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• APP#1�L� <br /> SF# / -1/,y,�� <br /> Date - �/ <br /> CITY QF PEQUOT LABES (for office use oNy) <br /> CONDITIONAL USE APPLICATION <br /> Name of Applican.t � � I�{�-�,L� �O�uc�ib Phone ��' ��'$�D <br /> Mailing Address ,�a�'� �kw�., �n�e L v Finail S �✓�Gho�l�J C�uw�-�� � <br /> City,State,Zip /�l rS"��►. �'lh• S'Zo �Gk <br /> Applicant is: Tide Holder o Property:� <br /> Lega1 Owner (•� h,.l�a ' �r.�I 1►b c� � SG►�r-� rtc$`� /�C;�„ <br /> Contract Buyer () �e <br /> Option Holder () �3�J�S �,,,, �� L, nJ• <br /> Agent () (Add�rgss) � <br /> Uther N 5sw�, �FC��-�7�'j � <br /> (Citp,Sta,e, �p) <br /> Signa.ture of Owner,authorizing application (require�:_ c,�,,,.,� <br /> (BY s�gnin$the owner is cerfifyiug that they have read and understood the instructions accompanping dus application.) <br /> Signature of Applicant('if different tha.n owner): <br /> (By signing the applicant is cerfiEying that they have read and understood the iastruccions accompanying this application.) <br /> Location of propertp involved in reques� <br /> ���t5 U s��� <br /> Parcel ID No._ 29�� 5 oa ! �u � ���j' Zoning District <br /> Lega1 Description ('if inetes and bounds,attach sheet): 5��-� (S- `7wP t3Co.0 �26. �/,,,� <br /> � �-x u d (���c�! �G r�' ✓� n f2�e a.� � R-. !-�f l t r.cr,� ( <br /> '��Cc� �T o Le I f3(l,�� Lct�n9 L=�L�i � 'Fe L (�.2r�, Lt n� �e m�► i�?N�.�1 C.c.tfL ��� <br /> State nature��ecj��de ' • (What aze ou proPo� sing for the property?) 0 <br /> � � v^� ►/�l� R/.�c.�t �...� 'l�.c,,is.�.. . <br /> What changes �if anp) a,re you proposing to ma.ke to tbis site? <br /> B�a�: �/rl- <br /> Landscaping: �//.�, <br /> Parking/S�gns: ��`t <br /> 2 REV: FEB 2015 <br />