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APP#/ <br /> SF# <br /> Date <br /> CITY OF PEQUOT LAKES (for office use only) <br /> hCONDITIONAL USE APPLICATION�/, <br /> Name of Applicant ( �'tJ L_ �7M N� Phone <br /> Mailing G �/yl� 4 4P t o 7 Email (AAa `SkM 6�� <br /> City,State,Zip E &�� <br /> Applicant is: Title Holder of Property: <br /> Legal Owner <br /> , K 1� � <br /> Contract Buyer <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> (City,State,Z' ) <br /> Signature of Owner,authorizing application(required): <br /> (By signing the owner is certifying that they have read and understood the instructions 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 instmctions accompanying this application.) <br /> Location of property,inv�n o`vfdM this request: <br /> & .vtLU L <br /> Parcel ID No. , �� �t �� ���� �� Zoning District <br /> Legal Description(if metes and bounds,attach sheet): <br /> State nature of request tail: OYhat are you proposing fox the p operty?) <br /> i'(AZ, a2AI OW �0 <br /> � <br /> What changes(if any)are you proposing to make to this site? <br /> Building: W& <br /> Landscaping-. <br /> Parlrirtg/Signs: <br /> 2 REV: MAR 2009 <br />