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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 E� <br /> City,Sta,te,Zip <br /> Applicant is: Tide Holder of Property: <br /> Legal Owner () <br /> Contract Buyer () (Name� <br /> Oprion Holder () <br /> Agent () (Address) <br /> Other <br /> Signatute of Owner,authorizing application: <br /> (By sim„�the owner is certifying that they have read and understood the instructions 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 applicarion.) <br /> Location of property involved in this requesr <br /> Parcel ID No. Zoning Distdct <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Fina1 Plat ( ) <br /> Metes and Bounds ( ) <br /> Rezoning (� <br /> 'k**Please see the attached Checklist on Page 4. <br /> 2 REV: FEB 2015 <br />