Laserfiche WebLink
d APP#.L�'" . <br /> t Date <br /> (for office use ony) <br /> CITY OF PEQUOT LAKES <br /> LAND USE EERMIT APFMCATI <br /> Name of Applicant (AW) <br /> Phone � <br /> M Address L�'Yt"'1 <br /> City,State,Zip ` d /V zyv, — <br /> Applicant is: Title Holder of Property: <br /> (f not applicant) <br /> Legal Owner <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 wgo4 the owner is certifying that they have read and wadeistood the instructions actor`+ �this application.) <br /> Signature of Applicant(f different than owner): <br /> (By the applicant is certifying that they have read and wAmtood the instructions accompanying this application.) <br /> Luca ' n f property in ed in this Mr <br /> �. <br /> Property Parcel ID on T` $iatement7 + ` <br /> Zoning District tY b5d-4YL,Lake Name <br /> State nature of request in detail: (What are you proposing for the property? If a new dwelling,indicate <br /> number of stories and founda ' n e) <br /> Approved by the Zoning DepwWvnt: Date: <br /> REV: JAN 2006 <br />