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APP# //,226 <br /> SP# <br /> Date <br /> (for office use only) <br /> �. CITY OF PEQUOT LAKES <br /> VARIANCE APPLICATION <br /> Name of Applicant 4`14 Q10-7-2--F,,Q Phone ✓tea o pts 1 3 3 <br /> Address, /S d f 0-444 eW fffl Email 7"arn i rry '5D6m i4t L <br /> . t~•„tr7y1 <br /> City,State,Zip g;�T /ylAl S(a d 1. <br /> Applicant is; Title Holder of Property: <br /> Legal Owner Sq�tFr' . <br /> Contract Buyer () e) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> (City,State,Zi <br /> Signature of Owner,authorizing application: <br /> (By signing the owner is certi6 ing that the}have read and dersrood the instructs accompan this appli on-) <br /> F* -►ature of Applicant(if different than owner):_ - ---- <br /> �,4igning the applicant is cerdi bg that they have read and understood the instructions accompanying this application) <br /> Location of property involved in this request: "7— � � /!fit AJ <br /> G0 3& AL s1-r,CE rIL" le o P <br /> Legal Description(if metes and bounds,attach sheet): 7''7"!q-r, ., <br /> Parcel ID No. 0 ;t i•33 0 0 e B o D o 9 Zoning <br /> State nature of request in detail: (What are you proposing for the property?) <br /> 1-15 T 41 Al &--It a Z -rO !2 gs a e. y fL Ave t�. <br /> irl © Al <br /> JA/N .SA�4--7" P/u <br /> Wbat changes(if any)are you proposing to make to this site? <br /> Building._ �.°�•o c ry- 7�0. 4,r 1-,W r. S-o <br /> Phu t L-D/A) <br /> 2 REV: MAR 2009 <br />