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CITY OF CENTERVILLE <br /> APPLICATION FOR VARIANCE OR REZONING <br /> t' VARIANCE C/ FEE.50•© <br /> REZONING PAID 7 -RS .6 ...tack it- <br /> r I - Ro71 <br /> STREET LOCATION OF PROPERTY l 75 (p PE/4/Fr (,A bZE Drive <br /> LEGAL DESCRIPTION OF PROPERTY „CDC 7 } ' 1 2 . 7)1()C.k. ` <br /> _ �E. IL. ■ . •D l 4-i nt.) <br /> SIZE OF PARCEL (S) / Do X /50 <br /> PROPERTY OWNER Elk ) R . nil() I--A L r PHONE NO . Di 0 • <br /> (FEE OWNER) (� 1 (� <br /> ADDRESS I I ��(A 'r` E H c Tyr LA k--E .V r I v F <br /> APPLICANT ��fC\ OS \\`(- NO. <br /> ADDRESS <br /> APPLICANT'S RELATIONSHIP TO PROPERTY XFEE OWNER <br /> CONTRACT PURCHASER <br /> _OPTION TO PURCHASE LEASE HOLnFR <br /> DESCRIPTION OF REQUEST \ O W 1 (MO I I q' CA.os r <br /> H In'1 er0pE5 - -I - ()\ n) e- .N —+ <br /> 15 <br /> E <br /> REASON FOR REQUEST i ` U b J A 1 L'I / X 2, ?. <br /> E.(‘ -V; 1mk) oN m4 Curt c Qrm- ket--.F piN5. <br /> [Y vim { A- r Dc .L 4- i'cJ ( x - <br /> A 1‘ ,--\ C-- `. <br /> IA t `qCCJ6 I S NATURE OF APPLICANT) <br /> " (SIGNATURE OF PROPERTY OWN' •) <br /> . <br /> (DATE) <br /> ye-' <br />