Laserfiche WebLink
APPLICATION NUMBER <br />FEE AMOUNT <br />ESCROW AMOUNT. <br />DATE PAID /. /.~ <br />DATE RECEIVED BY <br /> <br />CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br />MINOR MINING and <br />SUBDIVISION RFEZONING RECLAMATION <br /> <br /> SUBDIVISION <br /> <br />· PLANNED UNIT DEVELOPMENT <br /> <br />VARIANCE <br /> <br />GRADING OR FILLING <br /> <br />SITE PLAN <br /> <br />CONDITIONAL USE <br /> <br />Prope~y Identification number: ~ O ~ '~ ~5 ~ ~ ~ ~ <br /> <br />Subdivision Name: <br /> / <br /> <br />I understand the tee for a variance, conditional use perm~ and rezoning ff approved or denied, is a non-refundable <br />~ee. I also accept the cond~ions of this perm~ and all lerms oi the Ci~ ordinances which govern. I understand that <br />any changes from these plans must be resubmi~ed. <br /> <br />Owne r/Representative (prinled/typed) Dale <br /> <br />Owner/Representative(signature) <br /> <br />Date <br /> <br />I hereby certity tho', 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 <br />be held liable for an), and all cosls incurred by the City. <br /> <br />will <br /> <br />Owner (printed/typed) Date Owner (signature) <br /> <br />Date <br /> <br /> <br />