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APP#rl S q a <br /> Date <br /> (fa office use only) <br /> CITY OF PEQUOT LAKES <br /> LAND USE PERMIT APPLICATION <br /> C,Qy-r <br /> A. F L .7r �'Te wl) U i1 Weod <br /> Name of Applicant M . r I Phone a 12-891-`-f 0 3Lf '-Feq� <br /> Mailing Address PO BOX V33 Email <br /> City,state,zip N, 5 5 wct., AV S fP-i 6 8 <br /> Applicant is: Title Holder of Property: <br /> (if not applicant) <br /> Legal Owner `f <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> (City,State,Zip) <br /> Signature of Owner,authorizing application(requir �t-� �--- <br /> (By signing the owner is certifying that they have read and understood the instrumons omnpanying ' tion.) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifying that they have read and w0ers000d the insmxtiow accompanying this application.) <br /> Location of property involved in this request: <br /> Property Parcel ID (#on Tax Statement) �f 0 3 G 3 4 OO Ar0 Oad 9 <br /> Zoning District .Lake Name <br /> State nature of request m detak (What are you proposing for the property? If a new dwelling,indicate <br /> number of stories and foundation type.) <br /> Due to the frequent and excessive rains this spring, our contractor was unable to start our project on <br /> schedule. We do have all of the house additions exterior walls constructed and most of the windows and <br /> doors are in. The remaining door and windows not yet installed are scheduled to arrive in the next 2-3 <br /> weeks and will be installed immediately upon delivery. The finishing work is scheduled to be completed <br /> during the fall and winter months. The additional 30x40 garage, circled on the site plan, is the only <br /> component on our permit that we will not be able to complete before our permit expires. We do have our <br /> materials for the garage on order and have been assured by our contractor that he will be able to <br /> complete our project this summer. Therefore,we are requesting an extension so that we will be able to <br /> finish our project under our current building permit. <br /> Approved by the Zoning Department: Date: <br /> REV: JAN 2005 <br />