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8110 Hwy 10
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9/21/2006 4:00:47 PM
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<br />. <br /> <br />. <br /> <br />Please provide a detailed description of your request <br />and attach a copy of your property layout (if applicable) <br /> <br />{;JOU l cA <br />YV\ <br /> <br /> <br />" <br /> <br />A "Land Use Sign" will be placed on the Subject Property to allow Ramsey Residents the <br />opportunity to obtain information about your request. <br />, r <br /> <br />I understand that the application fee is non-refundable. All costs associated with the processing of this <br />application are the responsibility of the applicant whether this application is approved or denied. Any excess of <br />escrow account deposits over expenditures will be refunded at the time of account closure. I also understand <br />that as the applicant, it is my responsibility to obtain all other permits or licenses required by any applicable <br />regulata agencies for this Land Use Application. <br /> <br /> <br />(~ (If ~D4 <br />Date <br /> <br />Co-Applicant Signature <br /> <br />Date <br /> <br />I hereby certify that I am the fee title owner/contract for deed vendee of record for the above-mentioned <br />property. Failure to prove ownership may void any agreements entered into by the City of Ramsey and I will be <br />held liab for any and all costs incurred by the City. <br /> <br /> <br />/-1'1-01-; <br /> <br />Date <br /> <br />Co-Property Owner Signature <br /> <br />Date <br /> <br />20f2 <br />Updated: January 2004 <br /> <br />
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