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APPLICATION NUMBER <br />FEE AMOUNT /~ ~ <br />ESCROW AMOUNT~ <br />DATE PAID <br />DATE RECEIVED BY CITY '-3~'- /5' - _~ ~' <br /> <br />CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br /> MINOR MINING and <br />· SUBDIVISION . . REZONING RECLAIV~TION <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: Waste Mcrmt. of MN, Inc. Phone# 421-0540 <br /> <br />Contact Person: Terry Miller, Site Manager <br /> <br />Address: 14730 Sunfish Lake Blvd. <br /> <br />City/Stale/ZipCode:. Ramsev, lv~ 55303 <br /> <br />Property Identification number: N',} NE~ Sec. 27, T32, R25 <br /> <br />FeeT}tie OWner: Waste Management of Minnesota, Inc. <br /> <br />Subdivision Name: none <br />Description: Placement of temporary construction office (12'x62') on site. <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 ali terms of the City ordinances which govern. I understand that <br />any changes trom these plans must be resubmitted. <br /> <br />Owner/Representative(printed/typed) Dine ~wner/Repr es~!.ntative(sig nat u r e')''-~ / DA~e <br /> <br />I hereby certify thru I am the fee title owner or contract tor deed vendee (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 ~ wiJl <br /> <br />Owner (primedAyped) Date (Dwner (signature) /:/;C~ I--~K~'~/P_-.~'/,~T' Da~'e <br /> <br /> <br />