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CITY OF CENTERVILLE <br /> CONDITIONAL USE PERMIT REQUEST <br /> NAME: l T3 ��r^u�a FEE: $250.00+ $500.00 <br /> Deposit <br /> COMPANY: �rl�� 14w-A" PAID: is i 1 /�� L��',� 7�z3�z <br /> ADDRESS: <br /> TELEPHONE NUMBER: C 5/ Z$3 --�7 7 5k-1 <br /> O <br /> STREET LOCATION OF PROPERTY: 7/3 .3h;l��� !lt ��✓►��.,c� l�- <br /> PROPERTY IDENTIFICATION NUMBER: <br /> LEGAL DESCRIPTIONOFPROPER/TY: 7 h e ��. JA /7�`' 7.S -ire f vJ f A <br /> 1 <br /> C Cad "t 4 '4'j c <br /> C. 6-4, H <br /> 0 �� C�. �It �A� �fln[' Jta fs t� `F !O t_'C�.S L7 r1/I Yr,�"T S� �..,1. Ir G' t.!'•C� <br /> SIZE OF PARCEL(S): <br /> CONDITIONAL USE PERMIT REQUEST: <br /> �4Lt�d �•�u Le �� L�uY�,.[� n G '� �t/'..0 LS N.97 t'N <br /> �0 20 c2 <br /> I have read the attached City We, Sec on 156.$pe5�airi tee S Z#.J)Rkn t and the need to apply for a <br /> Conditional Use permit I�also reap the tacked City Code,Section 156.3 0 pertaining to Conditional Uses also. <br /> tj !�. C, <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 is denial. ` ^L''1 <br /> Signature of pplicant Signature of roperty Owner <br /> 10 J 7-14 <br /> Date <br /> -------------------------------------------- <br /> (Office Use Only Below This Line) <br /> PLANNING&ZONING ACTION: <br /> CITY COUNCIL ACTION: <br />