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APP# 'o�' - <br /> SF# <br /> Date,W - i <br /> CITY OF PEQUOT LAKES DWSMA &6 <br /> SUBDIVISION/R <br /> �EZONING APPLICATION <br /> Name of Applicant ^ <br /> 1--t°�^ t �ICy1SOY1 Phone 965' 4`t'Q3 <br /> Mailing Address 3 Z(e O Z C+ J ?,ak ((2 Email <br /> City,State,Zip 4Ai n+ �k.S. yv l o 9(..47Z- <br /> Applicant <br /> 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: <br /> (By signing the owner is certifying that they have read and 4 derstood 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 property invohred in this request: <br /> Parcel ID No. Z 9 o o Z.Z.$ o o A 000O°y Zoning District <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds ( <br /> Rezoning �( <br /> 'k**Please see the attached Checklist on Page 4. <br /> 2 REV:MAR 2010 <br />