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APP # 0,3—/a9 <br /> Date/011—/6 -D3 <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant (e;+ k1 t V-110/1\TA aline A) 75 /1P <br /> Mailing Address 9.0 Di. 3�v� Email Mt€1S(1te)AS a GIDI,CDr <br /> City, State,Zip Pei ook. LoK s, \en NI 50411 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner <br /> .r i >, t.' S Sk-ex <br /> Contract Buyer () (Name) <br /> Option Holder () (j 2.1 ni 1.)10e(VYS j id <br /> Agent () (Address) PeiVO . LintYles y m N SU'-lq; <br /> Other <br /> • .I <br /> Signature of Owner, authorizing application: ►�..,. V*, ► <br /> (By signing the owner is certifying that they have j. . . understood the instructions acco i,•. '1: 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 /> Location of property involved in this r:.uest: <br /> - P ' Yr — t1 1. It 0 <br /> Sec / 3 CP P i Of bov Lbts 2+ 3 <br /> Fire No. (O2S r J , P a r c e l I D No. 2..C1 0362 P t 60,mO I Zoning District P eS <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds po( <br /> Rezoning O <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 />