Laserfiche WebLink
APP# - <br /> SF# <br /> Date�_-3���C� <br /> CITY OF PEQUOT LAKES DWSMA ��� <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant_���� �� ��C�L(O� ��'�jl Phone Jr��`v"��� <br /> Mailing Address ��'.L� � f�-I llJ �� Email <br /> City,State,Zip_ 1" � <br /> Applicant is: Title Holder of Property: <br /> LegalOwner � .�f-'�-��'1�� <br /> Contract Buyex () (Name� <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signature of Owner,authorizing application: ��-c�� ��a�Z�cit�✓ X <br /> (By signing the owner is certifying that they have read and understood the instruc'ons accompanying this application.) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifying that they have read and understood the inshvctions accompanying this application.) <br /> Loc tion of property invol d in this request <br /> ��L���E'T ��F !tf� �9-C�--C'�l� �� -F'� ��l �f�/'h��tl% <br /> ���5�n/ �ll�-� <br /> Parcel ID No.�����5 �� i� ��,���o�d" Zoning Distdct � <br /> � t���3�/� <br /> Nature of request (select only one): <br /> Preliminary Plat (� <br /> Fina1 Plat ( ) <br /> Metes and Bounds ( ) <br /> Rezoning ( ) <br /> ***Please see the attached Checklist on Page 4. <br /> 2 REV:MARCH 2O19 <br />