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emiffe <br /> CITY OF CENTERVILLE <br /> CONDITIONAL USE PERMIT REQUEST <br /> NAME: Alex J. Shuda FEE: $250.00+ $500.00 <br /> Deposit <br /> COMPANY: f- Ce)( r..S � Tvr I�r Lc PAID: C 3 b <br /> ADDRESS: (2,-,1,,,ff( 4 V 55/4.3 <br /> TELEPHONE NUMBER: Zy7-1'10e <br /> STREET LOCATION OF PROPERTY: 7087 - 20th Avenue South <br /> PROPERTY IDENTIFICATION NUMBER: PIN#23-31-22-14-0004 <br /> LEGAL DESCRIPTION OF PROPERTY: THAT PRT OF THE S 277.10 FT OF <br /> THE N 588.47 FT OF THE SEI/4 OF THE NEI/4 OF SEC 23 T31 R22 LYG <br /> ELY OF THE W 956.5 FT OF SD 1/4,1/4; EX RD; SUBJ TO EASE OF REC <br /> SIZE OF PARCEL(S): 2.04 Acres <br /> CONDITIONAL USE PERMITREQ EST: O u`�owc�r S1 r4�r ,p <br /> eA#-Ick 61 <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 paying the above stated fee, I understand that no refunds will be issued in full or in part, at any item, even if the <br /> outcome i denial. <br /> Signature df Applicant Signature of Property Owner <br /> /0-- 30--/�/ <br /> Date <br /> -------------------------------------------- <br /> (Office Use Only Below This Line) <br /> PLANNING &ZONING ACTION: <br /> CITY COUNCIL ACTION: <br />