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APP #e% <br /> Date S/ <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant 1Y113214. Sc}th Phone a 18-831-9 oS <br /> Mailing Address b1' E N i&tL - Email <br /> City, State,Zip Pert WES rfl ) 507 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner VY►WS LLC (h w K %Mab i s <br /> Contract Buyer () (Name) <br /> Option Holder () 098 Nkk1 r Bittai Pf jL <br /> Agent () (Address) <br /> Other <br /> (City, State,Zip) <br /> Signature of Owner, authorizing application(required): ,(I <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 /> Location of property involved in this request: <br /> '4 338 I>.115buf4_ Si- Tirt. its Inc 2 <br /> Fire No. ,Parcel 1D No. Zoning District <br /> State nature of request in detail: (What are you proposing for the property?) <br /> .,. ti _' ' b ..• : t1O. - use far ° h.. ft •1..:� <br /> 4 ea col L►C.ar / ta.1411 antes— <br /> What changes(if any)are you proposing to make to this site? <br /> Building: <br /> Landscaping: <br /> Parking/Signs: <br /> REV: JAN 2002 <br />