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09112/2014 13:47 7074459780 FEDEX OFFICE 5108 PAGE 04/06 <br /> APP#Z <br /> SF# , <br /> U Date <br /> (M�'ot'fEce use only) <br /> CITY OF PEQOT LAKES <br /> VARIANCE AMUCATI ON_ <br /> Name of Applicant NZ" Phone 2y <br /> Z°D d <br /> Address p,� 4lso.►i ,Qd <br /> Exziail dQ.��oritrtyi�C[ <br /> City,State,Zip 7 <br /> Applicant is: Title Holder o£Property- <br /> Leo Owner <br /> Contract Buyer (Name) <br /> OptionHoIder (j 1f � <br /> Agent (} (Address) <br /> Other <br /> (City,Ste zip) <br /> Suture of Owner,authorizing application. <br /> (BY sag the owner is certifying that Cher,-,lead and nder this kation)d t ace <br /> Signature of Applicant(if different than owner): <br /> ($y signing the applicant is certifying than they ham read and mdexmod dm iiastructions accompar,➢eng this application.) <br /> Location of property involved in this:request: <br /> Legal Description Cif Metes and bounds,attach sheet): <br /> Parcel ID No. Zoning District <br /> State nature of request in detail: (What are you proposing fox the property?) <br /> III <br /> 1,!r <br /> ✓e E �P � �� <br /> T' . <br /> What changes(f any) are you proposing to snake to this site? <br /> Building- <br /> LaudscapiW. <br /> Parking/Si$ns: ry <br /> 2 REV JULY 2013 <br />