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<br /> <br />tervi{{e <br /> <br />'Estab[ished 1857 <br /> <br />1880 Main 51reet . Cenlervi([e, M'J{ 55038 <br />(651) 429-3232 . 'fali (651) 429-8629 <br /> <br />CITY OF CENTERVILLE <br /> <br />SPECIAL USE PERMIT REQUEST <br />NAME: ~ () 15 oN , FEE: /7-1 '!9 r If/eel -I- .&1/' <br />COMPANY~-t- II- ~e<d6e.S PAm <br />ADDRESS: tJ)' 00 fI-t At) L , <br /> <br />TELEPHONE NUMBER: @.1~:;2.8 - ")..,t.(L(I{ <br />STREET LOCATION OF PROPERTY: D tx/J.~ JA; tie.., ~. <br /> <br />PROPERTY IDENTIFICATION NUMBER: ;rS J(.2 <br />LEGAL DESCRIPTION OF PROPERTY: see CLJtP I e5 <br />. <br /> <br />he, <br /> <br /> <br />000 ('/0007 <br /> <br />SIZE OF PARCEL(S): fI"',o}Q.. /:2 /(C/'.J!S <br />, . <br />SP~CIAL USE PERMIT REQUE~}~ -\<o~ 1i ~ ~?S"~ <br />oY J ,&.vI ~ ~ eq:; - L rflJ~ ~ plett.) <br />..e,,,-- A f' I' ~t>rl o-f? 1:t. V, :;:l./.{ "",_...ru IM'5. ,;{t/ /If,C;5, <br />m~. <br /> <br />PLANNING & ZONING ACTION: <br /> <br />CITY COUNCIL ACTION: <br /> <br />I have read the attached Ordinance #4. Division 195: Special Use Permits (Page 57 - 58). I was also presented with that <br />Section of Ordinance #4 that 1 may/may not be in compliance with and fully understand that if 1 am denied the <br />ramifications of same. <br /> <br />By paying the above stated fee, I understand that no refunds will be issued in full Of" in at any item, even if the <br /> <br />outcom~~ <br /> <br />Signature of Applicant <br /> <br />Nr ?,I 0'/ <br />Date J <br /> <br />