Laserfiche WebLink
MINOR <br />SUBDIVISION <br /> <br />SUBDIVISION <br /> <br />PLANNED UNIT DEVELOPMENT <br /> <br />APPLICATION NUMBER ~(~ (~ L/ <br />FEE AMOUNT . <~"'~,. ~ <br />ESCROW AMOUNT ~" <br />DATE PAID /- ~'~ -)-- ~> c~, <br /> <br /> CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br />REZONING <br /> <br />VARIANCE <br /> <br />GRADING OR FILLING <br /> <br />MINING and <br />RECLAMATION <br /> <br />SITE PLAN <br /> <br />CONDITIONAL USE <br /> <br />Name of Applicant: ,~t~¢~ ~ 3t-~%~ Phone# <br />Contact Person: .~ <br />Address:. ~ ~~ ~ <br />C~y/State~ip Code: ~ ~ ~ ~ ~ ~ <br />Pro~y Identification number: ~ ~ <br />Subdivision Name: ~ ~ ~'~ ~ <br />Description: ~~ ~ <br /> <br />I understand the fee for a variance, cond~ional use perm~ and rezoning ~ approved or denied, is a non-refundable <br />1ee. I also accept the cond~ions of this ~rmE and all terms of the Ci~ ordinances which govern. I understand that <br /> <br />any changes from these plans must be resubmitted. <br /> <br />Owner/Representative(printed/typed) Date <br /> <br />,.:/Re pres en~tative(sig nat ure) <br /> <br />Date <br /> <br />I hereby certify that I am the owner of record for the above mentioned property. Failure to prove ownership may void <br />~ny agreements enter into by the City of Ramsey and I will be held liable for any and all costs incurred by the City. <br /> <br />Owner (printed/typed) Date O,wn~, (signature) Date <br /> <br /> <br />