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APP # D,5-//S <br /> Date /?-,?- 3 <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant Little Pine Properties Phone ( 218 ) 82161010 <br /> g Mailin g Address P.O. Box 839 <br /> Email <br /> City, State,Zip Pequot Lakes, MN. 56472 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner ( X Little Pine Properties <br /> Contract Buyer () (Name) <br /> Option Holder () P.O. Box 839 <br /> Agent O (Address) <br /> Other Pequot Lakes, MN. 56472 <br /> Signature of Owner, authorizing application: <br /> 6°\- c ' <br /> (By signing the owner is certifying that they have read and understood the• .1 .ions acco Ili • g • application.) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifying that they have read and understood the instructions accompanying this application.) <br /> Location of property involved in this request: <br /> 4208 Brown Street, Pequot Lakes, MN. 56472 <br /> Fire No. ,Parcel ID No.,9?9/)64O, aC(.07 Zoning District <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds )(xkxxx <br /> Rezoning ( ) <br /> Note: Applicants may apply for Preliminary Plat and Final Plat at the same time, but they <br /> must be on separate applications. Preliminary Plat and Final Plat hearings will not be held at <br /> the same meeting. Effective date of Final Plat application will be the date of Preliminary Plat <br /> approval. <br /> REV: JAN 2002 <br />