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r <br /> ORIGINAL_ APP# <br /> SF# <br /> Date <br /> CITY OF PEQUOT LAKES DWSMA l e.d--� <br /> SUBDIVISION/REZONING APPLICATION <br /> Chi- <br /> Name of Applicant �� � r i�t 1+4e/ t(q kge <br /> Mailing Address X9 0 �`,' V o° *' Fmk y tC <br /> City, State, Zip ` e �� Ott t�( 's o ��� `� A,\ <br /> Applicant is: Title Holder of Property: <br /> Legal Owner A� 4 <br /> Contract Buyer O (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <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 rope involved in this request; <br /> ( Co v-x n � ( �---- <br /> Parcel ID No. � � ' ���O(`) D©Q(j Zoning District (1l &It4 <br /> Nature of request(select only one): <br /> Preliminary Plat ( } <br /> Final Plat ( ) <br /> Metes and Bounds <br /> Rezoning (X) <br /> Please see the attached Checklist on Page 4. <br /> 2 REV:AUG 2013 <br />