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APP#mor-4 7 <br /> SF# <br /> Dated-✓P'-r' <br /> CITY OF PEQUOT LAKES DWSMA /1/0 <br /> SSUUBDIVISION/REZONING APPLICATION <br /> Name of Applicant JOU)P) i1- vrt_(-0 esp Phone I ?- <5 I ` 10(, 1 <br /> Mailing Address 3.13 LP Eves 6o AP a Email '3 d 5 $ ' l?T <br /> City,State,Zip Pet ko-1-1.4c 's, M N 56 c 312 <br /> Applicant is: Title Hqlder of roperty: / ( , <br /> Legal Owner X Mrs 1 �ekbee -1`1 1-(.fir(o. <br /> Contract Buyer () (Name) �l x� <br /> Option Holder 0C) uJ ursN l- iuC L <br /> Agent () (Address) <br /> Other <br /> Signature of Owner,authorizing application: k ' p + i 1 . ` ('34)` <br /> (By signing the owner is certifying that they have read an .. ..• the instrucff 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 instructions accompanying this application.) <br /> Location of property involved in s reques <br /> vetzt Lf.„.kes H.0 <br /> CI 4A. P, . t t 's Jac: Of )tx*: 13(o Tailitr Q)q P1-1- e5G A <br /> Parcel ID No. 071010501 l Zoning District 1 <br /> 46-- <br /> go-v--e--e-vce 9 <br /> Nature of request(select only one): `� q���� <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds ( ) <br /> Rezoning (X) -Vr6yv\ A-S 1I1 <br /> awic Please see the attached Checklist on Page 4. <br /> 2 REV:FEB 2015 <br />