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APP# <br /> Date <br /> (tor office use only <br /> CITY OF PEQUOT LASES <br /> S TBIJIMSIO REZONING APPLICATION <br /> Name of Applicant-24u u - -/- 1 Phone 8 Z— qr°U I/ <br /> Mailing Address W43 <br /> City,State,Zip Z � <br /> Applicant is: Tithe Folder of Prop�]ertyy: <br /> Legal Owner ]� y i ^ecJG... �f-W N a lS� <br /> Contract Option Holder [(�)mi l yf33 <br /> Agent () (Address) �4K j/y�ivS7o y?.S— <br /> Other <br /> Signature of Owner,authorizing application- <br /> (By signing the owner is terrifying that they have read and understood the instr4Z&aspanying this apphc adon) <br /> Signature of Applicant(if different than owner): <br /> (By signing the appficant is certifying drat they have read and understood the instsncdm accompanying this application) <br /> Location of property involved in this request: <br /> Fire No. .Parcel ID Noo?&=.?ao 1 Pkb y Zoning District Cw ma w eea-lk l <br /> C-717-0457 9100 016 000� <br /> Nature of request(select only one): ON015-1 ye Eoo88� <br /> Preliminary Plat{ ) v71��s`/�d©�Q OUoP <br /> Final Plat ( <br /> Metes and Bounds ( ) <br /> ]rezoning ( ) <br /> Note: Applicants may apply for Preliminary Plat and Final Plat at the same time,but they must <br /> be on separate applications. Preliminary Plat and Final Plat hearings will not be held at the <br /> same meeting. Effective date of Final Plat application will be the date of Preliminaty Plat <br /> approval. <br /> REV:JAN 2005 <br />