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FEE 5 O O <br /> PAID <br /> STATE OF MINNESOTA <br /> SPJQIAL USE PERMIT <br /> CITY OF CENTERVILLE REQUEST <br /> NAME a, 4� 1P7a1/4 9a9 seal <br /> ADDRESS 4 1,1,6 / /VA //‘) 5/ <br /> PIN# <br /> SPECIAL USE PERMIT REQUEST ,,7 / o7/`i r P ti / /Y/7/ /W <br /> 7i S 0/ /d / f k'» f < n 7 /Y/7 /v4 v _4:44e,1 rs',a 4 4 <br /> / 1 /' , • • ' s .�A 6 a ' 4 J /N <br /> • <br /> LENGTH OF PERMIT /.d .f/.,v7 <br /> PLANNING AND ZONING ACTION i j / 98 ‘, /ca-car+ <br /> u �� ins u• <br /> CITY COUNCIL ACTION i % <br /> / <br /> Q J�-C _ fir �►��_ �YIE� �. i Y<Q.l f / r _ , / ' <br /> r OWNER OF PROPERTY <br /> AUU S <br /> T i <br /> jjjjjj , <br /> r �I 1i <br />