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CITY OF CENTERVILLE <br /> APPLICATION FOR VARIANCE OR REZONING <br /> VARIANCE FEE kg).00 <br /> REZONING X PAID �/f <br /> STREET LOCATION OF PROPERTY /UQ 4 C a,�� GGI�.t l�- ;:1d , 3 <br /> LEGAL DESCRIPTION OF PROPERTY See Cj' t' LC <br /> SIZE OF PARCEL (S) 7 ? j I � p, Ala ,2� s / `.5 <br /> PROPERTY OWNER e// 4 1 rs e 7 � / r PHONE NO. — d 30. / <br /> (FEE ADDRESS 191 Saber Lake Ad /k N6k A <br /> y � s s S// z <br /> APPLICANT C' d� it i r' ') PHONE NO . �, to - 3 7S`/ <br /> ADDRESS 6 rn P s so J c <br /> APPLICANT'S RELATIONSHIP TO PROPERTY _FEE OWNER <br /> CONTRACT PURCHASER <br /> OPTION 10 PURCHASE LEASE� HOLDER <br /> DESCRIPTION OF REQUEST ,e n - Cr 0 IC` 2 £2 /T <br /> I h p Pt'_ r'n± i o 'h am 5u.L Jikis ( n L <br /> REASON FOR REQUEST /Ce° 1 0 v+ C,nhns e- Z ` ) <br /> tobu 1� e Z/}- s pU, � J <br /> { ` 111 E OF APPLICANT) <br /> SIGNATURE OF P OWN ") <br /> )1/ JIG /, / 78' 7 <br /> /f � <br /> 2(DATE) <br />