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APPLICATION (RECIEPT) NUMBER <br />FEE AMOUNT <br />ESCROW AMOUNT / <br />DATE PAID <br />DATE RECEIVED BY CITY 9-22-89 <br /> <br />CITY OF RAI,;SEY <br /> <br />LAND USE APPLiCATIO;I <br /> <br />MINOR MINING and <br />SUBDIVISION x REZONING (partial) 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 Applicant: James M. Martin <br /> <br />Phone# Day: 546-1338 <br /> <br />Contact Person: James M. 1V~artin <br /> <br />Address: <br /> <br />3740 Union Terrace Lane <br /> <br />City/State/Zip Code: <br /> <br />Plymouth, MN 55441 <br /> <br />Property ldentification number: RZS-3Z-Z5-34-O001, R33-3Z-Z5-1Z-O00Z and R33-3Z-ZS-Z1-0001 <br /> <br />Fee Title Owner: James M. & l~atricia D. Martin <br /> <br />Subdivision Name: <br /> <br /> Description: Those lands to be covered %vith the proDosed "Tooth Acres" sub- <br />division are requested to be rezoned It-iR, Residential District. <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 all terms of the City ordinances which govern. I understand that <br /> <br />James M. Martin 9-22-89 ., 9-22-89 <br />Owne r~fC)~(printed/lyped) Date /O~vner/Representative(sig nat Ute) 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 to prove ownership may void any agreements enter into by the City of Ramsey and ] will <br />be held liable for any and all costs incurred by the City. <br /> <br />James M. Martin 9-Z2-89 O{ ~v~~'/~-ZZ-89/~~r (signetS-re) <br />Owner (printed/~yped) Date Da~e <br /> <br />It 7 <br /> <br /> <br />