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:: <br /> r l tt ervi tt e <br /> 1880 Main Street • Centerville, MN 55038 <br /> FstaRished 1857 CITY OF CENTERVILLE (612) 429 -3232 • fax (612) 429 -8629 <br /> APPLICATION FOR VARIANCE OR REZONING <br /> VARIANCE FEE 767- # f y /ti <br /> ��& <br /> REZONING DATE PAID % Z / 6D <br /> STREET LOCATION OF PROPERTY: Gj / / �( GG�V �< :` -,e_b w / at iv,. <br /> LEGAL DESCRIPTION OF PROPERTY: _ <br /> r'4N Pe-0 111e- to -c-c- r O c-C - wr7e t-I tS /U %._ 0 F : AJE - %_ <br /> of Si/t/ 1 /e i sL - - - r; 23 3/ 22.3/ - Ge 5 5/6 <br /> SIZE OFPARCEL(S) / )C 2.. . <br /> PROPERTY OWNER: 5 /M✓ ///9-S /f9 PHONE # 4'07 - 7S? <br /> FEE OWNER <br /> • ADDRESS: <br /> APPLICANT'S INTEREST IN PROPERTY: • <br /> FEE OWNER CONTRACT PURCHASER <br /> LEASE HOLDER OPTION TO PURCHASE <br /> DESCRIPTION OF REQUEST: »J j O T E.. PO45 2i9fN ,q . _ <br /> Ir .5r0Riay= sea 7 ...-970_,s, N6 I- i,A/ ? - tt <br /> / 54 Rte= . cr- r4-/Rs I l 7 _no .77,. �. &4EAV- 0 -- 9 jV©<a./ 3 -- Qt,/s,L <br /> 2 /2 /M 1/E- / y1/jV v✓1 C1ii. 1 2 Pcp51--f 010 // 7,es 1 Gos- -s/°L/ 7 - 77).e _ <br /> c P✓i R r/ x'-1-5 / CD l) e+- /-� it / 5 NCuSH J) Oil / r M4- V/ t,'9 icz-nio'L' / <br /> .3 - Gg'O /.✓L .GfIC� . cs/ - /ADG GT/lt AO Y - . <br /> REASON FOR REQUEST: <br /> . /IV poLc, B:4-7.l✓ cN6 75 / %oL Co S /0/e/ /410.10/s VLi 7QGL -C . 5 /4, <br /> i f i ev Tr- f t-Alp rw,= Ct, : �P S/ .06 % n _,DO -L -/ _c/ ; ,7)4- /N/2=ll/&w <br /> , / gici 1 worn) ws/A/Q- foc -e= 84 0,5 c", 77) ,e7 t. , <br /> `752-89)4A - 4- f-/te, y ,n,' R ,4_ * Plus any additional costs <br /> Signatu e of applicant incurred for engineering, <br /> 5 j ,� o- 4 4,1'- _ legal fees, publication or <br /> Signature of property owner other requirements. <br /> O o�on <br /> D at <br />