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APP# <br /> SF# <br /> Date <br /> CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant Phone <br /> Mailing Address Finail <br /> City,Sta.te, Zip <br /> Applicant is: Tide Holder of Property: <br /> Lega1 Owner () <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signatuxe of Owner,authorizing application: <br /> (By sa i�the owner is certifying that they have read and undezstood the instructions accompanying this application.) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifjring that they have read and undetstood the instructions accompanping this application.) <br /> Location of property involved in this request <br /> Parcel ID No. Zoning District <br /> Natute of request(select only one): <br /> Preliminary Pla,t (� <br /> Final Pla.t ( ) <br /> Metes and Bounds ( ) <br /> Rezoning ( ) <br /> '�*Please see the attached Checklist on Page 4. <br /> 2 REV: FEB 2015 <br />