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APP# "+ rI <br /> SF# '"��"3� <br /> Date �' '/`7 <br /> CITY OF PEQUOT LAKES DWSMA L � <br /> SUBDIVISION/REZOIVING APPLICATION � <br /> Name of Applicant� s ��rS��.�,r,`-� � �� Phone 2�C) 5��' ����� <br /> Maili a Address���`� t� f ��� � f <br /> 1 t'� I� <<--� Finai1 � Y�t' C�, f !'1 i�►��N•c� � <br /> City,Sta.te,Zip- (-�1�✓ )�E�✓� �!/�{�� r �7 �- I <br /> Ap�cant is: () Title�older of P operty: �� <br /> Le Owner � �h <br /> Contract Buyer � ��e <br /> Option Holder O � 1�.v� �c,�. m � <br /> Agent () (Address} <br /> Other �� r�.,�'1 f.� �l/I� <br /> ` 1 <br /> Signature of Owner,authorizing applica,tion: <br /> (BY S1-�the owner is certifping thax they have read and underst the' ' accompanping this application.) <br /> Signature of Applica.nt('if different tha.n owner): ,� . <br /> (By sigrung the applicant is certifying that thep ha.ve read and undexstood the instrucdons accompanping this app]icarion,� <br /> Loca.tion of property involved in this reques� J <br /> b d G�'� � � �'� � � <br /> Parcel ID No. ��/�'���C���` �Z�C� Zoning District � �- <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Fina1 Plat ( ) <br /> Metes and Bounds (X) <br /> Rezoning ( ) <br /> 2 °� REV: FEB 2015 <br /> �C�� <br />