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<br />. <br /> <br />f~~~ 377 <br />4~;60 <br /> <br />CITY OF CENTERVILLE <br />APPLICATION FOR VARIANCE OR REZONING <br /> <br />VARIANCE <br /> <br />~ <br /> <br />*FEE <br /> <br />il7 7b~ <br />11 t.f /Z-t!6Z- <br />I I <br /> <br />REZONING <br /> <br />DATE <br /> <br />PAID <br /> <br />STREET LOCATION OF PROPERTY: li)O ~e.\\i \2, LCif::.P \"j';\l\i <br />LEGAL DESCRIPTION OF PROPERTY: \)e..l ~, Q, l~~ \' Q \..\; Ib '\\~ I ,,+ <br />6\Ul.'L I <br /> <br />SIZE OF PARCEL(S) <br />PROPERTY OWNER: \""\-c\ \..,' a.- l\0.~h"'i\~LAlV <br />I I' <br /> <br />PRONE 41 (0'') 1- '-12 Ci - " i k~- <br /> <br />FEE OWNER: <br />ADDRESS: Illb ~QI+iJ(r Lv.t..Q. '0ri\Ji!_ <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />FEE OWNER <br /> <br />CONTRACT PURCHASER <br /> <br />LEASE HOLDER <br /> <br />OPTION TO PURCHASE <br />::)Pli. ~~4.r"c: <br /> <br />DESCRIPTION OF REQUEST: <br /> <br />REASON FOR REQUEST: <br /> <br />~ (lj) ~,d'\.cl. <br />- <br /> <br />Sign~~~ <br /> <br /><Sa JIJ1e <br />Signature of property owner <br />&f-Lj - dd- <br /> <br />Date <br /> <br />* Plus any additional costs <br />incurred for engineering, <br />legal fees, publication <br />or other requirements. <br />