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APP# / <br /> Date'r/—.v -D <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant s M is s S_ Sq ft Phone 941K-9-19.-T301 <br /> Mailing Address 27-144-4 CD u #j:W �jL1 o 7— Email 5-4,VD y�i«4 •�� <br /> City,State,Zip t�uQ j L Aksas , A44- Sb Y{1Z <br /> Applicant is: Title Holder of Property: <br /> Legal Owner <br /> Contract Buyer O (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signature of Owner,authorizing application: • <br /> (By signing the owner is certifying that they have read an stood the instru 'ons accompanying this application) <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 request: <br /> Parcel ID No. —Zoning District SS <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 <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 2005 <br />