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Pa- soc) <br /> D 15 l�J U APP# 23-55O <br /> JUL 2 7 2023 SF# <br /> 7 27-23 <br /> Date <br /> By CITY OF PEQUOT LAKES <br /> DWSMA <br /> SUBDIVISION/REZONING APPLICATION�i <br /> Name of Applicant ��� $ ( L ^t� Phone 3 b ;�)- 9" /l� <br /> 6 0 <br /> Mailing Address S q 7O N -( M Email J J 1 i.—r e 44.M I l, L ry � <br /> City,State,Zip ?-e Get LA/6-2- r kr c7 y7 Z <br /> Applicant is: Tide Hglpier of Property: <br /> Legal Owner ( ]) e"KGi tf Lr-e <br /> Contract Buyer (D) (Name ��U N /CL € at-at-4 <br /> -/ <br /> Option Holder (0) T�i <br /> Agent (ED Address) /IAIA151y7 <br /> Other <br /> Signature of Owner,authorizing application: t)1 <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 /> Locadin/;firpg involved in chis requ <br /> p Parcel ID No._ r 2.2 OG� Zoning District <br /> as <br /> Nature of request(select only one): <br /> Preliminary Plat( ) <br /> Final Plat ( ) <br /> Metes and Bounds (X) <br /> Rezoning ( ) <br /> 2 REV:APRIL,2019 <br />