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APP # <br /> r Date <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> ISUBDIVISION/REZONING APPLICATION <br /> i ii 1 <br /> Name of Applicant (e Y 8, i Q T C 2 I t�0 J n Phone 95 a (4 3 a `3 76 / <br /> C -o.k w o od d Email <br /> Mailing Address 1 aq � , .., <br /> 11 City, State,Zip A p P !e U 4. ( 1 ,e y I 1 N N , S5 /3.1 <br /> 1 Applicant is: Title Holder of Property: <br /> �; Legal Owner () <br /> Contract Buyer O (Name) <br /> 1 Opti...Helder <br /> vYtay..t <br /> Agent O (Address) <br /> Other n Q <br /> I Signature of Owner, authorizing application: /101'3 l c;��l il.A-'•-!"-.1 <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: L o i 3 B I o c k -1-- R"5 k Bay <br /> . <br /> <°ka(ey 1,_-_,3 e. .d . Pecjvot Lakes Clrov.: w 't.� ci c:..� :�41 <br /> S'‘ble_l TowtJsWip R ,) s " BAy s - 13G --aq' <br /> IFire No. ,Parcel ID No. Zoning District ad <br /> Nature of request(select only one): <br /> Preliminary mutary ( ) <br /> 1 Final Plat ( ) <br /> Metes and Bounds ( ) <br /> Rezoning ( mow <br /> (-L.) 4, R-3 <br /> INote: 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 /> 11 the same meeting. Effective date of Final Plat application will be the date of Preliminary Plat <br /> approval. <br /> ii <br /> REV: JAN 2002 <br /> E <br />