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i' <br /> is <br /> i <br /> Property Ommer Infoarmation <br /> (If different than Applicant) <br /> Name: BIG C Development LLCFee <br /> Street Address: PO BOX 424 <br /> City,State,ZIP: Anoka Ill N 55303 <br /> s <br /> Home Phone: Work Phone: 8127205111 <br /> Email: Fax Numaer:seaen@gma ,com 7634218282 <br /> Please provide a detailed description of your request and attached a copy of a scaled site plan <br /> Zoning Amendment for 15861 Jarvis sT NW To rezoning to E-3 <br /> A '"Land Use Sign"will he laced on the Subject Property to allow Ramsey Residents the <br /> � 1 � y y l <br /> 1- <br /> opportunity to obtain information about your request. <br /> Applicant Signature Co--Applicant Signature <br /> N. <br /> Printed Name StanleyLebakken D Printed Name <br /> Title Owner Title <br /> Date 04/16/2022 Date <br /> I understand that the application fee is non-refundable. All costs associated with the processing of this application are the <br /> responsibility of the applicant whether this application is approved or denied. Any excess of escrow account deposits over <br /> expenditures will be refunded at the time of account closure. I also understand that as the applicant,it is my responsibility to obtain <br /> i <br /> all other permits or licenses required by any applicable regulatory agencies for this Land Use Application. <br /> Property Owner Property owner } <br /> Signature - ' nature <br /> Printed Name Stanley D Lebakken Printed Name <br /> Title Owner Title <br /> Date 04/16/2022 Date <br /> I hereby certify that I am the fee title owner/contract for deed vendee of record for the above--mentioned property. Failure to prove <br /> ownership may void any agreements entered into the City and I will be held liable for any and all costs incurred by the City. <br /> 3 <br />