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<br />. <br />. <br />" <br /> <br />'. <br /> <br />DMSlO,..1 COMBINATION REQUEST FORM <br />o DlvfI!lO~ MunIcIpaIiIN (J 11-- :hAJ ~"' (JJate ) Z -2 -9 ~ <br />JKf Combfnatlon For taxes payable In 19-12. <br /> <br /> <br />Fee 0Nner: .. -- <br />Contract <br />Purchaser: <br /> <br /> <br />B5/Pl' <br /> <br /> <br />Pin <br /> <br />Legal DescrIption <br /> <br />Note: If this Is a request for a division ot a tax parc:el. the legal ~ons of the new <br />garcels must be _chad and stamped with cItY. approval. As of June 1: 1995 <br />there will be a fee fOr dtvIdIng property. <br /> <br />DaytIme Phane## J/dh -1:J-J1 <br /> <br /> <br />DContract rchaser <br />Nate: If the ~ Is by a cOntract purchaser, the appDcant must a1r~ apP.88J' as the <br />contract purctlaser In the cauntr tax records or a copy of the contract tor deecf must be <br />attache([ <br />OFFICE USE ONLY: <br />Chec:ked for deDnquent taxes by: <br /> <br />~ <br /> <br />/.],_ '-'1, <br /> <br />Date: <br /> <br />~ <br />OL- <br /> <br />.-.-- -TTT"-- <br />. . <br />I I <br /> <br />I <br /> <br />II <br />