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r <br /> terviCCe <br /> blish 1880 Main Street • Centerville, 55038 <br /> E staed -1857 CITY OF CENTERVILLE (651) 429 -3232 • jaa. (651) 429 -8629 <br /> APPLICATION FOR VARIANCE OR REZONING p <br /> 1 #,J7Z 4044• /'" W <br /> Any additional costs incurred for <br /> VARIANCE: FEE: "+ engineering, legal fees, publication or <br /> ,+ other requirements <br /> REZONING: (I DATE PAID: /// WO <br /> STREET LOCATION OF PROPERTY: / / <br /> ,' <br /> r <br /> / IY, <br /> LEGAL DESCRIPTION OF PROPERTY: �— , p <br /> fi- 9 L.= z _1 - 7: 2 09,47. L /).1/ y/0",-7 ' e.. ; , a e ''t !v r. le ". 1�.5 . <br /> S OF PARCEL(S): 11/ f, / C-- <br /> // <br /> PROPERTY OWNER: Ci �p y � /�� PHONE #: �, S�'� �- ir6 <br /> / <br /> FEE OWNER: <br /> ADDRESS: C r " .-- <br /> APPLICANT'S INTEREST IN PROPERTY: <br /> FEE OWNER CONTRACT PURCHASER <br /> LEASE HOLDER OPTION TO PURCHASE <br /> J <br /> DESCRIPTION OF REQUEST: / 47— . 7i42-71 <br /> - <br /> A AiiteR <br /> REASON FOR REQUEST: r / Ce�4/, <br /> � + <br /> Yl 4 -° 5 f - '4, A/2 n <br /> _7, i% <br /> I have read the attached Ordinance #4, Page 13 "Variance ", Pages 55 -62, Division 185: Variances, <br /> Section 185 - 010: Board of Appeals and Adjustments, Section 185 - 020: Variance Procedures, and <br /> Section 185 - 030: Variance Appeal Procedures. I was also presented with that Section of Ordinance #4 <br /> that I may /may not be incompliance with and fully understand that if' I am denied the ramifications of <br /> same. <br /> By paying the above stated fee, I understand that no refunds will be issued in full or . part, at any : me/ <br /> even if the outcome is de • 1. , j f% <br /> Signa - of A ppli ant S' 4; ,,..4.-P-o -rty Owner <br /> Date <br />