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APP# /�Z-5 <br /> SF#-� <br /> Date <br /> CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant_AIN L?flkl f i�9�L,i�l�c �.D 01?e FkS '�� one <br /> Mailing Address t�C_'� r_'x �� L�j Email <br /> City, State,Zip •t--c,�u_c, L/t t,E IL-f /tom :!-;L 11 7 2 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner {) <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other ((�� <br /> Signature of Owner,authorizing application:&c��''�1 C_�46N %�- <br /> (By signing the owner is certifying that they have read and understood the instructions accompanying this <br /> 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 <br /> application.) <br /> Location of property involved in this request: <br /> Parcel ID No. .2 .l �' AC &L I A --6;L%`/ Zoning � District <br /> Nature of request (select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds (X) <br /> 3 REV:AUG 2013 <br />