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APP#.1-5 <br /> -�f <br /> SF# %�5--,017 <br /> Date <br /> CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVISION REZONING APPLICATION <br /> Name of Applicant ��i-:c.,� .j S,,, r.✓7� /�'e Phone 3 7,��Z Z— <br /> Mailing Address it s Email , .0)ew mr,, <br /> City, State,Zip EY a t <br /> Applicant is: Titl Ho er of Pxop <br /> Legal Owner (' <br /> Contract Buyer /()� ame Z' +=s <br /> Option Holder () <br /> Agent <br /> Other � Y� PAJ <br /> Signature of Owner,authorizing application: <br /> (By signing the owner is certifying that they have read and understo th structions 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 /> Parcel ID No. ?q O I J 2 10 Zoning Distric n• <br /> Nature of request(select only one): be <br /> Preliminary Plat (X) <br /> Final Plat <br /> Metes and Bounds ( ) <br /> Rezoning X <br /> *' Please see the attached Checklist on Page 4. <br /> L <br /> 2 REV: MAR 2010 <br />