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APP# <br /> SF# I:35 <br /> Date <br /> `-' CITY OF PEQUOT LAKES DWSMA <br /> SUBDIVISION REZONING APPLICATION <br /> Name of Applicant L � one <br /> i <br /> Mailing Address Email 1_e9. 7 2 SJl-P 0 7,m a G C o»^a <br /> City, State,Zip 7 (z <br /> Applicant is: Title Holder of Property: <br /> Legal Owner () <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> Signature of Owner,authorizing application:X!n� _ c� <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 /> � Locatio of p�op�eolvedm this requ1 <br /> M� x"m r� <br /> Parcel ID No. ��l'� ��6,5 &1 <br /> / Z G� Zoning District C� <br /> Nature of request (select only one): <br /> Preliminary Plat ( ) <br /> Final Plat ( ) <br /> Metes and Bounds (X) <br /> Rezoning ( ) <br /> *' Please see the attached Checklist on Page 4. <br /> 2 REV: MAR 2010 <br />