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li Tii0r `7 <br /> I APP#// / <br /> 11 MAY H 2017 SF# /7-4/4>i <br /> I <br /> By Dated "//-/ 7 <br /> CITY OF PEQU is if 1:- - - ------ ----- DWSMA 4/0 <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant X67/715 1li/t �- Phone 9;Zr-4 63 -4o <br /> Mailing ing Address /52)f 6fl2l® ' e /t Xl Email di k"edd/t4 4/L /e 2", <br /> City,State,Zip 4/4/17'O , CA- yf-. s--Z 7 <br /> Applicant is: Title 2 older of Property: <br /> Legal Owner li/ O•e--7/ ', A. /4 '4/ <br /> Contract Buyer () (Name <br /> Option Holder 0 � V 9 f/0"11/577,‹ *4/— <br /> Agent <br /> Address() (Address) <br /> (#17Other �jL� <br /> Signature of Owner,authorizing application: /,� //ilr/l�.AI ; i/ <br /> (By signing the owner is certifying that they have read an.understood the instructions accom. .rt this application.) <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 /> gi4 41,e4 _576 rete6v(fait d rioe4a/ io, ,,,,Efrozet, eye, <br /> ,,, <br /> Parcel ID No. -,1 f J ;3,/e tri f e? =r'-. % Zoning District <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds ( ) <br /> Rezoning (X) <br /> ' Please see the attached Checklist on Page 4. <br /> 2 REV: FEB 2015 <br />