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APP # (.94,1-yO <br /> 11 Date —�o—O� <br /> _ (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION p`l - CP D <br /> 0 <br /> Name of Applicant Geu Y� Rik F')ided{ alle one <br /> Mailing Address p.(?, 31), Email ]INAltal�(S\1‘P.ts a CIO ,CD <br /> City, State,Zip Pe U«r - L KeS; hn N 5(1)Li rl 2 J <br /> Applicant is: Title Holder of Property <br /> Legal Owner (exc V\ <br /> O Fo-e4 4- i *e Shk c <br /> OptionBuyer () (Name) <br /> Holder () 0 231 )11de 4ness <br /> Agent () (Address $e q U�- ( Kes MN CPW gZ <br /> Signature of Owner, authorizing application: / liA <br /> (By signing the owner is certifying that they have read Si• • 8 the instructions acco • g this 'cation) <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 /> st L._ <br /> Location of property involved in this r:•uest: <br /> (9LI `1 wildeones5 0 • ‘)ectt04- LM?. S X1'11 \ StotJrla,_ <br /> Sec,/ 3(T PI bf (4orl Lb 2+ <br /> Fire No. 023 r) ,Parcel ID No. 630 1 BOCO I Zoning District '?' , tf a K?S. <br /> Nature of request(select only one): <br /> Preliminary Plat O <br /> Final Plat ( ) <br /> { Metes and Bounds <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 /> 1 <br /> REV: JAN 2002 <br />