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/ J��"�� <br /> APP# -f�"a- <br /> SF#�9 <br /> Dafi • _ �_ <br /> CITY OF PEQUOT LASES DWSMA /��� <br /> SUBDIVISIONIREZOIVING APPLICATION <br /> Name of Applicant C�S�i77�/a- �G�QAE' Phone Z/� .�6 v4 4'9�o <br /> , <br /> Ma+�Address �� tt�X �%� Finay7 �/�� �aj?ey�.G+U'�.s"Gc/�y' <br /> � s � -�,� �d� z�a.�.s �•� s� y7z ��� <br /> �� � r <br /> Applicaut is: Tifle aldeY of Pro <br /> I,egalOwner () �Gr�-/PJ' ry�e�/""SotZ... <br /> Contract Buper () ��� <br /> Option Holdcr () " 9 � zc � <br /> Agent � (Address) - <br /> Other <br /> Signature af Owne�authorizing applicatian: • �2h/�o'L�t1 <br /> (Bq s�gntng the ocvaec is certifping that they have read and waderstood the insnucfions aca�mpanying ttris applicatioa.} <br /> !'u- � <br /> Signature of Applicant('if different tha.a owner): <br /> �Y��aPP�t����+t they have read�ad the instructions accompanyiag this applicatiosi,) <br /> Locaxion of pro�involQed in this reques� • <br /> L�-� ,Pa� ��_ 8�, f-{Gc�.-l'IG- ,�a�1D � <br /> S'?t3?� 'T�-uN'� jc.J ..� / <br /> Parcel ID No. Z9D 7_7l/G'd�,�� ��` ZoningDistrict �ares`?G'�a.rue.qti�¢.+�-�' <br /> ,/ <br /> Natute of request{select onlp one): <br /> Preliminary P�ax ( ) <br /> Final Plat ( ) <br /> Metes aad Bounds {X} <br /> Rezoning <br /> 2 REV: FEB 2015 <br />