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APP # (9/7-5- <br /> Date ,j jf 6`1 <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> 0\ErliN 1 G 2 Name of Applicant 4-\'∎ \ \ .C,�I I Phone ) Lp D - J'.� <br /> Mailing Address i0) U ick,- 71' 3)g Email <br /> City, State,Zip t- doldo I J V i • 5 L Lf - <br /> U <br /> Applicant is: Tie Holder of Property: <br /> Legal Owner -e r )i r1 ,1 i I I S <br /> Y' LS On <br /> Contract Buyer ) (Name) <br /> Option Holder () q 'Y TAu 1-(jZ 11 A Cn <br /> Agent () (Address) )C <br /> Other <br /> Signature of Owner, authorizing application:: <br /> (By signing the owner is certifying that they have 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: <br /> L\ '' -1--;W E vy, 2(c) -7 10, --T r��r,zrn TS) <br /> c)c)ct-LLD-J.-4- JC 1 y <br /> Fire No.1-t I"a s4 14111,9 ,Parcel ID No.;q01 y a to A cetc cl Zoning District <br /> Nature of request(select only one): a e + °� L C <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds 1)6 <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 />