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RECEIVED <br /> J U N 2. B 1989 <br />APPLICATION (RECI-~P'I') NUMBER c=~ <br />FEE AMOUNT- <br />ESCROW AMOUNT I_'~'~' <br />DATE PAID (~..- ~'~-'-~S"~ <br />DATE RECEIVED BY CITY <br /> <br />CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br /> MINING and <br />SUBDIVISION . ~( <br /> REZONING <br /> RECLAMAT~DN <br /> <br />SUBDIVISION VARIANCE SITE PLAN <br /> <br />,.PLANNED UNrF DEVELOPMENT GRADING OR FILLIhlG CDNDITIONAL USE <br /> <br />Name of Applicant: ~C~C:rO V.,~-~,e.~ I,~¢ct,~-¢...¢'/',.C, Phone #. <br />Conta~ Per.n: ~O ~ ~S~ <br /> <br />C~y/Sta~e~ip Code:, ¢ ~¢'~ / ~, ¢%~ <br />Prape~ Ident~icafion number: <br /> <br />Subdivision Name: ~ ~ M ~ ~ t C L <br /> <br />Description: ~,/~"'-'( <br /> <br />I understand the fee 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 trom these plans must be resubmitted. <br /> <br />Owner/Representative(printed/~yped) <br /> <br />Date Owner, Representative(signature) Date <br /> <br />I hereby certify that I am the fee title owner or contract for deed vendee (circle one)of record for the above <br />mentioned property. Failure Io 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 />Owner (printed/typed) Date Owner (signature) Date <br /> <br /> <br />