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<br /> <br />tervi{[e <br /> <br />'Esta6[isliea 1857 <br /> <br />1880 'Main Street . Centervir{e, 'M:N 55038 <br /> <br />(651) 429-3232 . Pa:( (651) 429-8629 <br /> <br />CITY OF CENTERVILLE <br />APPLICATION FOR PRELIMINARY PLAT <br /> <br />DATE PAID: <br /> <br />Any additional costs incurred for <br />FEE: wA-1 v;;;-D + Engineering, legal fess, publication or <br />other reauirements. <br /> <br />SlREET LOCATION OF PROPERTY: <br /> <br />2.o'~ Av~"",~ <br /> <br />LEGAL DESCRIPTION OF PROPERTY: <br /> <br />"t-\ ~ <;..1.. ~ <br />, <br /> <br /> <br />* <br /> <br />/ u. -- ;;) ~ ;~2, -' Z 2S ..- <br /> <br /> <br />f~,~Lt' <br /> <br />SIZE OF PARCEL (8): <br /> <br />I '/.. j ~ <-- <br /> <br />PROPERTY OWNER: Qi~ 1 , PHONE#: ~~)- t./2-1~?:,.1-1 "L,. <br />FEE OWNER: (2 ;t'( b..r Ce~\..e..r-"i lie.. <br />ADDRESS: J <:!I q 0 tv( c..:"",,- q.. , <br />APPLICANTS INTEREST IN PROPERTY: <br /> <br />)0 FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: <br /> <br />,,~ A <br />g'v..h! ~ v ( $. ; ~ <br /> <br />~~~~~~~~%~,~ <br /> <br />REASON FOR REQUEST: <br /> <br />By paying the above stated fee, I understand that no refimds will be issued in full or in part, at any time, even if the <br />outcome is denial. <br /> <br /> <br />Si&~ ----- <br /> <br />~42.~ <br /> <br />Signature of property owner <br /> <br />--. <br /> <br />1,. -~l-o~ <br />Date <br />