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APP# Oq-// <br /> SF# <br /> Date -o <br /> CITY OF PEQUOT LAKES DWSMA NO <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant E4 U 6 l � L L i�, Phone 3ba - 32 3 -o a G9 <br /> Mailing Address r -Q ` -00 K C, f EnUR <br /> City,State,Zip(A10,52-" M KI �� ¢ <br /> Applicant is: Title Holder of Prop' <br /> Legal Owner (—e- <br /> Contract Buyer <br /> Option Holder <br /> Agent () (Address)CiQQSSC ML/ Af S :-' <br /> Other <br /> Signature of Owner,authorizing application: <br /> (By signing the owner is certifying that they have read and understood the instActions accompanying this application.) <br /> Signature of Applicant(if different than owner): 44- <br /> (By signing the applicant is certifying that they have read and understood the instructions accompanying this application) <br /> Location of operty involved in this request: <br /> L <br /> 301-It 6-L b f,4-w Y� ��-++--3 :Z1 <br /> ��Q c�e� � ct c.S, v►� <br /> Parcel ID No. d 9 1130040 0 g'a W 9 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 attached Checklist 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 />