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APP# -CY <br /> T <br /> Date ZL14- <br /> (far office use only) <br /> CITY OF PEQUOT LAKES <br /> CO NDITIONAL USE APPLICATION <br /> 'bfli � l / CCrName of Applicant p <br /> Phone <br /> Mailing Address (�� / C X Z-1f If Email <br /> City,State,Zip 4 <br /> Applicant is: Title Holder of Property: <br /> Legal Owner `( <br /> Contract Buyer () (Name) <br /> Option Holder () <br /> Agent O (Address) <br /> Other <br /> (City,State, <br /> Signature of Owner,authorizing application(required): <br /> (By signing the owner is certifying that they have read and ins ons acc 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 /> .2Y 745 <br /> Parcel ID No, -2 0(2 / Zoning District l C <br /> S nature of t' detail: (Wha are yo proposing f the property?) <br /> �- <br /> �C,Le 22 12,2 i q 6 2 E6-f��� <br /> What changes (if any)are you proposing to make to this site? <br /> Building. <br /> Landscaping: <br /> Parlring/Signs: <br /> REV: JAN 2005 <br />