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APP#C'?� ' <br /> Date — <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant c. Phone <br /> Mailing Address 6 I aS Col)r [gt]9(D) .Gu 141W Email+aaa hF(200 1/-a- CDC <br /> City,State,Zip M i n rw 'fiD n-i u rn N S`5 345 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner () Dof-� t h t n5 k i .t I`t1Ay 5 l t T1�B m ��1 <br /> Contract Buyer (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 and understood ons accompanyingihis application) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifying that they have read and uaderst the instructions accompanying this application) <br /> Location of property involved in this request <br /> } to k to <br /> Parcel ID No. L410,nS A i --!!. a b l5. 14 n-(7 n A• y i7[7�Goning District CP271 mP 4 1 <br /> �2�i GiS'�41h•Ofd U pq <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 Bearings 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 /> 4 REV:JAN 2005 <br /> �I <br /> 4 <br />