-0002 <br /> <br />Fee 'l']t~e Owner: Elsie D. Chicoine <br /> <br />Subdivision Name: Chestnut Pond <br /> <br />Description: Rezone parcel beinq platted as Chestnut Pond from I-1 to <br /> residential single family <br /> <br />I understand the fee for a 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 tl'~ City ordinances which govern. I understand that <br />any changes from these plans must. be resubmitted. <br /> <br /> John R. Peterson 6-11-90 <br />Ow~~ees~ted/tyl~ed) Date Owr{er~;Repre~entative(signature) Date <br /> <br />I hereby certify that I am the fee title owner or contract for deed vend,~e (circle one)of 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 any and all costs incurred by the City. <br /> <br /> Elsie D. Chicoine 6-11-90 _ _ r ~ ~' ~ <br />Owner (printed/typed) Date Owner (signature) Date <br /> <br /> <br />