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APPLICATION NUMBER <br />FEE AMOUNT <br />ESCROW AMOUNT <br />DATE PAID <br />DATE RECEIVED BY Cl~ <br /> <br />CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br />MINOR MiNiNG and <br />SUBDIVISION _ REZONING RECLAMAT}ON <br /> <br /> SUBDtVISION VARIANCE SITE PLAN <br /> <br /> ' X <br /> PLANNED UNIT DEVELOPMENT GRADING OR FILLING ' CONDITIONAL USE <br /> <br /> Danny's Alurr~num ~rooessin~ Inc. <br />Name of Applicant: Phone # 612-428-8333 <br /> <br />Contact Person: Danie! W. Karat. Jr, <br /> <br />Address: 14350 Northdale Blvd. <br /> <br />Clly/Smte/Zip Code:. Rogers, iv~ 55374 <br /> <br />Property Identi[ication number:, :~4-32-25-12-0004 <br />~drren% Owner: Proposed Owner: <br /> <br />~u~divi;ion Name: GatewaY'N0rth Industrial P~rk, Plat 2. <br />DeScription: Lot one (1), Block four (4). , <br /> <br />I understand the fee for a variance, conditional use p6rmit and rezoning if, approved or denied, is a non-refundable <br />lee. I also accept the conditions o! this permit and all terms of the City ordinances which govern. I understand that <br />an), changes trom these plans must be resubmitted. <br /> <br /> / <br />Owner/Represen!ative(prhit'ed/typed) Date. Owner/Represe ntative (signatu're) Date <br /> <br /> will ~ upon appro;~al of con~i_t.i.onal use perm.it <br /> I hereby certify that I aah the tee title owner =- ~' ' of record ior the above <br /> mentioned property. Failure to prove ownership may void any agreeme.nts enter into by the C~y of Ramsey and I <br />· .;b..~held liable tor any ~nd all costs incurred by the C~y. . <br /> <br /> Owner (printed/typed) c/ Date Owner (signature) Date <br /> <br /> <br />