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<br /> <br />eivtervi{{e <br /> <br />'Estafj{ished 1857 <br /> <br />1880 :Jv[ain Street . Centervi[[e; 'Jv['J..L 55038 <br />(651) 429-3232 . 'Yare (651) 429-8629 <br /> <br />CITY OF CENTERVILLE <br />SPECIAL USE PERMIT REQUEST <br />NAME 'Sf>llr () 150"",, FEE /91. 09 <j- ,&tJ 4- .bJ' hei <br />COMPANY~T R. f'~p'ed6es PAID <br />ADDRESS: _ () _)' ~ <~ .ftt flu e-- , <br />TELEPHONE NUMBER:~i~?Ji - ;;z,tlLft( <br />STREET LOCATION OF PROPERTY' D S" OW ~ ;1\ i/,J.e_. ~. <br />PROPERTY IDENTIFICATION NUMBER: ~ ;2.5 Jl2 ~, Db oS 00 0 '10007 <br /> <br />LEGAL DESCRIPTION OF PROPERTY see <br /> <br />UJ;p I e.--:5 <br />If' <br /> <br />SIZE OF PARCEL(S): H"tt<o"/Q. <br />, <br />SP~CIAL USE PERMIT REQUEST <br />oY e.p..il C .:-e VI e - . 'tJ~.. <br />111'",,- A f ~ /-iJbri 0.4? l::t.. 'to J;<,t.{Yk>Be/IJ ./Pt"S ~ <br />/11,4X .. <br /> <br /> <br />PLANNING & ZONING ACTION: <br /> <br />CITY COUNCIL ACTION: <br /> <br />1 have read the attached Ordinance #4, Division 195: Special Use Pennits (Page 57 - 58). 1 was also presented with that <br />Section of Ordinance #4 that 1 may/may not be in compliance with and fully understand that if 1 am denied the <br />ramifications of same. <br /> <br />By paying the above stated fee, 1 understand that no refunds will be issued in fi1l1 or in art, at any item, even if the <br /> <br />OlltcO:~~ <br /> <br />Signature of Applicant <br /> <br />Nff ~I 0'-/ <br />Date ) <br /> <br />