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APP# <br /> SF# <br /> Data 2L- <br /> CITY OF PEQUOT LAKES DWSMA v <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant��4 a,t-C'_Q- 1,-( 4 1,<,-)Phone 6L v5 ' <br /> Mailing Address. 7� t-('-ej A2W . Email <br /> City,State,Zip /'f ,C <br /> Applicant is: Title Holder of Property: <br /> Legal Owner <br /> Contract Buyer O (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other (� <br /> Signature of Owner,authorizing application: _t°t ce tC 1 PE LO , <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 operty involved in this quest: <br /> j <br /> Parcel ID No. �F�' / ��� 7 02� I�MeY 2 Zoning District <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds (X) <br /> Rezoning ( ) <br /> 'k**Please see the attached Checklist on Page 4. <br /> 2 REV: MAR 2010 <br />