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I <br /> APP # <br /> Date <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> IName of Applicant d 0 . ;-4--e t\1C 1-1-i IC- Phone L�/1-•' 5 ` /7/ .4,/0, <br /> Mailing Address✓6/ 6--- 3a3/1/j%e-- 60/ Email <br /> City, State,Zip , , .- A, C1t hi r d (o 4 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner J h J <br /> 1 Contract Buyer () (Name) <br /> Option Holder () 3075—J.07'7'9 4-e 6141 <br /> Agent () (Address) -!'gin/cry <br /> Other <br /> Signature of Owner, authorizing application: at,,4,_ 61 44:4 <br /> 4 <br /> (By signing the owner is certifying that they have read and •- ••• the instructions accompanying this application.) <br /> Signature of Applicant(if different than owner ' d .__,� ��1 <br /> (By signing the applicant is certifying that they have . / rstood the instructions accompanying this application.) <br /> -- Location of property involved in this request: <br /> 6 :2A21", __/;/v C' o /<G — /te'tx/i <br /> Fire No. '7 /i., ,Parcel No. Q/()(23.31-7 GVDOOOQ?Zoning District ��iat <br /> q ooga3000Doo 0 C/.d c <br /> Nature of request(select only one): 9, ,ji3 U 0006009' <br /> Preliminary Plat ( ) <br /> C -t-d// aaO-I'Le <br /> Final Plat ( ) <br /> j 6<-/c? .. eZ7V1r7z<AC '4 <br /> Metes and Bounds ( ) .. 41)z00(-- I • ■ <br /> Rezoning kyi <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 Flat application will be the date of Preliminary Plat <br /> approval. <br /> REV: JAN 2002 <br />