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APP #e7 <br /> Date S <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant newat Sc,hot Phone a i8-83i-9 1 05 <br /> Mailing Address b798 Ni& L Sal Email <br /> City, State,Zip 'Pert LAS YYI i3 507 2. <br /> Applicant is: Title Holder of Property: <br /> Legal Owner 00 rYIWS Lt.G (hnmc. . Sct.oeb ,$) <br /> Contract Buyer O (Name) <br /> Option Holder () 098 Nickal rd. 1►a PF rru 7L <br /> Agent () (Address) <br /> Other <br /> (City, State,Zip) II <br /> Signature of Owner, authorizing application(required): (Intl Chit <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 1 +,_i <br /> -4_4'12 <br /> Fire No. ,Parcel ID No. Zoning District <br /> State nature of request in detail: (What are you proposing for the property?) <br /> Cpris'ina 40X40 i3ui tone USe for sir,rot in Rut -For Cyr 1, <br /> Q, * :i eJ eL r Dap:,1 c- <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 />