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APP# <br /> SF# <br /> Date-� <br /> (for office use only) <br /> CITY OF PEQUOT LAKES <br /> VARIANCE APPLICATION <br /> Name of Applicant �� le—fLi(,,T /-6122F-5 Phone <br /> Address Email <br /> City, State, Zip 1�1 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner ( 17—Y <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other , <br /> A� (City,State, Zip) <br /> tl w�� <br /> Signature of Owner,authorizing application: 22Z'- .�c� <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 /> Z 11�24 , ,q <br /> Legal Description (if metes and bounds,attach sheet): <br /> Parcel ID No. _ //(� t'�'l'CL'f� �"l Zoning District <br /> State nature of request in detail: (What are you proposing for the property?) <br /> A Lx!2/4A,(r. —le LG CAI-72" PAL�y Cz4,4 CCi�����,c i <br /> 4 1�r'f/.0 <br /> What changes (if any) are you proposing to make to this site? <br /> Building: A�,# <br /> Landscaping: A q <br /> Parking/Signs: ,7 <br /> 2 REV. FEB 2015 <br />