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I <br /> �-/''- /� <br /> APP#� <br /> SF#��.�"� <br /> Dat , <br /> CITY OF PEQUOT LASES DWSMA �� <br /> SUBDIVISION/REZOATING APPLICATION <br /> . � <br /> Name ofApplicant Niy%J��� Id4�L° Phone Z�� ,�0� ���4 <br /> Mat�lin,�Address 7�'d _/QOz �7'�`' Ema.� <br /> City,State,Zip .� Yl'I/�/� � �/7Z <br /> Applicant is: Title Holder of Properry: <br /> ��� () ��/I.�.v f�_s /-� /��-�r'�S s� <br /> Contract Buyet () (Name / <br /> Oprion Holder () ��`J�95� �u�/�'i�r �AL <br /> Ag�t �, (Address) <br /> Other <br /> Signatute of Owne�authorizing zpplication: ���C P.e 1� � �o .2�n eYW <br /> (BY sigaing the oavaer is cecti£ying that they have read and undeistood the iastructioas accompan➢iag t�iis application.) <br /> , '� ' � <br /> Signature of Applicant('if different than.owner):' . <br /> (BY�g�ag the aPpli�t is cer�fyinb that they have read and un�stood the iasmictioas accoanpeaying ti�is applir�.rion.) <br /> Loca.tion of property uivolved iu this reques� <br /> Patcel ID No. Z`lOZ7�l0 0 �� d0 9 Zoning Distdct �a��.t��1�!��.•�!" <br /> �/ <br /> Nature of request(sele�t only one): <br /> Prevminary Plat ( ) <br /> Final Plat ( ) l�C�'-z Q n�e "�"ta �u.�'�-L. Kt.S't <br /> CZrz.oL �o h��►2.eJzC,i[� <br /> Metes and Bounds ( ) <br /> Rezoning (� <br /> '�Please see the athdched.Checldist on Pag+e 4. <br /> 2 REV: FEB 2015 <br />