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<br />CITY OF CENTERVILLE <br /> <br />APPLICATION FOR VARIANCE OR REZONING <br /> <br />VARIANCE <br /> <br />*FEE <br /> <br />?JIb. CiJ <br /> <br />REZONING <br /> <br />'j.. <br /> <br />DATE -PAID <br /> <br />STREET LOCATION OF PROPERTY: rr.5BI p~j;TJ.E I!- C) jQ Cl.-/; <br />LEGAL DESCRIPTION OF PROPERTY: Sa: ArrAc H..ill <br />\1-\, 0\ -J..'J- 3\. COLI b/l./?tGZ It <br />'OO\q <br />-()D23 <br />SIZE OF PARCEL (S) ,6+ l-pel2fS <br />PROPERTY OWNER: ~hn c:j 3a.n(W"Et-t.([kbe~ <br /> <br />PHONE # (;SI-L[zk..{;530 <br /> <br />FEE OWNER: SAinE: <br />ADDRESS: 't--3f',i -1~L;nEIL- c:,if<C-i:.:G; te~~LliLLe. ('-V,! <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />'f. <br /> <br />FEE OWNER <br /> <br />CONTRACT PURCHASER <br /> <br />LEASE HOLDER <br />DESCRIPTION OF REQUEST: kECLOt~ <br />Tf) f-.-;2....,.-SJI\J6LE PRIVJIUP <br /> <br />OPTION TO PURCHASE <br />fPDt'!/t R i - Pi)'fl-/tt~ (.{E'j t(]g.!,.ffAC <br /> <br />REASON FOR REQUEST: 6EV~JDrrAE}Jil <br /> <br />2t~ ~, &ua/J.1.;c <br />Signature of applicant <br />~- 't. (f. ~~ - <br />_ ~ C?&~~r- <br /> <br />Si ature of property owner <br /> <br />q 1& { [J';?- <br /> <br />Date <br /> <br />* Plus any additional costs <br />incurred for engineering, <br />legal fees, publication <br />or other requirements. <br /> <br />J <br />