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APP# <br /> SF#��� !q <br /> Date —i <br /> CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant S%A juyG LJ /4Zt:hone <br /> C *�l >0C i T FA A;' ��y ��e;*����I re P_• - t ta.f��c <br /> Mailing Address '7 4, y �h Email m it CU7 Ccn1� S1:/?�`� <br /> v <br /> City, State, Zip 6 rd v'e, <br /> Applicant is: Title Holder of Property: <br /> Legal Owner . .6�rh-rC C)L!A.1 <br /> Contract Buyer O (Name) <br /> Option Holder () 3%d(- 7 v; 4/ g/`u, a sr <br /> Agent () (Address) <br /> Other <br /> /,' ,Signature of Owner, authorizing application: A/I�IAAq <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 applicar�t is certifying that they have read and understood the instructions accompanying this <br /> application.) <br /> Location of property involved in this request: <br /> qtr 7`S Tr1r ! rn /rC'/i<4l ilk <br /> Parcel ID No. • %' C/ 1:11 /, C_ �G'Cf Zoning District <br /> Nature of request (select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) -�-; <br /> Metes and Bounds (X) O r r tl /OIL T /V`e(r <br /> 3 REV AUG 2013 <br />