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CITY OF CENTERVILLE <br /> APPLICATION FOR PRELIMINARY PLAT <br /> Any additional costs incurred for <br /> DATE PAID: 10-06-2014 FEE: Waived + Engineering,legal fees,publication or <br /> other reouirements_ <br /> STREET LOCATION OF PROPERTY: 7087 20th Avenue <br /> LEGAL DESCRIPTION OF PROPERTY: See attached <br /> SIZE OF PARCEL(S): 1.8 acres <br /> NUMBER OF LOTS PROPOSED IN THE PLAT: two(2) <br /> PROPERTY OWNER: City of Centerville PHONE#: 651429-3232 <br /> FEE OWNER: City of Centerville <br /> ADDRESS: 1880 Main Street,Centerville,MN 55038 <br /> APPLICANTS INTEREST IN PROPERTY: <br /> FEE OWNER CONTRACT PURCHASER <br /> LEASE HOLDER OPTION TO PURCHASE <br /> DESCRIPTION OF REQUEST: Request approval of plat to allow sale of building and <br /> adjoining property,but retaining land under water tower toghethr with access easement. <br /> REASON FOR REQUEST: Split of parcel requires plat. <br /> By paying the above stated fee,I understand that no refunds will be issued in full or in part,at any time,even if the <br /> outcome is denial. <br /> SignAtire of Applicant Signator of property owner <br /> 10-6-2014 <br /> Date <br />