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APPLICATION (RECIEPT) ~,UMBER <br />FEE AMOUNT <br />ESCROW AMOUNT <br />DATE PAID " <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 />. '.,~PLANNED UNIT DEVELOPMENT GRADING OR FILLING CONDITIONAL USE <br /> <br />Name of A,oplicant: BLH Develop. ment Co. <br /> <br />Contact Person: Dickman C. Knutson <br /> <br />Phone// 553-0474 <br /> <br />Address: 3030 Harbor Lane N, Suite IOOE <br /> <br />City/State/Zip Code: P 1 y m o u t h, M N 5 5 4 4 7 <br /> <br />Property Identification number: <br /> <br />Fee T~tle Owner: Rum Acres & Co. <br /> <br />Sut~:iivision Name: J u n i p e r W o o d s <br /> <br />Description · <br /> <br />Outlot, B, Rum Acre Estates, Anoka County <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 from these plans must be resubmitted. <br />BLH Development Co. <br /> <br />Owner~epresentative(printed/lyped) Date Owner/Representative(signature) Date <br />President <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 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 />Rum Acres & Co. <br />John <br />Owner (printed/typed) Date O,,~'~r~l; (signature) Date <br />Partner <br /> <br /> <br />