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CITY OF CENTERVILLE <br /> (;9) 2 ✓P APPLICATION FOR VARIANCE OR REZONING <br /> { VARIANCE X FEE$ SE) REZONING ( PAID <br /> STREET LOCATION OF PROPERTY / / 2- 1S / /e 1-0 <br /> LEGAL DESCRIPTION OF PROPERTY • • <br /> - <br /> 1 .2,1> lj� lU, ) (j2, -- - <br /> SIZE OF PARCEL (S) X C <br /> PROPER ay/( "c ✓ PHONE NO. // <br /> (FEE <br /> ADDRESS /7 -/ /1 (3 �. <br /> APPLICANT pp�� PHONE NO. <br /> ADDRESS S �� ' \ E_ <br /> APPLICANT'S RELATIONSHIP TO PROPERTY ,FEE OWNER <br /> — <br /> CONTRACT PURCHASER <br /> OPTION TO PURCHASE LEASE HOLDER <br /> DESCRIPTION OF REQUEST b i ` . • CA CV C <br /> pr" tJ nn ; te <br /> REASON FOR REQUEST A Ckckck C_1r\ecX ( cam* 6 {' \L <br /> c; <br /> ef‘ r r z u► {' r' ,e <br /> Q Ck Cy 0T, ✓' •--e <br /> (SIGNATURE OF APPLICANT) <br /> A s tJ.t C <br /> IG !re PROPER Y OWNER <br /> G 3 / <br /> DATE <br />