Agenda - Planning Commission - 09/07/2017

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Name: Street Address: City, State, ZIP: Home Phone: Email: Property Owner Information (If different than Applicant) Work Phone: Fax Number: Please provide a detailed description of your request and attached a copy of a scaled site plan Separate free standing structure 30' x 50' with upper level storage. Main level will have 2 automobile stalls and a hobby/entertainment area. This structure will not be for habitat nor for business use, it will also match the existing house trim and siding. A "Land Use Sign" will be placed on the Subject Property to allow Ramsey Residents the opportunity to obtain information about your request. Applicant Signature Printed Name Title Date Co -Applicant Signature Raymond A Bonifas Printed Name 7/19/2017 Title Date Linda K Bonifa's 7/19/2017 I understand that the application fee is non-refundable. All costs associated with the processing of this application are the responsibility of the applicant whether this application is approved or denied. Any excess of escrow account deposits over expenditures will be refunded at the time of account closure. I also understand that as the applicant, it is my responsibility to obtain all other permits or licenses required by any applicable regulatory agencies for this Land Use Application. Property Owner Signature Printed Name Title Date Property Owner Signature Raymond A Bonifas Printed Name 7/19/2017 Title Date Linda K Bonif 7/19/2017 I hereby certify that 1 am the fee title owner/contract for deed vendee of record for the above -mentioned property. Failure to prove ownership may void any agreements entered into the City and I will be held liable for any and all costs incurred by the City.