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APP# <br /> Date :5-f�L <br /> (for office use onlfi <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISIONIREZONING APPLICATION <br /> Name of Applicant 14k(/1& GL 6 Phone <br /> Matting Address <br /> City,State,Zq) /L. <br /> Applicant is: Title Holder of Property: <br /> Legal Owner <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signature of Owner,authorizing application: <br /> (By signing the owner is cerdfyirg that they have read and understood the instructions this application.) <br /> Signature of Applicant(if different than owner): <br /> (By stgntng the apOkant is certifying that they have read and understood the instructions this application.) <br /> Location of property involved in this request: <br /> Parcel ID No.,-4 9ld 0 aQ 00 70 6 Jn 9 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 />