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<br />CITY OF CENTERVILLE <br />COUNTY OF ANOKA <br />STATE OF MINNESOTA <br /> <br />SPECIAL USE PERMIT REQUEST <br /> <br />FEE:~r@J). <br />PAID:~~;&3 ~p <br /> <br />NAME 6J//16/F"I',/ (/.{x -It r) <br />COMPANY f(oClIt36J i}ztJ.P~/2.-7;"~~~ ?Le:.- <br />. .- <br /> <br />ADDRESS (,fdS' JJ P' A't/e - $., !c/lkrvt//e <br />/ <br /> <br />PHONENUMBER ktS! / f~tf - /,8'1'> <br />/ <br />PIN# 12;5 5/ ~p /1 ~~Ss <br /> <br />DATE: <br /> <br />/ p,/Ji / f f" <br /> <br />SPECIAL USE PERMIT REQUEST: <br />n/1- /{/'" P;;.' fl./,z 1I/l.");~/4 ~ 1!/l/7/;;~ . <br /> <br />PLANNING AND ZONING ACTION: <br /> <br />CITY COUNCIL ACTION: <br /> <br />(vz.lI'tP i- (;/1- PJij tfi!#~t:Yl/ <br />Qwner of property <br />fJC4'i' . #,,} tJ /h/.-;: . tel? k orNi" <br />Address / <br />