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APP#. �' <br /> Date Z— 'c/ <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> ��//�� SUBDIVISIONIREZOrIING APPLICA'T'ION <br /> Name of Applicant I7AVA/7 '1 Zl7- P one 2f _ 2�� <br /> �r�r <br /> Mailing Address tiaGFx��[✓�'1{/ �/ EmaiII�II /{''r1/ /JINtl/5 � tc+�J� <br /> City,State,'Lip AC Zr?l 5Z'1- 7Z <br /> Applicant is: 9/y e Hold_"f Property: <br /> Legal Owner �x ✓ Y>l 7.,DdJC� <br /> Contract Brayer {) (Namt:) <br /> Option Holder () `f / <br /> Agent () (Address) °4�F,1i^d! <br /> Other <br /> Signature of Owner,authorizing application. <br /> (By signing the owner is certifying that they have read and understood the instructi accompanying this application) <br /> Signature of Applicant >f different than owner): <br /> L�.✓ V� ��e n 4�IM,►,� �rL <br /> � PP C ) <br /> (By signing the applicant is certifying that they have read and food the instruA&accompanying this application) <br /> Locati n f property involved in is request <br /> `7 7 t rh1 , ,Ct1,*) /;/ <br /> t✓�i G�s�t't3t�t�' 4,'172 <br /> Parcel ID No.-7'Z'9/.3//ol)&f W 00'- Zoning District x 1 _ <br /> Nature of request(select only one): <br /> Preliminary Plat( <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 must <br /> be on separate applications. Preliminary Plat and Final Plat hearings will not be held at the <br /> same meeting. Effective date of Final Plat application will be the date of Preliminary Plat <br /> approval <br /> REV: JAN 2005 <br />