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" ',", ".- .. :C' Partnership/Corporate Section (continued): Principal Partners/Designated Officials Name: ~/' 4-/Z K- ?TIZ' 4~O L t( Ad:? Title: eFt:? Address: J X'?'}t7 fA ('v.5.5 ~ .5 57 / City: e45/ ge,&#<... State: ~v/ Zip: ,:/-;pl/ . u~~Telephone Number: ~} - ~ 3~ 71' tfl-- Employer (if different from above): Work Telephone Number: 6/ l- 3.1}- 7 fI Z / Name: I2A / t- (? A-1 P v-4'?-l4- Title: & ~ Address: ~ t City: ~ 7;t~tate: Zip: me Telephone Number: Employer (if different from above): WorkTelephoneNumber: 6Iz-3e~ - .3 YL~ Name: . Name: Title: Title: Address: Address: City: Zip: City: State: Zip: Work Telephone Ntilllber: Work Telephone Number: A "Land Use Sign" will be place on the Subject Property to allow Ramsey Residents the opportunity to obtain information about your request. I understand that the application fee is non-refundable. All costs associated with the processing of this application are the responsibility of the applicant whether this application is approved or denied. Ar}y excess of escrow account deposits over expenditures will be refunded at the time of account closure. I also undeqtan~ the appli=t, it ffi my responsibility to obtain all atherpermits or licenses require any applicable regulatJ" 1: far this Land Use Application. /" c..-Fo II~I ]-tP( V- i 1/ C6>{) - I J- 0; Date OWIl presentati e (signature) Date / I hereby certifY that I am the fee title owner or contract for deed vendee (circle o~e) ofrecord for the above mentioned property. Failure to prove ownership may void any agreements entered irifo by the City of Ramsey and I will be held liable for any and all cost incurred by the City. Owner (printed typed) Date Owner (signature) Date