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APPLICATION (REClEPT) NUMBER <br />FEE AMOUNT / C~ C,, ~ <br />ESCROW AMOUNT t 5 ,'~__..?-~"~,_~ <br />DATE PAID ~. ~ <br />DATE RECEIVED BY Cl~ ~ <br /> <br />CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br />MIh~OR MINING and <br />SUBDIVISION ~ REZONING RECLAMATION <br /> <br />SUBDIVISION VARIANCE SITE PLAN <br /> <br />PLANNED UNIT DEVELOPMENT <br /> <br />GRADING OR FILLING <br /> <br />CONDITIONAL USE <br /> <br />Name of Appticant: William (Bill) Baker Phone# 427-3484 <br /> <br />Contact Person: William (Bill) Baker <br /> <br />Address: 2665 - 4th Avenue N. <br /> <br />City/State/'ZipCode: Anoka, Mlq 55303 <br /> <br />Property Identification number: PIN 25-32-25-22-0003 <br /> <br />Fee ]]tle Owner: Doloras S. Fleischer <br /> <br />Subdivision Name: <br /> <br />Description: <br /> <br />I understand the fee for a variance, conditional use permit and rezoning if approved or denied, is a non-refundable <br />fee. 1 also accept the conditions of this permit and all terms of the City ordinances which govern. I understand that <br />any changes from these plans must be resubmitted. <br /> <br /> William (Bill) Baker 9-]3-89 ~~~----'~~ <br />Owne r/P, epresentative (printedftype d) Date Owne r/Re pr e se nt ative"('s'ignat u re) Date <br /> --~.-- <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 /> <br />Doloras S. Fleischer 9-13-89 <br />Owner (printed/typed) Date Owner (signature) Date <br /> <br /> <br />