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APP# <br /> Date <br /> DWSMA <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant City of Pequot Lakes Phone 218-568-5222 <br /> Mailing g Address 4638 Main St Email <br /> City,State,Zip Pequot Lakes, MN 56472 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner City of Pequot Lakes <br /> Contract Buyer (Name) <br /> Option Holder 4638 Main St Pequot Lakes, MN 56472 <br /> Agent (Address) <br /> Other <br /> Signature of Owner,authorizing application: <br /> (By signing the owner is certifying that they have read and understood the instructions accompanying this 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 /> Outlot A, Heart of the Good Life Plat, Section 23, Township 136, Range 29, Crow Winq County, MN <br /> Parcel ID No. 29230531 Zoning District Patriot Development <br /> Nature of request(select only one): <br /> Preliminary Plat( ) <br /> Final Plat (X) <br /> Metes and Bounds ( ) <br /> Rezoning ( ) <br /> *'t°k Please see the Checklist attached on page 4. <br /> 2 REV: AUG 2020 <br />