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Pr,operty Owner Inforniatioll <br /> (if different than Applicant) <br /> Marne: Phoenix Enterprises, LL <br /> Street Address: 19230 Evens Street#1 15 � <br /> a <br /> City,State,ZIP: Ells River; MN 55330 <br /> Home Phone. Work Phone: <br /> --------- _._ ... . <br /> � w <br /> Email: Fax umber: <br /> Please provide detailed description of your request and attached a copy of a scaled site plan <br /> , <br /> ....................._........_----- -.-... _..____---- _._.... _..-. ....._..._._.. -.._..-.._.. ............. <br /> ------ <br /> ""tviii be piaced on the Subject Property to allow Ramsey Residents the <br /> opportunity to obtain information about your request, <br /> r <br /> Applicant Signature Co-Applicant Signature <br /> PaUl Ott P,L.S. P.E. <br /> Printed Name E. � � Printed Nacre � <br /> Title Presi dent Title <br /> Date 11/3C/2023 Date <br /> _ _ <br /> 1 understand that the application;fee is non-refundable. All costs associated with the processing of this application are the <br /> responsibility of the applicant wl•ether this application is approved or denied. Any excess of escrow account deposits aver <br /> expenditures will be refunded at the time of account closure. I also understand that as the applicant,it is nay responsibility to obtain <br /> all other permits or licenses requ'red by any applicable regLrlatory agencies for this Land Use Application,with notice frorn the city, I <br /> Linder-stand the city may need tc access the property for purposes related to the application. <br /> Property Owner A property Owner <br /> Signature Signature <br /> �r~irrted Name `:a Printed Name <br /> r � �� <br /> Titlerorli�vTitle <br /> . <br /> J <br /> .. .,. <br /> Date aI Date <br /> 1 hereby certify that I am the lee!-itle owner/contract for deed vendee of record for the above-mentioned property. Failure to prove <br /> ownership may void any agreemi!nts entered into the City and I will be held liable for any and all costs incurred by the pity. <br />