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FROM : CI TY_OF PEQUOT_LAKES FAX NO. 2185687229 Jan. 28 2004 12:26PM P2 <br /> 01,12/2004 12:27 FAI xia sea nano <br /> APP f 04` ! <br /> Date <br /> (tat Woo u...wiN <br /> C.,i'nY OP PEWIT LAKES <br /> U_ 1J 1. :M .1 d 1 pp -- •M_s <br /> l �t� <br /> (a 31S. r)2_. <br /> Name of Applicant _4 _ Phone <br /> Araa CeL14- --CROk • <br /> Mang Address <br /> City,Sty Zip _ ._ ►, dir • t <br /> pis: <br /> Legal owner <br /> Contract Buyer () ro_LaCvlaikAint: <br /> Option Holder <br /> Agog () r}I/t) ,� dU Isce <br /> `"Mr <br /> Sgrsdere of Owner,authorizing a -=` d y <br /> At AN <br /> Sigpaboe of i <br /> Applicant have�sad . .... • de bmn.caioos scarnpanyia6 this spplinaboa) <br /> cam!' $�e apps is a8��i' <br /> Location of property involved in this request; <br /> Fire No. ,Pared ID Nod91.3/ Dittlrict 122-gee:— <br /> Nature of request(sort only ono): <br /> Pn,rteibtay Plat ( ) <br /> PiinslPlat ( ) <br /> Metes and Basmds 00 <br /> Running t ) <br /> Note: Applicants may apply for Preliminary Plat and Hail Plat at the rause tip,but they <br /> mast he.n seisetatt applicarient. Prthadaary Plat and Thal Plat bearing wall not be held at <br /> We name ceding. Effective date of Fatal Plat appfratior i 16e the date of Preliminary Fiat <br /> appraeaL <br /> REV;JAN 2002 <br />