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❑ Plat — Sketch Plan <br />❑ Administrative Plat <br />0 Conditional Use Permit <br />n Zoning Amendment <br />❑ tr./Welling Moving Permit <br />❑ Non -Traditional Animal License <br />Name: <br />Street Address: <br />City, State, ZIP: <br />Home Phone: <br />Email: <br />n Plat — Preliminary Plat <br />11 Site Plan Review <br />❑ Interim Use Permit <br />n Home Occupation Permit <br />n Environmental Permit <br />n Beekeeping License <br />Land Use Application <br />❑ Plat — Final Plat <br />n Easement/ROW Vacation <br />❑ Comprehensive Plan Amendment <br />❑ Variance <br />Q Registered Land Survey <br />n Private Kennel License <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Name of Business (if <br />applicable): <br />Business Address (if applicable) <br />Business City, State, ZIP <br />Business Phone: <br />Address <br />PIN <br />Legal Description <br />Raymond A Bonifas <br />6451 170th Ln NW <br />Ramsey, MN 55303 <br />763-753-4031 <br />rabonifas@comcast.net <br />Work Phone: CeII 612-834-4625 <br />Fax Number: <br />Business Fax: <br />Subject Property Information <br />(Location of Application) <br />6451 170th Ln NW, Ramsey, MN <br />Lot 3 Block 1 Shady Lawn Estates <br />Zoning District <br />Contact the Planning Division at 763-433-9824 or alpivin to request a Zoning Verification <br />