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APP# a3 <br /> SF# <br /> Date <br /> CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant'e:iw �'.�W Phone c,45 -Coact (Di <br /> Mailing Address 4Dq4---G`tM f.L 1c Retail 0w. .e..I(SC1►kO?.2..e/ <br /> City,State,Zip U04 � � - 1. <br /> Applicant is: Title Holder of Property: <br /> Legal Owner (' <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Ad•� <br /> Other a , <br /> Signature of Owner,authorizing application: <br /> (By signing the owner is certifying that they have read and understood the instructions 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 this request <br /> LiC/ Cd-Ce 12A. t c)g <br /> Parcel ID No. Zq 2 70-1 c q Zoning District <br /> 2q©2t Zak,o, <br /> Nature of request(select only one): <br /> APR 0 3 2023 <br /> Preliminary Plat ( ) <br /> Final Plat ( ) By <br /> Metes and Bounds (X) <br /> Rezoning ( ) <br /> 2 REV:APRIL, 2019 <br />