Alpine Acres 2nd - Laserfiche WebLink

Home

Comprehensive Plan Amendment Application Name of Applicant: Tim Pomerleau Name of Business: Oak Creek Builders, Inc. Address: PO Box 238 City: Champlin Zip: 55316 Home Telephone Number: Cell 612-867-6533 Work Telephone Number: 763-421-4885 E-Mail Address: PIN: 23-32-25-32-0005 Fax# 763-421-4932 Zoning: R-1 Fee Title Owner: The Estate of Evelyn Deboer A "Land Use Sign'l will be placed 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. Any excess of escrow account deposlties over expenditures will be refunded at the time of account closure. I also understand that as the applicant, It is my responsibility to obtain all other permits or licenses required by any applicable regulatory agencies for this Land Use Application. /'" frJ Tim Pomerleau X' ~/~ya3 Owner/Representative (print/type) Date Owner/Representative Date I hereby certify that I am the fee title owner/contract for deed vendee of record for the above mentioned property. Failure to prove ownership may void any argeements entered into by the City of Ramsey and I will be held liable for any and all costs incurred by the City. Owner (print/type) Date ~~(}3 Date Tim Pomerleau Please provide a seperate sheet which includes detailed information regarding your comprehensive plan amendment request. To be fj lied out by City of Ra msev: Application amount: / 6 D" em Escrow Amount: Date paid: 5~ b .- C) "3 Cash Receipt C?:2 q '2- Escrow Number: } ~ 5' C, b 'L