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to ryi 1880 Main Stree • C enterviCCe, MN 5503 <br /> E5tabk5fi�1857 CITY OF CENTERVILLE (612)429 -3232 • Fax(612)429 -8629 <br /> APPLICATION FOR VARIANCE OR REZONING <br /> VARIANCE / FEE • C: b <br /> REZONING V DATE PAID 1 5-t;,5 Cj'� <br /> STREET LOCATION OF'PROPERTY: " 'S — 20q - <br /> GAL DESCRIPTION OF PROPERTY: <br /> - 51 -ski - vC:)03 31 - zz -L-1-( -o0C- <br /> SIZE OF PARCEL (S) ZO 12 5 <br /> PROPERTY OWNER: PHONE # 4?) -410 <br /> FEE OWNER: i hlul LG �iQ vG( <br /> ADDRESS: <br /> APPLICANT'S INTEREST IN PROPERTY: <br /> FEE OWNER CONTRACT PURCHASER <br /> LEASE HOLDER OPTION TO PURCHASE <br /> DESCRIPTION OF REQUEST: l� <br /> +`iP2�r,c. ��ve rr��d7fit(7r, 0v_ZJT I <br /> REASON FOR REQUEST: <br /> i * Plus any additional costs <br /> Signature of applic incurred for engineering, <br /> legal fees, publication or <br /> Signature of property owner other requirements. <br /> _:!H 2. 9�a <br /> Date <br />