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. tervitle 1880 Wain Street • Centerville, 55038 <br /> Established 1857 CITY OF CENTERVILLE (612) 429 -3232 • Fax (612) 429 -8629 <br /> APPLICATION FOR VARIANCE OR REZONING <br /> VARIANCE FEE /- <br /> CtSrsPirr <br /> R€ZO G V DATE PAID caiS /cj. <br /> STREET LOCATION OF PROPERTY: '9v - , ' rat- LLB di D . <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> ,V �y o ` .vim cF J 2 /y /F i 3 9/ aa, <br /> SIZE OF PARCEL (S) c;?.?:" deA'is — vas ,. 7 <br /> PROPERTY OWNER: Zfl.✓ LE-&- PHONE # /a r!- <br /> FEE OWNER: J�}� <br /> ADDRESS: <br /> APPLICANT'S INTEREST IN PROPERTY: <br /> X FEE OWNER CONTRACT PURCHASER <br /> LEASE HOLDER OPTION TO PURCHASE <br /> DESCRIPTION OF REQUEST: ��u<<s -- T y 4 7 � o u , 4 c i o s e y � s i P / � r r — <br /> u � l d i t . . / 47. 4.2 <br /> j j i J , P � � r � h i a i r L� i � a A 3 s r P . a F 672 .3 ' — - ny —re -¢ 4 - ,✓g <br /> fT s7 /eac /` 4?.fl' e <br /> REASON FOR REQUEST: <br /> �- ,•1y.7 .t��.� ipF /o �i¢iPG' &- ph ._ <br /> 7 * Plus any additional costs <br /> Si nature of applicant incurred for engineering, <br /> legal fees, publication or <br /> Signature of pro erty owner other requirements. <br /> <Vas <br /> Date <br />