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APP# e —j/7 <br /> Date l- 7 l <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant 6qX'� �/h/"i C 61 Phone <br /> Mailing Address J C��C , Email <br /> City,State,Zip 1111 66ZC,'t'� <br /> Applicant is: Title Holder of Property: <br /> Legal Owner X- <br /> Contract Buyer O (Name) <br /> Option Holder () <br /> Agent O (Address) <br /> Other <br /> f , <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 diM request <br /> Parcel ID No � �����J�/ ��0��� Zoning District <br /> I <br /> Nature of request (select only one): <br /> Preliminary Plat( ) <br /> Final Plat (�(S <br /> Metes and Bounds /( ) <br /> Rezoning ( ) <br /> Note: Applicants may apply for Preliminary Plat and Final Plat at the same time,but they must <br /> be on separate applications. Preliminary Plat and Final Plat hearings will not be held at the <br /> same meeting. Effective date of Final Plat application will be the date of Preliminary Plat <br /> approvaL <br /> REV: JAN 2005 <br />