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<br />CITY OF CENTERVILLE <br /> <br />APPLICATION FOR VARIANCE OR REZONING <br /> <br />VARIANCE <br /> <br />>< <br /> <br />*FEE <br /> <br />REZONING <br /> <br />DATE <br /> <br />PAID <br /> <br />STREET LOCATION OF PROPERTY: CO;(f-6;,J 12d -f !/tsK-',7A('i!! -S' <br />LEGAL DESCRIPTION OF PROPERTY: 10 ') I~~ ~;),.{;n,..Z 5.,/J),.,,,.. IJ L)~ <br />&23- 3/-J.j.-,,)!rodJ3 (fAI<.CtL- :rcJtot>J'g'-t:>tao 6}~~73 <br /> <br />SIZE OF PARCEL(S) /'i SS 4~1t.(J,: <br /> <br />PROPERTY OWNER: ST&Wi!-vie'J;. (l,,7Mti.,~ ('lIv"'-~\PHONE ifc1j,-r t(eJ7- 7?3/ <br /> <br />FEE OWNER: S7 Ce,.JcV;'/iv-e;!S. (!A I1ltJLic . <br />ADDRESS: ti::d1 t.,~ l2t?...Tl.<vIUi fJ t" lei{ 7 G/5 i Frt;;) I<:'.J, C(~T.,'v' u. /j!Ji I>..) <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />>< <br /> <br />FEE OWNER <br /> <br />CONTRACT PURCHASER <br /> <br /> <br />OPTION TO PURCHASE <br />Ii^ U~R.JA;\IM ofT ~-7 f'ilc T <br />h.L';'f <br /> <br /> <br /> <br />Signature of property <br />.y ()t:T .-{O-:).\.:- <br />Date <br /> <br />* Plus any additional costs <br />incurred for engineering, <br />._ ~'-r- legal fees, publication <br />,~ , /"' <br />""L'-!,.J Ihll/!;,J,:or other requirements. <br /> <br />C-/~2uM,----, Au:,72/J <br /> <br />owner <br />