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APP# /0 <br /> SF#L�- <br /> �.., <br /> Datev <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> VARIANCE APPLICATION <br /> Name of Applicant r��Ya tJr4' �+-� r a �%�'� Phone o� "3 Y/eLIM <br /> Address �� u o T /U" ' Em 'ail o C <br /> City,State,Zip /p P <br /> Applicant is: Title Holder of Property: / / /� <br /> Le Owner 0a(/ I r! D, b0�'0 �l z fm <br /> Contract Buyer () (Name) /�2�c cco t /yd <br /> Option Holder O 30310 7 <br /> Agent () (Address) <br /> Other <br /> (City,Sate, `p) <br /> Signature of Owner,authorizing application: ���� <br /> (By signing the owner is certifying that they have read and understood th stmctions 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 0/7 propefty invo ve t this re P sta 0 / 40t"� r/ '5,UG!/1 <br /> rJiS J - f'l / <br /> Le Descri do if etes and bounds attach sheet): 3 � ,5 161ocz <br /> P ( } <br /> P u � .�G CL' .S'�IO/2°.J 5, �D W'611'( <br /> � � c.J��O o���1� Get •?9�r�s <br /> Parcel ID No. Do Qc / Zoning District S <br /> State nature of request in detail: (What are you proposing for the pro,j?erty?) f` <br /> P o a��t 2Xis�"n 'oiri 9L4U/ /cY 17e-0 uJ u7li�t a �a/� Ulstrrr��� <br /> c) /I e <br /> i <br /> What changes (if any) are you proposing to make to this site? <br /> Building: a'1Ou125E'S��G/rC°/ /� bQS�m�w ��A P�m, ".4-ple, �°l Y' <br /> Landscaping: G�CP/rf�7` <br /> /V <br /> � Parking/Signs: p <br /> i <br /> 2 % REV: MAR 2009 <br />