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APP# � <br /> Date - e)5 <br /> (for office use mW <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant k-,11 -.4/-/140-;,7 k_j i2 rA411iri Phone �•3- �''�7` <br /> Mailing Address <br /> City,State,Zip 0" <br /> Applicant is: Tide Holder of Property: <br /> Legal Owner <br /> Contract Buyer () (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 umuucwm 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 imsuucwm accompanying this application.) <br /> Location of roperty involved in this request: <br /> Parcel ID No.,:f,-,?q&/0�aCo��o� 9 Zoning District <br /> Nature of request(select only one): <br /> Preliminary Plat( ) <br /> Final Plat ( ) <br /> Metes and Bounds ( ) <br /> Rezoning -TO ,� <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 />