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1fiJ�B <br /> CITY OF CENTERVILLE <br /> CONDITIONAL USE PERMIT REQ ST <br /> NAME: . 64 rvl l�1C en- e �i C�,n / r7�u�(c,` EE: $250.00+ $500.00 <br /> /J// De osit <br /> COMPANY: I/h �J�'U o le / -c- PAID: ,�� i�/ ('1c ��Jz'/ <br /> ADDRESS: 'M 5W l54`SF' 5u,4e wS -aesf- &,te MN 65v 2 57 <br /> TELEPHONE NUMBER: r�5 3 y 7726 <br /> STREET LOCATION OF PROPERTY: 7055 2! 3-five_ <br /> PROPERTY IDENTIFICATION NUMBER: <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> SIZE OF PARCEL(S): <br /> CONDITIONAL USE PERMIT REQUEST: VSeot Crn(- OW of th(p + <br /> e used Cc E le f - r-l+- <br /> t ktrti W,,AJ AI► be &,,oL&* (08d1bal ¢- Adol ,&- e5—,,je, -CA� k►�rl /, <br /> I have read the attached City Code, Section 156.030 pertaining to the B-1 Zoning District and the need to apply for a <br /> Conditional Use permit. I have also read the attached City Code,Section 156.320 pertaining to Conditional Uses also. <br /> By ing the above stated fee,I understand that no refunds will be issued in full or'n part,ata i m, even if the <br /> o e is denial. <br /> g ature o pplicant Signature of Property Owker <br /> '?) -27 - LZ <br /> Date <br /> -------------------------------------------- <br /> (Office Use Only Below This Line) <br /> PLANNING&ZONING ACTION: <br /> CITY COUNCIL ACTION: <br />