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APP# -(,,3 <br /> SF# <br /> Date��'/� /� <br /> CITY OF PEQUOT LAKES DWSMA �� <br /> SUBDIVISION/REZOI�TING APPLICATION <br /> Name of Applicant k/�/Z ��C G /'�� � iz Phone � �' d��'"���,� <br /> Ma.iling Address �� �OlL ��tp Finail U/'` L�J�,r !'� ��/ <br /> �� <br /> City,Sta.te,Zip_/t�`3 � LCG�t� ����7i� <br /> Applicant is: Ti e Holder of Property: <br /> Lega1 Owner `� �, � � <br /> Conttact Buyer () ��e� <br /> Option Holder (� y+ <br /> Agent �) (Address) ,G��� S �r���� <br /> Other � � <br /> Signature of Owner,authorizing application: <br /> (BY.��,�n'�the owner is cestifyiag that they have read and understood the' ctions accompanying this appfication.) <br /> Signature of Applicant('if different tha.n owner): <br /> (BY �nn the applicant is certifying that they have read and understood the instructions accompanying tbis appfication.) <br /> Loca.tion of property involved in this reques� � <br /> Parcel ID No. ��r/�I���ZA l,�l��Zoning Distdct �/ . <br /> Nature of request(select only one): <br /> Prelitninary Pla.t ( ) <br /> Fina1 Pla.t ( ) <br /> Metes and Bounds ( ) <br /> Rezoning (� ����� %/G�11 �� �(.�/e f4� /���S . <br /> '�Please�ee the attached Checklist on Page 4. <br /> 2 REV: FEB 2015 <br />