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en4de <br /> 61857 <br /> CITY OF CENTERVILLE <br /> CONDITION AT. USE PERMIT REQUEST <br /> NAME: Ate t FEE: $250.00+ $500.00 <br /> Deposit <br /> COMPANY: S LdyWd *Tvr PAID: <br /> ADDRESS: "708'7 7.64" AUS , C en`�c�v���l(� ` AA / $s 0 <br /> TELEPHONE NUMBER: 6:6(-2 y-7- <br /> STREET LOCATION OF PROPERTY: <br /> PROPERTY IDENTIFICATION NUMBER: 07(o <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> Lo <br /> SIZE OF PARCEL(S): <br /> CONDITIONAL USE PERMIT REQUEST: <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*,above above stated fee, I understand that no refunds will be issued in full or in art, at any item, even if �e <br /> outcome' ial. <br /> Signature of Afplicant Signature o roperty <br /> ' Owner <br /> Date <br /> -------------------------------------------- <br /> (Office Use Only Below This Line) <br /> PLANNING&ZONING ACTION: <br /> CITY COUNCIL ACTION: <br />