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APP# <br /> SF# <br /> Date <br /> CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant t e'�r,� �� � Phone 36 o 3q 3 0Z <br /> Mailing Address DO Y x ! Email <br /> City,State,Zip 6-n ,kk Mk) <br /> Applicant is: Title Holder of Property: <br /> Legal Owner Pei; & <br /> Contract Buyer O (Name) <br /> Option Holder �- <br /> Agent O (Address) <br /> Other <br /> Signature of Owner,authorizing application: <br /> (By signing the,owner is certifying that they have read and understood the instructions accompanying this application.) <br /> Signature of Applicant(if different than owner): , �O -11'11« <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 /> Parcel ID No. o2 V�� 06 40 3000 <br /> '{� Zoning District_ <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat <br /> Metes and Bounds ( ) <br /> Rezoning ( ) <br /> ***Please see the Checklist attached on page 4. <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 /> 2 REV: MAR 2009 <br />