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�� APP# <br /> �� SF# <br /> � <br /> Date <br /> � <br /> CITY OF PEQUOT LAKES DWSMA_ <br /> LAND USE PERMIT APPLICt�iTION For office use onty <br /> Name of Applicant Real Prope�ty Management Deluxe Phone 2�8-454-�368 <br /> Mailing Addtess 7153 Forthun Rd Ste 140 g�otfice@►pmdeluxe.com <br /> City,Sta.te, Zip Baxter, MN 56425 <br /> Applicant is: Tide Holdex of Propertq: <br /> (if not applicant) <br /> ���n� �� Platinum Investors of Minnesota LLC <br /> Contract Buyer () (Name) <br /> Option Holder () 7153 Forthun Rd Ste 120 <br /> Agent () (Addtess) <br /> ��� Property Management Company Baxter,MN 56425 <br /> (Citq,State, Zip) <br /> Signature of Owner,authorizing application (requited): <br /> (By signing the owner is certifying that they have read and understood the instructions accompanying tlus application) <br /> Signature of Applicant(if different than ownex): <br /> `, (By signing the applicant is certifying that diey have read and undetstood die instructions accompanying this application.) <br /> Location of propexty involved in this requesr. <br /> �Q'b �Lane(Lot�}�-Pequot Terrace Trailer Park- <br /> Property Parcel ID (#on Tax Statement)29101087 ��l'1�'y�G�i�CCOC�q� <br /> Zoning Dismict ,Lake Name <br /> State natuxe of request in detail: (What are you proposing for the property? If a new dwelling,indica.te <br /> number of stories and foundation type.) <br /> moving a new�r " ;mobile home into the lot for rental-owned by the Property Owner Platinum Investors of Minnesota <br /> Approved by the Zoning Department: Date: <br /> � <br /> REV: MARCH 2O19 <br />