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APP# ©6 <br /> Date -"ad-64o <br /> (for office use only) <br /> `-' CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant ou 1I ed y� Phone <br /> or,'It/ <br /> Mailing Address D �ox 3 Email <br /> City,State,Zip 24 u k'nc <br /> Applicant is: Title Holder of Pro <br /> Legal Owner /40 <br /> Contract Buyer () (Name) <br /> Option Holder a 3 0c-t `l •O ,�d�C o? �es������i <br /> Agent () (Address) �'N <br /> Other y�� <br /> Signature of Owner,authorizing application: <br /> (By signing the owner is certifying that they have read and understood the trucdow accompanying this application.) <br /> Signature of Applicant(if different than owner): <br /> (By stgntng the applicant is certifying that they have read and understood the instructions accompanying this application.) <br /> Location of pro erty involved in fly's rest: _ <br /> -P"�O� L� 1� S t <br /> `•- 3 i pro '3 . D o�V 0-ii - - �a a s a-C� <br /> Parcel ID No. act 1 000 010 a i 00� Zoning District (� <br /> �.qio©oo1 D�3 c�� <br /> Nature of re4ues4ele0c0tt 004 on°e)a`4 v �° <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 /> REV: JAN 2005 <br />