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APP# <br /> SF# <br /> Date <br /> CITY OF PEQUOT LAKES (tor office use only) <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant Phone <br /> Mailing Address; Email <br /> I <br /> City,State,Zip :�C �.�.C l' <br /> Applicant is: Title Holder of Property: <br /> Legal Owner () <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> geinstructions Signature of Owner,authorizing application (required): <br /> (By signing the owner is certifying that they have read and underst accompanying this application) <br /> Signature of Applicant(if different than owner): <br /> (By signing the applicant is certifying that they have read and understood the instructions accompanying this application) <br /> Location of property involved in this request: <br /> L <br /> Parcel ID No.—����/�J ����(1 � �G('�C� � Zonin g District <br /> Legal Descriptici (if metes and bounds,attach sheet): <br /> State nature of request in detail: 7h tare you proposing for the property?) <br /> ��l�i`r-r� , J t.h� � f ,-fir. �.c. G-(% t o✓ -ti� �%�`�1„--�1 i�..(�,t� <br /> / <br /> What changes (if any) are you proposing to make to this site? <br /> Building: <br /> Landscaping. <br /> Parking/Signs: <br /> 2 REV: MAR 2009 <br />