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['t t e V it(e 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 FEE <br /> REZONING _ DATE PAID <br /> STREET LOCATION OF PROPERTY: 6 9 7 ' R -c L 5' - i , <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> SIZE OF PARCEL (S) 7 5 ' f lo <br /> PROPERTY OWNER: (0 /< (L f ,L; PHONE # E 5 -O ' 7 <br /> FEE OWNER: i7 A-v 10 IG (L- (L} L' • <br /> ADDRESS: !d 9 'r 3O _.a <br /> APPLICANT'S INTEREST IN PROPERTY: <br /> FEE OWNER CONTRACT PURCHASER <br /> LEASE HOLDER OPTION TO PURCHASE <br /> DESCRIPTION OF REQUEST: R e 6 c i L - f) l `T` <br /> Pe 2 <br /> • <br /> REASON FOR REQUEST: <br /> Rca T - ( o7 <br /> M it c'/ * Plus any additional costs <br /> Signature of applicant incurred for engineering, <br /> legal fees, publication or <br /> Signature of property owner other requirements. <br /> Date <br />