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,< r7liLL6 <br /> CITY OF CENTERVILLE <br /> CONDITIONAL USE PERMIT REQ ST <br /> NAME: : 4-e) i'1'1C eni P� C✓,n kip•[c` EE: $250.00+ $500.00 <br /> De osit <br /> COMPANY: /7I) go f o of les /_LC PAID: ,U7 i'1 <br /> ADDRESS: J'30 5w I54+`3t5u(4e WS - ices - /ftkez_MN ZO Z5- <br /> TELEPHONE NUMBER: L 1 3zq 7726 <br /> STREET LOCATION OF PROPERTY: <br /> DD <br /> PROPERTY IDENTIFICATION NUMBER: <br /> ti <br /> LEGAL DESCRIPTION OF PROPERTY: titi <br /> ti <br /> SIZE OF PARCEL(S): <br /> CONDITIONAL USE PERMIT REQUEST: VSfp. �(- Cte,,,(ef'�(P �- <br /> t"lk�rh tc.l'A Alt be t t' NGOe (0 ban ¢- ficick ,1r e5,je-,c16 kk�e- <br /> �e4ned i A /v4' W nU((l 12C Cc 5t(ect Caf5 <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 m full or 'n part, ata i m, even if the <br /> o ne is denial. <br /> g ature o pplicant Signature of Property O er <br /> _27 <br /> Date <br /> -------------------------------------------- <br /> (Office Use Only Below This Line) <br /> PLANNING & ZONING ACTION: <br /> CITY COUNCIL ACTION: <br />