Laserfiche WebLink
APP Q_4/q <br /> Date 17-63 <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant AY r.r►. e 1-ty r, tc. {' Phone q <br /> Mailing Address IP 0 2 0 Y Co 0> Email <br /> aty,State,Bp Y\t s S w a \M.�.. g-ea ct6� <br /> Applicant is: Vile Hal* R <br /> Legal <br /> Owner br, �- �.� 142.,r LI el it- <br /> Contract <br /> Option Hokler 0 f" b v 'c (9 OS <br /> Agent O t h e r () ( fisSw a VA.k. gro c r <br /> (gym,st EIP) <br /> Signature of Owner,authorizing cation(required): 4' �►^--signing �,�����`�((��� <br /> (By signing the owner is oortifying that they have read and understood the l i• this application) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifying that they have mad and understood the insirtactions accompanying this Sao) <br /> Location of property involved in this request: <br /> A Fn c LQ S S <br /> Fire No. ,Parcel ID No.oZ9OA/Wlll)g 9zonlng District <br /> State nature of - in detail: (What are you propo -.. for the PAM' y�, i, <br /> • . . .r�� .. . ��.� � � �i �� <br /> What changes(if any)are you proposing to make to this site? <br /> Build <br /> Landscaping: <br /> Parking/Signs: <br /> et &&4—t.N--■ Ob el2to -Qt"A "ke-L4-. vt. 4. s <br /> OA_ p Qdot-9 rjuo h.t24 <br /> REV: JAN 2002 <br />