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APP# 5-- <br /> Date 1�-,�/DS <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant , =L f_,(/ 25 -Kf ti 16 Phone S 7 e7Z6 � <br /> Mailing Address tJ�(1 7.� "J L t tti/,� "7 Email <br /> City,State,Zip <br /> Applicant is: Tide Holder of Property: <br /> Legal Owner \ 7,r9 a i . <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 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 /> Lo ion of property involved in this request: <br /> Parcel ID No..--;7 1d AI 2, 5`'2 6re--1 Zoning District !� <br /> Nature of request(select only one): <br /> Preliminary Plat( ) <br /> Final Plat 54 <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 /> REV' .I; 2i)05 <br />