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CITY OF CENTERVILLE <br /> COUNTY OF ANOKA <br /> STATE OF MINNESOTA <br /> SPECIAL USE PERMIT REQUEST <br /> FEE: — 7 S. cx) <br /> 1 Cs--� <br /> PAID: <br /> NAME 7/Lice / d /� <br /> COMPANY _ad P- . I C_.g -- <br /> ADDRESS / 12 J / L /66" 6 ! S3"3 I (o <br /> PHONE NUMBER 96S- U 4 /0 c 1 r 77 3 -S cr � - 4Lq • - 1 S <br /> PIN #JJ G d- z r Secs DATE: 4/ // 3 /58 <br /> SPECIAL IJSE PEO T <br /> 1 . 0 —{ /) z q f " '`- <br /> PLANNING AND ZONING ACTION: <br /> CITY COUNCIL ACTION: <br /> Owner of property �f <br /> Address <br />