Laserfiche WebLink
APP# ,, <br /> SP# <br /> Dale-` <br /> CITY OF PEQUOT LAKES DWSMA <br /> LAND USE PERMIT APPLICATLQN For office use only <br /> Name of Applicant Z) Phone <br /> MailingAddress Email <br /> City,State,Zip <br /> Applicant is: Title Holder of Property: <br /> (if not applicant) <br /> Legal Owner <br /> Contract Buyer (Name) <br /> Option Holder <br /> Agent (Address) <br /> Other (City,State,Zip) <br /> Signature of Owner,authorizing application(required): <br /> (By sing <br /> the owner is cerdfy ng that they have read and understood the instructions accompanying t I PPIC ation) <br /> Signature of Applicant(if different than owner): "a� <br /> (By signing the applicant is certifying that they have read and understood the instructions accompanying this application) <br /> Location of property involved in*s request: <br /> c-; <br /> � " <br /> Property Parcel ID (#on Tax Statement) 4 <br /> 7 <br /> Zoning District "I Lake Name 4e 4 <br /> State nature of request in detail: (What are you proposing for the property? If a new dwelling,indicate <br /> number of stories and foundation type <br /> ... ...... .../I <br /> "'t "eY e t 1"' 1 r <br /> ........... <br /> Approved by the Zoning Departnien�. <br /> Date: <br /> L <br /> REV: MAR 2009 <br />