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<br />
<br />1880 %ain Street . CenteroilTe, 'Jvf:}.[ 55038
<br />CITY OF CENTERVILLE (651) 429.3232 .:Fa;c (651) 429.8629
<br />APPLICATION FOR VARIANCE OR REZONING
<br />
<br />VARIANCE:
<br />
<br />/'
<br />
<br />fEE: L?s:fi!?+
<br />
<br />Any additional costs incurred for
<br />engineering, legal fees, publication or
<br />other requirements
<br />
<br />REZONING: DATE PAID:
<br />
<br />STREET LOCATION OF PROPERTY: 6' <7 74' ~'\/1Z:-?2.,Jk,0=f~~
<br />
<br />LEGAL DESCRIPTION OF PROPERTY: .eE -3/-,.,?2-J/-dVf0
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<br />
<br />SIZE OF PARCEL(S):
<br />PROPERTY OWNER:~,r.tl-/v/ H~ {:I/-&::!- PHONE #: h 0 7 '- 7.3 0/ f,
<br />
<br />FEE OWNER:
<br />ADDRESS:
<br />
<br />APPLICANT'S INTEREST IN PROPERTY:
<br />
<br />FEE OWNER
<br />LEASE HOLDER
<br />
<br />CONTRACT PURCHASER
<br />OPTION TO PURCHASE
<br />
<br />DESCRIPTJON OF RE9,UEST: .f:; vi i L./'::> _J';€) G-- kA-/\/(-:=L
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<br />
<br />REASON FOR REQUEST: St4-;:::c:.;,- "j i=D ~
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<br />
<br />1 have read the attached Ordinance #4, Page 13 "Variance", Pages 55-62, Division 185: Variances,
<br />Section 185-010: Board of Appeals and Adjustments, Section 185-020: Variance Procedures, and
<br />Section 185-030: Variance Appeal Procedures, I was also presented with that Section of Ordinance #4
<br />that I may/may not be in compliance with and fully understand that if I am denied the ramifications of
<br />same.
<br />
<br />By paying the above stated fee, I understand that no refunds will be issued in full or in part, at any time,
<br />even if the outcome is denial.
<br />
<br />/hi' 1
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<br />U~'1--1-v lit ,- i A'J{"-A ,9 ,(,
<br />Signature of Applicant
<br />
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<br />Signature of Property Owner
<br />
<br />7//71e-i/
<br />Date' /
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