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APP # C%4/- 75 <br /> Date 7—`1-04' <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> � <br /> Name of Applicant P()\ 6 (v Phone(a\6 1 l J iC> - -7L3-7 <br /> Mailing Address \ n ..�>s-k-- CttAt �j.\-- Email -2() \fev/ w e, CC\ •CCU <br /> City, State,Zip Ppt;64.- "S, .U14 5 0(1 ---12.__ <br /> Applicant is: Titti Holder f�perty: <br /> Legal Owner Ok\\, <br /> Contract Buyer O (Name) <br /> Option Holder O \ - 6^t\r___'-St- <br /> Agent () (Address) <br /> Other <br /> Signature of Owner, authorizin g application: Zi_7l <br /> (By signing the owner is certifying that they have read and uncle•4i.. the• • ns acco g 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 /> � <br /> 0v)e(nn1e,te kct1S , '(-ham ∎-0 , <br /> Fire No. 3v, ,Parcel ID No. 9C2 3//S,T 6.nC2D ? Zoning District �� <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds k) <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 />