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APP# l!9 <br /> SF# <br /> Date <br /> CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant m!'9'c� PG4GYS On Phone 320 3 33 9F/ <br /> Mailing Address S/4 7 A clL l 73h. AI E Email <br /> City,State,Zip lot4,eZ, <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: ��• <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 property involved in this request: <br /> .3 Z?3/ M 7o/ <br /> Parcel ID No. 7-9 00 Z I '4 d D A 0 0 8 O 1 Zoning District <br /> Nature of request(select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds (X) <br /> Rezoning ( ) <br /> 2 REV: MAR 2010 <br />