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APP# � - > <br /> Dated <br /> (for office use onW <br /> CITY OF PEQUOT LAKES <br /> CONDITIONAL USE APPLICATION <br /> Name of Applicant "�iiti )ti l. I�t Phone <br /> Mailing Address 171 Email <br /> City,State,Zip lAttl Sz`l?Z <br /> Applicant is: Title Holder of Property: <br /> Legal Owner <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent () (Address) <br /> Other <br /> City,State, ) <br /> Signature of Owner,authorizing application(require <br /> (By igrung the owner is certifying that they have read and understood the insmictions acs T*+a*�;+ tlris application) <br /> Signature of Applicant(if different than owner): <br /> (By mgm%the applicant is certifying that they have read and understood the mmuctions accompanying this application.) <br /> cation of ro erty involved in this request: <br /> Q �py�/ fhi- <br /> i T , eo V( J / ��� �.•�-L�.� �� <br /> Parcel ID No. -A 9 (1 e, t2r)(0 9 Zoning District <br /> State nature of request in detail- (What are you proposing for the property?) <br /> CT 5l/�W I e er.4 e 4" %z;/., �.A S/ ,�sf•c�Gri.+e /o t` .A (,s sJ�il�g-i�:.` Zr'.-.�f <br /> lyr}w• �'i;�r(lI`►o�t..,� !¢c1 �� big,I�%r Af < Sir-cG_�„!_��y. <br /> Ij <br /> What changes (if any)are you proposing to make to this site? <br /> Budding; <br /> Landscaping G2� c1��, o� hirvGy <br /> Parldng/Signs: <br /> REV: JAN 2005 <br />