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APP# � <br /> Date <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant �177 ., %ref Phon,-,,-ZZL-,Ie5� X021 <br /> Mailing Address��lf7 S 6 L-IMXIM Email <br /> City,State,Zip 3�C,41j(jle� <br /> Applicant is: Title Holder of Property: <br /> Legal Owner () Cow-, ZV"qzCx— <br /> Contract Buyer (Name) _ <br /> Option Holder () ;,-/.-T q---;Z <br /> Agent () (Address) �0, / <br /> Other <br /> Signature of Owner,authorizing application: <br /> (By ageing the owner is certifying that they have read and understood the' this application.) <br /> Signature of Applicant(if different than owner): <br /> (By stgmag the applicant is certifying that they have read and the instructions accompanying this application.) <br /> Location of propettvolved in <br /> �l�s <br /> Parcel ID No. el 417`d 1 j 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 />