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APP#-13 <br /> SF# X3-17 <br /> Date /-1-3 <br /> (for office use only) <br /> CITY OF PEQUOT LASES <br /> VARIANCES"PLICATION <br /> Name of Applicant "YPau"ai l gaG, Phone •21g-5?A-v(41 <br /> Address 3 3 &1fe ewr0.) Funail S .>/ec� G 14:204. <br /> City,State, Zip r�2. , 1 A) SGr.a� <br /> Applicant is: Title Holder of Property: <br /> Legal Owner S7�✓E'+N �r/r�y(��� <br /> Contract Buyer (Nam <br /> Option Holder () 14113 em&.+g-j- l�1Z fx� <br /> Agent () (Address) <br /> Other � _fir LI;?Ie4Z6-w <br /> (City,S,tc,Zip) <br /> Signature of Owner,authorizing application: <br /> (13}'suing the rnvrx r is ecrtify�tf;that they have read And►tetoo4't he uistntctiins accompanyuig this application.) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifying that they have read and understood the instntctions accompmyuig this application.) <br /> Location of property involved in this request- <br /> 16,1 5my"O. Lz'�'y �7tj 1�ff ter F� �'t�✓ <br /> Legal Description(if metes and bounds,attach sheet): 45f <br /> 2�iSl�lAbae+�s �t�l�,gpo� <br /> Parcel ID Na. a/S"/ voe�sr Zoning District Go�.r�2GIA.r <br /> 2lo,cs�l4���3f <br /> State nature of request in detail: (What are you proposing for the property?) <br /> What changes(if any)are you proposing to make to this site? <br /> Building._ eM <br /> landscaping A4adC <br /> Parking/Signs: IV 0. <br /> 2 REV: MAR 2009 <br />