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CITY OF CENTERVILLE <br /> CONDITIONAL USE PERMIT REQUEST <br /> NAME: Alex J. Shuda FEE: $250.00+ $500.00 <br /> J Deposit <br /> COMPANY: _ ,4 j-Q�( f.S Ze2ryr� �`- Tv'-F Lc. 'AID:ii <br /> ADDRESS: (_,y� �r �,;c✓,'((t , .sY►°r/ 55 10 <br /> TELEPHONE NUMBER: 6 5 t- zY,7-/` V4 f <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 SE1/4 OF THE NE1A 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 PERMIT REQ EST: 4 u fddar S, ,,T,�,.,,p <br /> ee ci Zc e6jj 7`- <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 denial <br /> Signature A Applicant Signature4f Property Owner <br /> /o-- 3Q--/'� <br /> Date <br /> -------------------------------------------- <br /> (Office Use Only Below This Line) <br /> PLANNING& ZONING ACTION: <br /> CITY COUNCIL ACTION: <br />