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APP# " o/ <br /> SF#./� -f1716-7 <br /> Date,//`-/9 7/6;2 <br /> CITY OF PEQUOT LAKES DWSMA /1/41 <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant pint i(bt' Phone <br /> Mailing Address 2111 Email )& k(i(, <br /> City,State,Zip NA SZM it 1O 57o 4651 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner C'7 <br /> Contract Buyer () (Name) <br /> Option Holder 0 <br /> ) <br /> Agent () (Address) <br /> Other <br /> / t <br /> Signature of Owner,authorizing application: „( , . _= j/ - i ..`'. <br /> (By signing the owner is certifying that they have read an.ndersto. the instructions acc.,•-.-.ying this a lir cation.) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifying that they have read and understood the instructions accompanying this application.) <br /> Location of property involved in this request <br /> pAll-- 6 1,8,1b(4.14,44- Qv , Ovw -,t,t ) <br /> So2ç <br /> Parcel ID No. Q D Z S I O b Z C)0 5 Zoning District 7 <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds (X) <br /> Rezoning ( ) <br /> 2 REV: FEB 2015 <br />