Laserfiche WebLink
Property Owner Information <br />(If different than Applicant) <br />Name; <br />Street Address: <br />Chy, State ZIP: <br />Home Phone: <br />Work Phone - <br />Email: <br />Fax Number <br />PkaaseprovkjeadetaUeddeschptionofyourrequestandattachedacopyofascaledsitep|an <br />See attached description and site plan. <br />A Use Sign"" will be placed on the Subject Property to allow Ramsey Residents the <br />opportunity to obtain information about your request. <br />Applicant Signature <br />[o/\ppUcantSignature <br />Printed Name <br />R(]DToUchBtte <br />Printed Name <br />Tide <br />Title <br />Date <br />9-22-21 <br />Date <br />Iunderstand that the application fee isnon-refundable. All costs associated with the processing ofdhisapp|icationarethe <br />responsibility of the applicant whether this application is approved or denied. Any excess of escrow account deposits over <br />expenditures will berefunded atthe time ofaccount closure. ralso understand that asthe applicant, bi,myresponsibility toobtain <br />all other permits or licenses required by any applicable regulatory agencies for this Land Use Application. <br />Property Owner <br />Signature <br />2010�= -'' - _ <br />Property Owner <br />Signature <br />Printed Name <br />' <br />ROD TOUch8tbe <br />Printed Name <br />_ <br />Title <br />Title <br />Date <br />9-22-21 <br />Date <br />I hereby certify that I am the fee title owner/contract for deed vendee of record for the above -mentioned property.Failure toprove <br />