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APP# /Z <br /> SF# . ,- <br /> Date <br /> CITY OF PEQUOT LAKES (for office use only) <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant 6 one <br /> Mailing Addres ldti 690 6 66.E 6✓�.��Ai/�5 <br /> City,State,Zip �� /��, /"G�tl+ J�SJ� ✓ <br /> Applicant is: Title er of Pro rty,/ �n <br /> Legal Owner /�1�7�0.0 <br /> Contract Buyer () (Name) <br /> Option Holder <br /> Agent () (Address) <br /> Other <br /> (Ci tate, Zip) <br /> Signature of Owner,authorizing application (req <br /> (By signing the owner is certifying that they have read and understood the instructions a= g 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 /> L- - <br /> Location property involved in s re uest: <br /> Parcel ID No, � Zoning District <br /> Le al Description (if metes and bounds,attach sheet): <br /> State nature of request in detail: (What e you proposing for the property?) <br /> (?10 6 a- v /LP.n <br /> What changes (if any) are you proposing to make to this site? <br /> Building: U �/ 9r✓ <br /> Landscaping: V <br /> Parking/Signs: <br /> 2 REV: MAR 2009 <br />