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APP#6�-6 <br /> Date Y-G -> <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant 4", Phone a-L%— <br /> Mailing Address 15qq 301- -4u--Q— S to Email -'a AJ <br /> City,State,Zip nY 03 5�0q,3 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner ':�' <br /> Contract Buyer O (Name) <br /> Option Holder () <br /> Agent O (Address) <br /> Other <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 re uest: <br /> ri CU C/7 <br /> Parcel ID No. ,.Q C7 I q a9.,D 0 j d A0dq Zoning 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 <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 />