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<br />.. <br /> <br /> <br />CITY OF CENTERVILLE <br />CONDmONAL USE PERMIT REQUEST 0.. '~--(a,. M--- <br />NAME: :J}.sd A.i S tJ y f) ~ /L FEE: ./I25/).1Jb -I' ~." '--_._ ,~- <br />COMPANY(.fBS A-um W"f!/D PAID: ~:::;u ~ <br />ADDRESS: i(Jt;t) J,/~"" /Jd~ !- ~QL,~~ W <br />TELEPHONENUMBER:~S-/" ~y-;}d1j' . /z.Ft~ <br />STREET LOCATION OF PROPERTY: 716'7 :J-t;~#- Av~ S · <br />PROPERTY IDENTIFICATION NUMBER: '1 <br />LEGAL DESCRIPTION OF PROPERTY: ? <br /> <br />SIZE OF PARCEL(S): ? <br />. <br /> <br />CONDmONAL USE PERMIT REQUEST: ~ ~PA:.f + <br />~ .A/~" ~ J Ai' d v1'Otld/L A - d X SO <br />pi:: /V~#!f /J ~, 'T - S tdn AlI5 L L,,, "7 ' r'f D t1 I/rtJ d, ILf <br />'/; ." t(J~!!t- <br /> <br />I I8w read 1he aUacbed City CocIo. SedionlSS.lY7: CcmdiIional Uses. <br /> <br />By paying the above sIatllCl fee, I undcrstamI that DO refimds will be issued in fidl or in put. at 8IIJ item, llVlIIl if 1he <br /> <br />~~ <br />C ;. ..e Iicanl <br />~-J}/- t:J '::> <br />Date <br /> <br />Si~~~ <br /> <br />-----------------(OOb-~~~nkUH)------------- <br /> <br />PLANNING &; ZONING ACTION: <br /> <br />CITY COUNCIL ACTION: <br /> <br />/.:..:1,.. <br />V <br />