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I <br />I <br />I <br />I <br />I <br />I <br />! <br /> <br /> I <br /> I <br />,I <br /> <br />PERMIT FEE <br /> <br />DATE FEE PAID <br /> <br /> CITY OF RAMSEY <br /> <br />ZONING USE PERMIT APPLICATION <br /> <br />/__/ Board of Adjustment <br /> <br />/ / Conditional Use <br /> <br />/ / Planned Unit Development <br /> <br />/___/ Rezoning <br /> <br />/___/ Mining <br /> <br />/___/ Grading or Filling <br /> <br />/.__/ Sign <br /> <br />? ~ Other Site ?]~n Review <br /> <br />Name of Applicant: <br /> <br />Address: 67~() ti, . <br /> ,,,-,y, 10 N. W <br /> <br />City/State/Zip Code: _A~oka., !~. ~.5305 <br /> <br />Legal Property Description: L9~ 2~ Block I~ Ramsey 67 <br /> <br />Brief description of the request: Re]~lat Lot 2, B]0ck 1 into 4 ]0ts. <br /> <br />Date reviewed by Board of Adjustment/Planning and Zoning: <br />Comments on Reviewal: <br /> <br />I <br />I <br /> <br />Approval/Disapproval: <br /> <br />Reason for Disapproval: <br /> <br />Date of Approval: <br /> <br />I <br />I <br />I <br />I <br /> <br />I understand the fee for a variance, conditional use permit and rezoning if <br />approved or denied, is a non-refundable fee. I also accept the conditions of <br />this permit and all terms of the City ordinances which govern. I understand <br />that any changes/f~om these plans must be resubmitted. <br /> ~~ "/r ~:~' Date Date <br /> Owner-~z~p es= ve Zoning Administrator <br /> <br /> <br />