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<br /> <br />tervi{[e <br />'Esta6Bsftd 1857 <br /> <br />1880 :Main Street <8 Centervilfe, '.M!J{. 55038 <br />(651) 429-3232 .!Fai( (651) 429-8629 <br /> <br />CITY OF CENTERVILLE <br />APPUCATION FOR WT SPUTILOT COMBINATIONIREZONING <br /> <br />Any additional costs incurred for <br />FEE: J~L'. ~ + enginP.P.rin.g, legal fees. publication or <br />~ otherreqwrements <br /> <br />LOT SPLIT/LOT COMBINATION: >( <br /> <br />REZONING: <br /> <br />DATE PAID: <br /> <br />STREET LOCATION OF PROPERTY: At\. Du NP 'r \\ A.I L -"'142 t <br /> <br />LEGAL DESCRIPTION OF PROPERTY: LoT<J <=t ~.o ~L\<. \ _ T~6' S ~.;)~\!S <br />" <br />_(:~< o..~1ac.ksd ..5k.~ej" f"or (\Ie.,;' .pes'c.".,\>'\~ol\S.) <br />SIZEOFPARCEL(S): N..e.w~ is: 145 ~ ~911t5' sec- t='....... <br />PROPERTYOWNER: ,(;Jefln R~\...b~ in PHONE#: 1t..3-7'8L/-Ob'S'7 <br /> <br />FEE OWNER: <br />ADDRESS: <br /> <br />(?\~~i"\ ~"'-'Io~",- t"\'V'^"- 'R<-~be..~""," <br />~Sl I\lcf \e ~ s+: IU E:. B/~ ;~__ "",v ~'-Ifj <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />X FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: COi'^bt~~ \3' st.-i'p o~ Lo"t" to <br />w \ t-k t-o't ~ - See eW,.'.I:..r <br /> <br />REASON FOR REQUEST: <br />s~.p.. <br /> <br />PN<:>U""'~ ~..~....;t-:u.._\- -\-.r-...-", 'I"" ~ \~. <br /> <br />By paying the above stated fee, I understand that no refunds will be issued in :full or in part, at any time, <br />ev the outcome is ~~ ~ . <br />..-../. !#JIB. I ..'~ 0/) . // (1 <br />v ,.If--'~ /.'1/ '\, - - -.' - 1/;: <br />/ ' . /.' . <br />,'..' CI. ../~_-. _ f___. & .... ,,"-'~- <br />Signature of Applicant Signature of Property Owner <br /> <br />8/L//03 <br /> <br />Date <br /> <br />