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APP# <br /> SF# IO:!5 q <br /> Date. -/ a -/6 <br /> �. CITY OF PEQUOT LAKES (for office use only) <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant L✓l <br /> Mailing AddressA©04-J016`V4-S Nt s°� Email �a✓t <br /> City,State,Zip d � CAI 1 + 1 Ir1.0�S `e r 600- C=ON\ <br /> Applicant is: Title Holder of Property: _ <br /> Legal Owner S-a MPJ <br /> . Q� Abo�� <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> (City,State,Zip) <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 instructions accompanying this application) <br /> Location of property involved in this request: <br /> �O O\1&ZPr'S� S'S <br /> ParcelID No� /,--f7 6�,S 6r 9 Zoning District <br /> Legal Description (if metes and bounds,attach sheet): �o',r' a+'� ©�,-�Q p '� <br /> State nature of request in detail• (What are you proposing for the prop ?) <br /> What changes (if any) are you proposing to make to this site? <br /> N <br /> Building: 0 A 4. <br /> Landscaping ids a V <br /> Parking/Signs: 1r A✓` f <br /> grti te a v`61 Q--t <br /> 2 REV: MAR 2009 <br />