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APP#���' --�—� <br /> SF#________ <br /> Date���j <br /> CI1'I'OF PEQUOT LAKE$ (for ot�ce use only) <br /> CONDITIONAL USE APPLICATIpN <br /> Name of Applicant�rt�-s �'•�`�"°t�-`�"'�_ ..,��- - '� " ' <br /> � Phone �l�`` �`S�''�1 �� <br /> MailingAddress �'�S� �'-�'�' �o-�t �,(+� �.,.�. Email �.'f��•Gw.s��..�'Q�?4�,��.,,�,�;'/ cw <br /> Ciry,Srate,Zip ./t.�fs�,+.�,, ,."•l.�v ��',�/G� <br /> Applicant is: T}',t�Holder of Prope�. <br /> ��� � [f�'�"� � �t'� oJ�'�.+�s�`� <br /> Contract Buyer " <br /> Option Holder ��e� <br /> t) s'�.��'� ����:sl��. `�„�...:' r <br /> O eer () tA eS�� , � <br /> 1��.',,+�f �f'� j�s -,(Q � <br /> �c��,s t <br /> Signature of Owner,authorizing applicarion (requirec�: �;x�� <br /> (By signing the owner is cer�fying that they have read and understood d�e instructions accom an <br /> P Y'��aPPlic n.) <br /> Signature of Applicant(if different than owner): '� � <br /> (By signing the applicant is ceroifying�at t3�ey have iead and understood e� ctions accom an <br /> P Nn$�appfication) <br /> Location o proper�p invol�ed in this requesr <br /> .e,.��` �r.�,r.�- p.� �q:`�°Z o� ,,�"..'� �:.._..� <br /> �a <br /> Parcel ID No. ������`�=��' ��i(�Q��/'C�.�29/St!�f�(�• ' Zoning District C+w�,�1"�•�.f <br /> Lega1 Description (if inetes and bounds,atta.ch sheet): �a�"4 �� � � �,�� �,��������� <br /> Stat+e�nature/'�o��f request in det�.il: (What are pou proposing for the proper�y?) <br /> ( c� LA�{.��' !� �ff �!F dd ��` Qs-'ti'� �-R! ��►i�tfJ� ��-Y <br /> �.��( �,ti/ °x' �` �.� •—' �v <br /> �'�+�r �vi�+� a � <br /> 3�.��rz � u� r ..�L.-a , � . �, � <br /> � � C'.��a: th e.i �Jt C�i�'c.�. c�7Sr%��'f' <br /> �a����es��if any) are you proposing to make to this site? <br /> �, ..�G G.sr <br /> � <br /> su�a�g_ y7c) `k� l�� `� �% r� ` /�.�. ~� ��I X �"!" ��(,�,. �� <br /> • �c <br /> Landscaping. �`t,F-w— C„s`�` �jc,���c1�" �,,�-� d�l'�,.��w /l" <br /> � CG3 '� �t�'�'•y v� '�cl�l <br /> Parking/Signs: �^ � � �S`�r�c.,r' o.r� � <br /> � � � ' . <br /> v � <br /> 2 REV: MARCH 2O19 <br />