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APP # <br /> Date/, z'� <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant F;z e,3 Ti i,,pp Phone ZY5 - 333 <br /> Mailing Address 3 S 7 CLIA.„, ,� R� 168 Email <br /> City, State,Zip P�el l iQT LA rry 61,3 X 117 7 <br /> Applicant is: Title Holder of roperty: <br /> Legal Owner 2E,�rr' 1•.l 4. <br /> Contract Buyer () (Name) <br /> Option Holder () 3519 w-rM * , 1k3 <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 .. s mpanying 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 proper involved in/this request: <br /> 3 5-79 L,,-ri1 ru 14 e <br /> V�c�LkO r Lit( s ✓11,0. 5Z17 <br /> Fire No. ,Parcel ID No. Z 5f c Z 7 Z z C 7.63 c'DC'9Zoning District k <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds 06 <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 />