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APP #(2 -� <br /> Date /i-r5G <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISIION/REZONING APPLICATION <br /> Name of Applicant 614A‘tf 161 <br /> - Ark it r S d h Phone 2_13-- 9(3 -7 s'/c) <br /> Mailing Address 'lt 9.3 >d (re-clues) f YI's Pc • Email ct h ce v s o <br /> City, State, Zip a k Q s 4 v 4.- AA) ,( �f <br /> Applicant is: Title Hold r of P perry: � <br /> Legal Owner (Jr a wt a "s f�- ,��,� I� • A�AQ. S <br /> Contract Buyer () T1 (Name) <br /> Option Holder () a hie ct c qi_‘d de . <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 r uest: <br /> 706 /I/1e tleod't ,v / <br /> �, �� <br /> 4,40›, Ai4) 5472—L n <br /> Fire No. 4? D 7 , Parcel ID No.z 9//3 b 6-306 co CO 9 Zoning District 1 k a <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds (J7 <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 />