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APP#Ch <br /> Date 7 <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISIONIREZONING APPLICATION <br /> Name of Applicant Kevin McCormick Phone (21W855-1708 <br /> Mailing Address 416 S 611'Street Suite 200 Email_kmceormick@sehine.com <br /> City, State, Zip Brainerd MN 56401 <br /> Applicant is: Title Holder of Property: <br /> I.,egal Owner () Donald O'Brien <br /> Contract Buyer () (Name) <br /> Option Holder () PO Box 23-Niss-vva, MN 56468 <br /> !Agent (L) (Address) <br /> Other <br /> Signature of Owner, authorizing application: <br /> (By sijming the owner is certifyuig 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 involvedui this request: <br /> Lots 4&_5 and the Fast 50 feet of Lot 3 of FOREST PARK according;to the plat thereof. <br /> Parcel ID No. 291210000050009 Zoning District SR <br /> Nature of.request (select only one): <br /> Prelin-driary Plat ( ) <br /> Final Plat ( ) <br /> ,Metes and Bounds ( � <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 2005 <br />