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12-20-11 ;09; 56AM;Kerrville ; 1-830-315-2001 # 2/ 2 <br /> ARP <br /> Dated/-// <br /> 'CI'TY OF-PEQUOT- LAKES DWSMA <br /> SXjBDIVISZON f R ZQNIm APPLICAI" ON <br /> Name of Applicant FOIJAu> _ IR • SGI�i4��G&2 f Phone -24T <br /> MaTmgAddress P- D. cx� 8 g Email <br /> City,State,Zip—&Flbo f– 409296-5 Al/Z 5/W7o-;L hi���'/G-��OW <br /> Applicant is: Fide Holder of Property: <br /> Legal Owner <br /> Cont=ctBuyer () (Name} <br /> Option Holder () <br /> Agent () (Address) <br /> Other .� <br /> Signature of Owner,authorizing application: <br /> (By signing the owrict:is cenitying dsa[they lave and understood theinstcuetfons nccampm ft this iippUcOlzY <br /> Signsttum of Applicant(if different than owner):. <br /> (By signing the applicant le ecrUy3ng that they Dave rend and understood the inat"IC6 ins ac4ompuift this application.) <br /> Location of property involved in this request: <br /> . ParcellD No. <br /> oaa3 3 00 /�- d D9 zOf11r]�DiSCl1Ct,_!1" �L k'�5' <br /> Nature of request(select only one): <br /> Pteliminat yy Plat { ) <br /> Final PEA ( ) <br /> Metcs and Bounds (X) <br /> Rezoning { ) <br /> 2 REV:MAR 2010 <br />