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APP#� <br /> (for office use only) <br /> `-' CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applican o &I z lELll &a%NPhone <br /> Mailing Address �cl��/ Jr % 17 l L,1 7`7/ Email <br /> City,State,Zip <br /> Applicant is: Title Holder of Property- <br /> Legal <br /> Owner <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signature of Owner,authorizing application: <br /> (By mgnwg the owner is certifying that they have read and understood ons accompanying this application.) <br /> Signature of Applicant(if different than owner): <br /> (By mgning the applicant is certifying that they have read and understood the instruc ions accompanying this application.) <br /> Location of property M' volved in this request <br /> 02 D/D ` ,f o ell 009 <br /> Parcel ID No.G9D/6 d O 0 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 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 />