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<br />.. . <br /> <br />FROM : CENT <br /> <br />PHONE NO. : 651 429 8629 <br /> <br />Jun. 10 2003 12:58PM P7 <br /> <br /> <br />tervi{[e <br />'EstafJ[isfid 1857 <br /> <br />18809llai~ Street . Centerr.tilft, M!J{ 55038 <br />(651) 42.9.3232 . !FQ.7(. (G51) 429.8629 <br /> <br />CITY OF CENTERVILLE <br />APPUCA nON FOR FINAL PLAT <br /> <br />DATE PAID: <br />STREET LOCATION OF PROPERTY: <br />LEGAL DESClUPTION OF PROPERTY: (}ufl()-J- B fj)})J~~~ IflttllJ ;;Jv1.. <br />AbDI-hoAl <br /> <br />SIZE OF PARCEL (S); It/. q I f).U2e<:\ t (;.~ ~,,,IL ~.Iy lolsJ <br />PROPERTY OWNER: (;fl.oul1J 'D~r~ ~ r~t!. PHONE #: 111?3 ~S4h -JI./J.~ ex. II <br />FEE OWNER.: (PlUJtJl1d b~eJafWllLot.-l; DilL <br />. ADDRESS; 7!>")S: r'_" u.... v.Jl-7~. r..,., IJAA UcJl~f) MJJ 59/.'l7- <br />APPUCANTS INTEREST IN PROPERTY: <br /> <br />V FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: <br />l.rJ. <br /> <br /> <br />--REASONFORREQUEST: NORh"oL P/VJ(Jd~17> ~1t.(:JL+. '11L.. L.ikl- <br />ij)k~ &-1f;h~;:;;'A-8- Ma~::J~ I ~ ~~ .J;.;J b PrtJ~;{~,w-4- ~~~(:U <br /> <br />By payiDg the abo"c stated fee. X nnderstaJld that no refuDds will be issued in full or . <br /> <br />" ~"-:f) I!# ~A _ <br />A~~~~ D~ <br />Signature of Applicant Signature of property owner <br /> <br />t -,A" ""'Q~ <br />Date <br /> <br /> <br />~ <br />