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� APP# -%l ` <br /> SF# <br /> Date�i���-/9 <br /> CITY OF PEQUOT LAKES (�r office use on�y) <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant /V d�/I��� /.f/�� , ����- Phone,���— �S�- //0 1 <br /> MailingAddress � ��� � / �l/,/G l �I,�� , Email <br /> City,State, Zip �� <br /> Applicant is: Title Holder of Property: <br /> LegalOwner �' <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> (City,State,Zip) <br /> Signature of Owner,authorizing application (required): l�1��-L ���`---- <br /> (By signing the owner is certifying that they have read and understood the instructions accompanying tlus application.) <br /> Signatute 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 pxoperty, volved in this request: <br /> a����1 ��%/�/i T J`�i�� . <br /> Parcel ID Na�� �1n�� '���Lf l�% (!�'�'� Zoning District � <br /> Legal Description (if inetes and bounds,attach sheet): <br /> State nature of requestj�detail: (What are you proposing for the property?) <br /> �cC?�1 G' (/� L°-O�v�iT/Dti/ �`L � /P� �u l{ r /2/R/G- �L�C/Z �f�,4/.a� / <br /> �7�b/<'I'J�,�rT -Ti�,�3� <br /> What changes (if any) ate you proposing to make to this site? <br /> Building: <br /> Landscaping: <br /> Parking/Signs: <br /> 2 REV: MARCH 2O19 <br />