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APP# 0r <br /> Date <br /> (f«office use mW <br /> CITY OF PEQUOT LAKES <br /> VARIANCE APPLICATION /Q <br /> Name of Applicant ��� u�T/G Phone <br /> S 3 l / uUer/G �CI Email <br /> Address—,4 -7S31 <br /> / <br /> City,State,Zip-�--(�J 61- L,,fl<,t f Y-I-' <br /> Applicant is: Title Holder of Property:ARLfk[ <br /> Legal Owner6 yc� �wtiL - ydRtlG <br /> Contract Buyer () (Name) <br /> Option Holder () S l Y3 I <br /> Agent O (Address) <br /> Other Pc a,> 6-1 L <br /> (City,State,Zip) <br /> Signature of Owner,authorizing application: X�� a g04, <br /> (By signing the owner is certifying that they have read and understood the instruetiom acc this application.) <br /> Signature of Applicant(if different than owner): <br /> (By srgnwg the applicant is certifying that they have read and understood the instructions accompanying this application.) <br /> Location of property involved in this request: <br /> &N,.4 <br /> Parcel ID No.;-2!2,/2._�`�- / &9 0 ono a 9 Zoning District <br /> S to nature of request in detail• (What are you proposing for the property?) <br /> -r6 0 j 6 / i / <br /> D c wovc.b a - &> u - <br /> '- l <br /> What changes (ifs any) are you proposing to make to this site? y <br /> Building:Jar 1/,P — (f�9 1 � 1 a 11.�Gyi✓���� y gl76s <br /> Landscaping. A, Ag"o <br /> Parking/Signs: /V I/VE- <br /> REV: JAN 2005 <br />