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APP#O57—6 <br /> Date 5-,17 <br /> (for Moe use«dy) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION � � <br /> Name of Applicant C �(%j'P _ "CI'" .� Phone r✓Lam► `' <br /> �r jj 6Z/9 3 D <br /> Ma&g Address ` d l-D fT Ema�1 <br /> �,stagy,� �' 4 <br /> Applicant is: T' Holder of <br /> Legal Owner ��o�� <br /> Buyer m Opts 7 40101 � z� <br /> Agent () (Address) d:s Ow , <br /> Odier <br /> S*nature of Owner,authorizing application: 1� <br /> Py sgmg the owner n cerbfymg tit they hm read and tndenoDoa d3c twirucdons wcon4xwr%da ) <br /> Signature of Applicant(if different than owner): <br /> (By sping the ap*a t is ma6i%that they have Dead and understood the insmxaom wcotn¢maPing dw mum) <br /> of petty involved in this request: <br /> Parcel ID No. ago io o&56,5 415 0 0 0 9 zoning District <br /> Nature of request(select only one <br /> Piefiminaty P <br /> Final Plat ( ) <br /> Metes and Bounds ( ) <br /> Rezoning ( ) <br /> Now Applicants may apply for PreLimmary Plat and Final Plat at the same time,but they must <br /> be on separate applications. Platy Plat and Final Plat hearings wM 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 />