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APP#�/ <br /> SF# <br /> Date S"--� <br /> CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVISION/REZOIVING APPLICATION <br /> Name of Applicant � Y�(,U(� Ot/� Phone ���7 r���r��/� <br /> Mailing Address ��0 0 �/V11� �� g� ff�Qr,�.�-(��/t���•l/�� <br /> City,State,Zip,..��� /�/�f/�/ y � <br /> Applicant is: ' e Holder of Property: <br /> Lega1 Owner () <br /> Contract Buyer () ��e) � <br /> Option Holder () S a �,,,I <br /> �r/ <br /> Agent ,(�' (Address) <br /> Other <br /> Signa,ture of Owner,authorizing application:�.P.�� � ,_,,.�//� <br /> (By signing the owner is certifyiug that they have read and understood the instructions accompanyiag this application.) <br /> Signature of Applicant('if different than owner): <br /> (By siguing the applicant is certifying that they have iead and understood the instrucrions accompanying this application.) <br /> Location of property involved in this reques����, Jf � �� ����v// <br /> V)"(/✓ GC� � <br /> G� �I � <br /> Parcel ID No._ �-�����7�(�(��� Zoning Distdct <br /> Nature of request(select ontp one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds ( ) <br /> Rezoning (� <br /> 'k**Please see the attached Checklist on Page 4. <br /> 2 REV: FEB 2015 <br />