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. APP# � � <br /> . SF#�`'�� I <br /> Date.�'��/� i <br /> (for office use only) I <br /> CITY OF PEQUOT T.AKF:g <br /> VARIANCE APPLICATION �i <br /> Name of Applicant�R-C.�d-..$�iyt�� L/e,�7)�iv,ST Phone ����-� �'� 3.53�- i <br /> � <br /> Address �o. 8o1C3b8 Finail I�k�,u,�st�deG9�ca,�l,�.c i <br /> City,State,Zip I�JiL ���/�'l0�1-�368 � <br /> A hcant is: '� <br /> pp Title Holder of Property: <br /> L��°� �9. �R��e � �o�urr�¢ L. �/a175Qu�CST ', <br /> Contra.ct Buyer () ��� <br /> Option Holder () �� o�3� <br /> Agent �) (Address) <br /> Other ��l/n,¢,e. �jil�aloa�/�3c�,3R <br /> (Citq,State, 'p) � <br /> Signat�xe of Owner,authoriziug applicatio • <br /> (BY s�gnwg the owaer is certifying that they have read aad uadecst th ctions accompanying this application.) � <br /> Signature of Applicant("if different than owner): <br /> (BY s�gn'ng the applicant is certifying that they have read znd understood the instructions accompaapiag this applicarion.) i <br /> Location of pro erty involved in tliis reques� �/ , <br /> R� �E�[��' ,l--�r�/�&S N �S��Z <br /> � 0P /��'S �/� o� �7m�f�«l19i�d v�7' <br /> Legal Description(if inetes and bounds,attach sheet): <br /> ( �-��� � <br /> Parcel ID No. o2�''O/!3�Ot�/�{�Yj�B�_Zoning Distdct �i�f�.Q. <br /> State nature of request in detail: (What are qou proposing for the roperty?) <br /> ��D Su.ADidiDE "Tff�FX/STir,(�o P�CEL �n�iO T�9 �R�1�(,s � �¢.T-.�.���,�,��, <br /> eupP<,��y or�c�ao,� a� �.�s[«s w.�.. 4�,4 sr�,v��� �.�c�c. <br /> ► � <br /> What�ha.nges(if a.np) are you pmposing to make to this site? <br /> Building: A�dc�F <br /> Landscaping: �c�/E <br /> Parking/Signs:/��/� <br /> 2 REV. FEB 2015 <br />