Laserfiche WebLink
' APPLICATION NUMBER, <br /> FEE AMOUNT <br />i ESCROW AMOUNT , <br /> DATE PaiD C/ <br /> DATE RECEIVED BY CITY <br /> <br />CITY OF RAMSEY <br /> <br />LAND USE APPLICATION <br /> <br />MINOR MINING and <br />SUBDIVISION RE. ZONING RECLAMATION <br /> <br />SUBDIVISION ¢'~ VARIANCE SITE PLAN <br /> <br />PLANNED UNIT DEVELOPMENT <br /> <br />GRADING OR FILLING <br /> <br />CONDITIONAL USE <br /> <br />I undorstand lhe re. tot n varinnoo, ~nd~ionnl use perm~ and rozoning H aDprovoSor deni~, is a non-rotundnble <br />toe. I al~ ac~pt the ~nditions of this ~rm~ and all terms of the Ci~ ordinances wh~h govern. I understand that <br />any changes from Iheso plans must be resubmi~ed. <br /> <br />Owner~epresentative~rinted~ypod) Dale Owner/Representativ~mgnalure) Date <br /> <br />I hereby certify that I am e~--"~ee title own~e or contract for deed vendee (circle one)ct record for the above <br />mentioned property. Failure lo prove own-'-"-'-----~ership may void any agreements enter into by the City cf Ramsey and I will <br />be held liable for any and all costs incurred by the City. <br /> <br />Owner (printed/typed) Date Owner (signature) ~ate <br /> <br /> <br />