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APP#0' <br /> SF# L' <br /> `-' Date <br /> CITY OF PEQUOT LAKES (for office use only) <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant Ong i ,Pdvn� 66. Phone <br /> Mailing Address 1.25 i ) Email gw Q.OBD`i A r). C,�*" <br /> City,State,Zip m"anA cmha <br /> Applicant is: Title Holder of Property: <br /> Legal Owner () �> 6Ab",nsk: - -rm,r MAUjs -7 <br /> Legal 6rll <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 die instructions accompanying this application) <br /> Signature of Applicant(if different than orvner)�. <br /> (By signing the applicant is certifying that they have read and unders edl the instructions accompanying this application) <br /> Location of property involved in this request: �q n t h <br /> &o wri ►� l <br /> L4 11 3,71* , ", noa t-A of ,/A'6W& O S, . <br /> Parcel ID No. 1 - V 1 -N 0 EQ- try�09 Zoning District 14 c-1 o I <br /> Legal Description'(if�m tes I'd bouncYs,aitacfi sheet): <br /> State nature of request in detail: (What are you proposing for the property?) <br /> !�;ra NAWP-A-h U-0 <br /> What changes (if any) are you proposing to make to this site? <br /> Building: SQ IQ IV A 2:1A+i Q P)A n!S <br /> Landscaping: 5 " <br /> Parking/Signs: )' <br /> 2 REV: MAR 2009 <br />