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APP #0i 73 <br /> Date j-7-0 <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant j-0/4-71 Ar . //-1/22 N rt-ye__Phone a 18 pQ q 163 <br /> Mailing Address r ,'0 K. g 2-47 Email J O h r® Ia <br /> k e S A v ?- <br /> 14 Uo 4-0J-.. CO <br /> vtA, <br /> City, Zi p A7/- 3 g))4 , 1\4 )4 j 6 b f <br /> Applicant is: Title Holder of Property: <br /> Legal Owner (Yr (5/1 >11 E <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signature of Owner, authorizing application: /1/_(/ (.L1Li �2_ , <br /> (By signing the owner is certifying that they have read . ,s in-;stood the instructions accompanying this application.) <br /> i <br /> Signature of Applicant(if different than owne 1 <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 /> - S tvAt , S w '/y r Se c �l'o,v I i Th u•A. ,r 4 /f I 74, /moo, tit, <br /> "uAge, ..1 l.,,eJf' 1 (r,)w L4n7 Cdcvetly , Al,t/ <br /> Fire No. O )/(.' ,Parcel ID No. ,, ' 610/33 f2000O ) ' Loning District i°1-- <br /> Nature of request(select only one): <br /> Preliminary 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 <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 />