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CITY OF CENTERVILLE <br /> APPLICATION FOR VARIANCE OR REZONING <br /> VARIANCE FEE` f 50. 0 0 mcn - <br /> • <br /> REZONING PAID <br /> STREET LOCATION OF PROPERTY. "f &- a e f �o �, <br /> PTA, it 2j 27 -32. —000( <br /> LEGAL DESCRIPTION OF PROPERTY '• • <br /> p � N" tJ " n^ �;,, 5ca y ' . •2 3J 2 o -.+- ' NE % •-./ s& k :1 .. . a-x 4.f, <br /> 91 ! C SIZE OF PARCEL (S) O r.__ ( — /r c �a s • <br /> ommf <br /> PROPERTY OWNER uewtic..•,-� ` %o-- PHONE NO. k <br /> (FEE OWNER) � <br /> ADDRESS 930 (a, „ ,,-4 PG.JZ 5- 5- I # 7 <br /> • <br /> ° APPLICANT . ' • PHONE NO . <br /> ADDRESS <br /> • APPLICANT'S RELATIONSHIP TD PROPERTY FEE OWNER <br /> CONTRACT PURCHASER <br /> _OPTION TO PURCHASE LEASE HOLDER <br /> DESCRIPTION OF REQUEST J ,.Q <br /> • Cf- "--• e∎I.1. _ • W tia ..... �� / .:..- <br /> REASON FOR REQUEST i2, „ em u . _ dc <br /> 1 <br /> 40 CC- <br /> .: ,_. LetAlt <br /> / ' Z ip � <br /> IGNATURE OF APPLICANT <br /> (SIGNATURE OF PROPERTY OWNER) <br /> C- <br /> \ \ 1 <br /> (DATE) <br />