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<br />utab[isliecf 1857 CITY OF CENTERVILLE
<br />APPLICATION FOR REZONING
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<br />entervi{{e, ~ 55038
<br />. 'Fa?( (651) 429-8629
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<br />VARIANCE:
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<br />REZONING'~-7
<br />STREET LOCATION OF PROPERTY:
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<br />DATE PAID:
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<br />'11 _ r/ I7J 8J+SLF
<br />SIZE OF P ARCEL(S): /1 [- -Yf 5
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<br />PROPERTY OWNER: [ --/~l/Z;t:4.09 ;;-,:-1 ~cJ PHONE #: f.t? /CI '~~/R /' -:?1'50 -->
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<br />FEE OWNER: L-/ cd;f.Pj/ // /, J / / ~~- t
<br />ADDRESS: / ;~&(- m '-"A/-J-.Ytl// .
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<br />APPLICANT'S INTEREST IN PROPERTY:
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<br />LEASE HOLDER
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<br />CONTRACT PURCHASER
<br />OPTION TO PURCHASE
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<br />DESCRIPTION OF REQUEST:
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<br />REASON FOR REQUEST:
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<br />By paying the above stated fee, I Wlderstand that no refunds will be issued in full or in part, at any, #rile,
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<br />Signatur-e-"o~pli9'imt # SignafUr2:'.pt-Property J}w-ner
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