Laserfiche WebLink
APP# <br /> Date <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant fit�b c c4��(' Phone 569 5332. <br /> Mailing Address 9�ZZ ©Ls° Z'A-D Email <br /> City,State,Zip PG Au c i LjA4jP MAJ 5b�-12_ <br /> Applicant is: Title Holder of Property: <br /> Legal Owner <br /> Contract Buyer O (Name) <br /> Option Holder — <br /> Agent () (Address) <br /> Other <br /> � I r <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): <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 /> T eF /l/C/y SGT 7diV <br /> Fire No. ,Parcel ID No � �o oning District <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 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 /> r REV:JAN 2005 <br />