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�• it <br /> ., ter✓ iff✓ Q <br /> 1880 Main Stree • Cen terviffe, MN 55038 <br /> Estaffsked 1857 CITY OF CENTERVILLE (612) 429 -3232 • Fax (612) 429 -8629 <br /> APPLICATION FOR VARIANCE OR REZONING <br /> VARIANCE FEE �� av <br /> C1SsPm <br /> 9PiI�+i6 DATE PAID a <br /> STREET LOCATION OF PROPERTY: <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> .V %y PF /✓L-� � c6 SoJ �sj �'� .� ,9J as .�/ 000 <br /> SIZE OF PARCEL (S) PROPERTY OWNER: OWNER: �Yss �` ���, , Y, GL� PHONE # <br /> FEE OWNER: <br /> ADDRESS: <br /> APPLICANT'S INTEREST IN PROPERTY: <br /> x FEE OWNER CONTRACT PURCHASER <br /> LEASE HOLDER OPTION TO PURCHASE <br /> DESCRIPTION OF REQUEST: <br /> �L-4 -TO <br /> REASON FOR REQUEST. <br /> Plus any additional costs <br /> Si nature of applicant incurred for engineering, <br /> legal fees, publication or <br /> Signature of pro erty owner other requirements. <br /> o� - 9 <br /> Date <br />