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<br />." <br /> <br />CITY OF CENTERVILLE <br /> <br />APPLICATION FOR VARIANCE OR REZONING <br /> <br />VARIANCE <br /> <br />)( <br /> <br />*FEE <br /> <br />REZONING <br /> <br />DATE PAID <br /> <br />STREET LOCATION OF PROPERTY: COiff-()rJ R~ + 1Its~';rAG.~ ST <br />LEGAL DESCRIPTION OF PROPERTY: k), l~~ ~tJJi11"'l SuIJJ,'" ,.... IJ l.}f <br />01.3'" :31- ~j-,J.J-~DJ.3 (~d, ~it"(j6Jf-(jKN> tJl~73 <br /> <br />SIZE OF PARCEL (S) /L/ S S A ~ I!ts~ <br /> <br />PROPERTY OwNER: SrCeU~Vie.Uli t1ljfl~L~ ellu-..c....' PHONE ,@-, YJ 9- 7?37 <br /> <br />FEE OWNER: 57 Ct!~e,.1Jkv~!.!(L./t, 7lliJLie <br />"ADDRESS: Io~ql,"- t!.e...,r~\I,l.i..f tJ '."71>87 C61 "'f'~.~ ,eJ J et....Ttn/v' u., /)'IJJ ~ <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />.><' <br /> <br />FEE OWNER <br /> <br />CONTRACT PURCHASER <br /> <br />oS. <br />'I) <br /> <br />~~.fJ~ <br /> <br />" Signature of "applicant '* Plus any additional costs <br />. incurred for engineering, <br />r~_ l~ Ad.~ -s:-,;. legal fee!;, publication <br />'----"'-c:. ~ !) e'!) (;'i::l,J iJ.I/ lev 'or other requirements. <br />Signature of property owner "~ " <br /> <br />y a",r ~t)b.r- . <br /> <br />JJ VB{.; Date <br /> <br />