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-* 195 G zo <br /> x A�e tervilte <br /> 1880 Main Street • Centerville, MN 55038 <br /> Established 1857 CITY OF CENTERVILLE (612) 429 -3232 • Fax (612) 429 -8629 <br /> APPLICATION FOR VARIANCE OR REZONING <br /> VARIANCE X FEE -# / 9,1 Iv <br /> REZONING DATE PAID Z o 9 �1 <br /> STREET LOCATION OF PROPERTY: Jo 7 - a,/ ,/ jerv! g �J <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> CEp TSr ✓'VA - Vl /is/ f OC - <br /> L o f - 2 F n1 ?o F/ or Lh f A <br /> 73Ik' S HJ re d,llr - V! /� <br /> SIZE OF PARCEL (S) <br /> PROPERTY OWNER: la/4n / 1 E/C PHONE # 1 -)) 91 <br /> FEE OWNER: <br /> ADDRESS: <br /> APPLICANT'S INTEREST IN PROPERTY: <br /> FEE OWNER CONTRACT PURCHASER <br /> LEASE HOLDER OPTION TO PURCHASE <br /> IPTI <br /> DESCRON OF REQUEST: ( 4- 12r sphic E p fad, �ro- <br /> REASON FOR REQUEST: <br /> l4 -deir ¢iorJ 41, 73aal. <br /> * Plus any additional costs <br /> Signature of applic t incurred for engineering, <br /> legal fees, publication or <br /> Signat e o property owner other requirements. <br /> dd <br /> D. e <br />