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Am <br /> ME' <br /> CITY OF CENTERVILLE <br /> CONDITIONAL USE PERMIT REQUEST <br /> NAME: "7p'��t E�� `j( � �-� <br /> _ FEE: $250.00+5500.0(1 <br /> PA; C` Dei�osit <br /> COMPANY: -s <br /> A111- PAID: <br /> ADDRESS: r Tt'?' LfJ. <br /> TELEPHONE NUMBER: (r_t z - <br /> STREET LOCATION OF PROPERTY: _ `E - 74 A - <br /> PROPERTY IDEM*TIFICATION NUMBER: <br /> LEGAL.DESC'RIPTIONT OF PROPERTY: <br /> SIZE OF PARCEL(S): <br /> CONDITIONAL USE PERMIT REQUEST: <br /> I tw.c ren3 tree wta.;hca s"rt� C O& .`.ets)op 1v.63a ' �10 the ! Zo ,V Disuid and the need W&Wb-for a <br /> C idinan l test pem-ii 1 i ws r ai w real Y'►r a tachcsi Chy Code.Section 355.320 petty w CandWWW idles also. <br /> B the 00M 4,stated fix,3 vn*,Ju5d that sx9 Jtfunji will he t`s,ed 1 or in part,n e� if the <br /> &njat <br /> 4 r <br /> Sign/atone of Applicant t� f <br /> 1pumm of Property Ov r <br /> Date <br /> _______— toSG«the Bela�si2lus►ancj——____—--a-—_,_ <br /> PLANNING&ZONING ACTION: <br /> CITY COUNCIL ACTION: <br />