Laserfiche WebLink
APPLICATION NUMBER <br />FEE AMOUNT ~ 0 <br />ESCROW AMOUNT, I <br />DATE PAID 5 - <br />DATE RECEIVED BY CI~ <br /> <br />CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br />MINOR MINING and <br />SUBDIVISION REZONING RECLAMATION <br /> <br />SUBDIVISION V/ VARIANCE SITE PLAN <br /> <br />PLANNED UNIT. DEVELOPMENT <br /> <br />GRADING OR FILLING <br /> <br />CONDITIONAL USE <br /> <br />Name of Applicant: f~/.-e ~-~ <br /> <br />Address: ~,,~0 0 ~/'-]'"') I' ,'~ ~ ~ Cv' 'Vd <br /> <br />City/State/Zip Code: ~c~5'e ~'~ ~n'~ ~L~' ;~-"~,,-,"~., ~ -.-,--~ <br /> <br />Property Identification number: <br /> <br />Fee Title Owner: <br /> <br />Subdivision Name: <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 el the City ordinances which govern. I understand that <br />any chang,es from these plans must be resubmitted. <br /> <br />uwne r/r~ epr e se ntative (printec~t-y.p. ed) 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 to prove ownership may void any agreements enter into by the City of Ramsey and I will <br />be h._.e~ liable ~d all costs incurred by the City. <br /> <br />Owner (printed/typ-L:,d-) Dat~ Owner (signature) Date <br /> <br /> <br />