Laserfiche WebLink
Name: <br />Street Address: <br />City, State, ZIP: <br />Home Phone: <br />Email: <br />Property Owner llnfor ation <br />(If different than Applicant) <br />same as applicant information <br />Work Phone: <br />Fax Number: <br />Please provide a detailed description of your request and attached a copy of a scaled site plan <br />A "Land Use Sign" will be placed on the Subject Property to allow Ramsey Residents the <br />opportunity to obtair information about your request. <br />Applicant Signature <br />Printed Name <br />Title <br />Date <br />7) <br />...Ca:Applicant Signature <br />Thomas A Dehn Printed Name <br />Owner <br />08/25/22 <br />Title <br />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 />all other permits or licenses required by any applic gulatory agencies for this Land Use Application, <br />Property Owner J j J, J Property Owner <br />Signature lid 11{,V;rit 1--- Signature <br />Printed Name Thomas A Dehn Printed Name <br />Title Owner Title <br />Date 8/25/22 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 1 will be held liable for any and all costs incurred by the City. <br />