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l 4� W o�1s (,7 LUcc-,Urvvw <br /> ` teryiCCe 1880 Main Street Centervitte, MN 55038 <br /> EstabhsFtecf1857 CITY OF CENTERVILLE (612) 429 -3232 • Fax(612)429 -8629 <br /> APPLICATION FOR VARIANCE OR REZONING <br /> VARIANCE FEE 'Z-bb CX I) <br /> REZONING V DATE PAID <br /> STREET LOCATION OF `PROPERTY: `] ,�3y6 •t r4 mi <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> I —7, Q i -- 0004 <br /> jbL] 3i <br /> SIZE OF PARCEL (S) z O-C )<�s n <br /> PROPERTY OWNER: N) 0 Wn PHONE 97 & - '0 65 7 <br /> FEE OWNE <br /> ADDRESS: XK 533 I <br /> APPLICANT'S INTEREST IN PROPERTY: <br /> FEE OWNER CONTRACT PURCHASER <br /> LEASE HOLDER OPTION TO PURCHASE <br /> DESCRIPTION OF REQUEST: <br /> REASON FOR REQUEST: <br /> YJIJ0 A_k- � �VaY L, * Plus any additional costs <br /> ignature of applies incurred for engineering, <br /> V�U OAM')' ) vc Ji c legal fees, publication or <br /> _Signature of propert owner other requirements. <br /> Jug fit, � <br /> Date <br />