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APP #03--81/ <br /> Date f 2/—O3 <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant J o Y(.6 A M lKES4t 4 Phone 2 i8-S 3 3 —') L3 <br /> Je-ti"-K So come,L.) <br /> Mailing Address Z 21(•3 atli g.01vb b Email ru Y e.s 14 Q LAS L <br /> C i t y, State,Zip M C—I k t c c F t L-r p, M S r, G< <br /> Applicant is: Title Holder of Property: <br /> Legal Owner <br /> Contract Buyer () (Name) <br /> Option Holder O <br /> Agent () (Address) <br /> Other <br /> Signature of Owner, authorizing application: ,i <br /> (By signing the owner is certifying that they have read i a 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 /> qz• Cb U ) nj koaoa Uri. PeQtsor L.41cea, A4 A) <br /> Fire No. .34q2- ,Parcel ID Nq 9O, 2 . 3aa&Cr),W' Zoning District ,Z <br /> Nature of request(select only one): <br /> Preliminary Plat 00 <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 2002 <br />