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APP#�� <br /> SF# <br /> Date�-/�' <br /> CITY OF PEQUOT LAKES (for oifice use only) <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant_����µ-�- �+e.c..` �S�Z-1� Ll-L. phone ���� S6$�ay3i <br /> MailingAddress �6 �dx �obS E� �j,�,.,�u�-- � ��'�Sd�^'�.�,o� <br /> Ci State Zi �o'f` �-�8 /�� `S��'�' C� <br /> �3'> > p� � <br /> Applicant is: Title Holder of Property: <br /> LegalOwner � <br /> Cont�act Buyer () ��e� <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> (City,State,Zip) <br /> Signatute of Owner,authorizing application (required): � �� ��"`��� P`'r'�"`� <br /> (By signing the owner is certifying that they have read and understood the instrucrions accompanying this applicarion.) <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 pro erty involved in this request <br /> L �— � o� t3(oc��- �'.� r'►-.��s�-n'�-� <br /> � , <br /> Parcel ID No. ��11 I3U�a�d a d���' Zoning District L� <br /> Lega1 Description (if inetes and bounds,attach sheet): <br /> State nature of request in detail: (What are you proposing for the_property?) <br /> �-"`-� � o.. �".� "R 'S'4'�� �3 <br /> Co � �— �. Q <br /> w� S " <br /> What changes (if any) are you proposing to make to this site? <br /> Building: � <br /> Landscaping: <br /> Parking/Signs: <br /> 2 REV: MARCH 2O19 <br />