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APP#�1 -,,� <br /> �. Date lf° <br /> (tor offm use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDMSION/REZONING APPLICATION <br /> Name of Applicant A4,A/7-n 111£t�E S/�3�L.0 ". o 2 4 � <br /> Mailing Address ���/✓T� r /1 Email 1A6—4°41AV-4-81.4*6I,S�Y�'�'�'� <br /> City,State,Zip <br /> Applicant is: T'L e Hold_elf Property: <br /> Legal Owner �f✓"mow;, C��ilC 1 <br /> Contract Buyer () (Name) <br /> Option Holder O '` A ' 161)w <br /> Agent <br /> Other <br /> Signature of Owner,authorizing application: <br /> (By signing the owner is certifying that they have read grid understood'the instruct accompanying thisapplication.) <br /> Signature of Applicant if different than owner): �thePp � )(By signing the applicant is certifying that they have read,and u accompanying this application.) <br /> Loca n gf pr involved in this request <br /> Parcel ID No.e X1.3//QO&W PG 42 Zoning District ko k <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. PreWninaty 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 />