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APP# -- �� <br /> SF# <br /> Date ��/ --/� <br /> CITY OF PEQUOT LAI�g DWSMA /1�1� <br /> SUBDIVISION/REZOI�TING APPLICATION <br /> Name of Applicant ' hone_���- �<��� <br /> Mailing Address � �'�� . E� <br /> City,State,Zip �� <br /> Applicant is: Tide Holder of Pro e <br /> Legal Owner � p �' <br /> Contract Buyer (� ��e� <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signature of Owner,authorizing application: ,//u�n.c,�.,L, `����,�� <br /> (By signing the owner is certifying that they have read and understoo the mstru "ons accompanping this application.) <br /> Signature of Applicant (if different than ownex): <br /> (By signing the applicant is certifying that they have read and understood the instructions accompanying this application.) <br /> Location of property involved in this request: <br /> ; G � �� ����' <br /> Parcel ID No. �%//� ���.�2 fZ'% C�Z' J Zoning District / <br /> Nature of request (select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( � <br /> Metes and Bounds ( ) <br /> Rezoning (� /�Cl,�/'L-��' 7 0 L/ C*�fT .�/�. <br /> 'k**Please see the attached Checklist on Page 4. <br /> 2 REV: FEB 2015 <br />