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1 APP -//7 <br /> , #�y <br /> Date 5---74--cyI <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> 1 SUBDIVISION/REZONING APPLICATION <br /> IName of Applicant 4‘0// rj,E°,g g zi,C Phone //g'5? 111 <br /> Mailing Address ' 4 ( ' '// - Email 9(Ae a.A -te(4,, <br /> City, State,Zip ,6' )`,/ii% /1=)--& <br /> S <br /> Applicant is: Title Holder of Property: <br /> Legal Owner } <br /> Contract Buyer O (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signature of Owner, authorizing application: 7'' <br /> (By signing the owner is certifying that they have read and undo the instnictio accompanying this application.) <br /> 1 <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 /> AZi K c , , -U' I9 6--e1-4/ <br /> I <br /> I Fire No. , Parcel ID No. Zoning District 7 <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> IFinal Plat ql <br /> Metes and Bounds ( ) <br /> I <br /> Rezoning ( ) <br /> I Note: Applicants may apply for Preliminary Plat and Final Plat at the same time, but the <br /> t7' � 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 />