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APP#/ <br /> SF#/Z--��/,/- <br /> Date - `/7 <br /> CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVI�,SI((ON/REZONING APPLICATION <br /> Name of Applicant lA�� IJe.J Vtd-0t1 N Phone <br /> Mailing Address s F-� Email ev.ul A-r-,�(3C, fjct Duk <br /> City,State,Zip v Z <br /> Applicant is: Title Holder ofPrope <br /> Legal Owner f�}� � c E N am �2 U�/v(/�N ✓V <br /> Contract Buyer () (Naine) r <br /> Option Holderd. ��O s'6 q7 <br /> Other Z <br /> Agent () ddress) <br /> Signature of Owner,authorizing application: <br /> (By signing the owner is certifying that they have read and 7 <br /> understood the' tructions accompanying 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 p k (fa <br /> a4— <br /> Parcel ID No. -,d, ! 00 '2-7,7-, G oning District <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds N <br /> Rezoning ( ) <br /> 2 REV: FEB 2015 <br />