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APP #,09—/7 <br /> Date - 3-G <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDMSION/REZONX'ed INNG APPLICATION <br /> Name of Applicant �l t + �.°�- :1 yc,e_ 1 . / Phone 7 4 3- /L- o c?47- A4 ,� _ <br /> Mailing Address/�4 3 eg n, Email 3 e-u)Q !L�i @ e�►' /,^/s' �f <br /> City, State,Zip o u <br /> Applicant is: Title Holder of Property: <br /> Legal Owner () <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signature of Owner, authorizing application: q-�Do'�-A <br /> (By signing the owner is certifying that they have a the instructions accompanying this 'on.) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifying that they have read and understood the insuuctions accompanying this application.) <br /> The West Hoff of the Southeast Quarter of the Northwest Quarter of the <br /> Location of propertl involved in this request: Northwest Quarter of Section 34, Township 136 North, Range 29 West, Crow <br /> County, Minnesota <br /> / ,P /� AND <br /> fiat part of the Southwest Quarter of the Northwest Quarter of the <br /> Northwest Quarter of said Section 34 which ties southeasterly of the <br /> centerline of Hurfig Rood. Subject to the right—of—way for Hurtig Rood. <br /> Subject to easements, reserwftons and restrictions of record, if any <br /> Fire No. ,Parcel ID No. Zoning District F <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds M <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 />