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APP �- a <br /> Date ' /-�S <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION r <br /> Name of Applicant � �c'��rSO V\ Phone 560 ^q o`�r <br /> I <br /> Mailing Address S o v4 R� I-7 Email V14605,!� °' +ck,("t <br /> City,State,Zip a, �tjo+ (.o,6s 9A <br /> Applicant is: Title Holder of Property- <br /> Legal Legal Owner � 14/1u(4 5c6# ,6.Sb4ar jE &00 1 scm <br /> Contract Buyer () (Name) / <br /> Option Holder () 5,?A3 /Z a;f/a 5 <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: I <br /> 7- es a e)nd om C Ad 17 3gZ 3 <br /> Parcel ID No. aclD iOa 03,44 0 V47 I Zoning District <br /> Nature of request(select only one): <br /> Preliminary <br /> 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 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 />