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CITY OF CENTERVILLE <br />APPLICATION FOR PRELIMINARY PLAT 5 <br />�� qb ptl <br />y additional costs incurred for <br />DATE PAID: _ FEE: $500 Engineering, legal fees, publication or <br />other reauirernents. <br />STREET LOCATION OF PROPERTY: 7073 Centerville Road, Centerville MN <br />LEGAL DESCRIPTION OF PROPERTY: See attached - multiple PIDS <br />SIZE OF PARCEL (S): 1.61 Acres (combined) <br />NUMBER OF LOTS PROPOSED IN THE PLAT: 26 <br />PROPERTY OWNER: City of Centerville <br />FEE OWNER: City of Centerville <br />ADDRESS: 1880 Main St, Centerville, MN 55038 <br />APPLICANTS INTEREST IN PROPERTY: <br />PHONE #: 651-792-7931 <br />FEE OWNER CONTRACT PURCHASER <br />LEASE HOLDER OPTION TO PURCHASE <br />DESCRIPTION OF REQUEST: Request for Preliminary Plat Approval <br />REASON FOR REQUEST: Centra North LLC is under purchase agreement with the <br />City of Centerville with intent to purchase subject property, subiect to approval of <br />proposed development project and entitlement. <br />By paying the above,'t7-t5 d fee, I understand that no refunds will be issued in full or in part, at any time, even if the <br />Signature of property owner <br />