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RQu?4P-1- 4- 1IPS7,)- <br /> ck-*W- — fib.G� <br /> ,*-iEstaffi0iod cis; <br /> CITY OF CENTERVILLE <br /> CONDITIONAL USE PERMT REQUEST <br /> NAME: !41k FEE: $250.00+$500.00 <br /> Deposit . <br /> COMPANY: 461,<-,s L(�w nI 9L / PAID: <br /> ADDRESS: :C2,Z 7 :Zo 44 <br /> TELEPHONE NUMBER: (,, L --2 '4 7- /41q f <br /> STREET LOCATION OF PROPERTY: S q M �- <br /> PROPERTY IDENTIFICATION NUMBER: 23 -3/- - 141' 00-76 <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> -TO WLR Abb� %v <br /> SIZE OF PARCEL(S): <br /> CONDITIONAL USE PERMIT REQUEST: ; -r,,cA I!L /?;, r,1S <br /> ALi e - c5 <br /> G y� <br /> i LiT O uc-n O 4 aRe-Si <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 pemmit_ 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. art,at any item,even if <br /> outcome' riaL <br /> Signature A 'cant Signature of operty Owner <br /> Date �/ <br /> ---- -/` ` ---------------------------------- <br /> (Office Use only Below This Line) <br /> PLANNING&ZONING ACTION: <br /> CITY COUNCIL ACTION: <br />