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APP# <br /> S F#Z— D <br /> Date/ -"e-11 <br /> CITY OF PEQUOT LAKES DWSMA /ll� <br /> SUBDIVISION/REZONING APPLICATION <br /> Name of Applicant Gary Peterson Phone 612-978-9858 <br /> Mailing Address 3712 Lincoln St NE Email <br /> City,State,Zip_Columbia Heights,MN 55421 <br /> Applicant is: Tide Holder of Property: <br /> Legal Owner (x) Gary&Jaculin Peterson <br /> Contract Buyer () 3712 Lincoln St NE <br /> Option Holder () Columbia Heights,MN 55421 <br /> Agent () <br /> Other <br /> Signature of Owner,authorizing applicado <br /> (By signing the owner is certifying that they have rea understood the' 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 /> �JvT LET <br /> RP Lo,,Los , M,,j L <br /> Parcel ID No. 2 901-13 Z O 5 BC A o o R 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 />