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<br /> <br />tervi[[e <br /> <br />'Esta6[ishecf 1857 <br /> <br />1880 :Main Street . Centeroi[[e, :M:N 55038 <br />(651) 429-3232 . tFaJ( (651) 429-8629 <br /> <br />CITY OF CENTERVILLE <br />APPLICA TION FOR PRE~~~~~:t~. PLAT . . . <br />) / tFi.. ..,... . Any additIOnal wsl:; IIlwITcd for <br />DATE PAID: 9/2GJ Oc, O. -:?1tJ;j' FEE:#/t)/),CYJot-CJ' + Engineering, legal fess, publication or <br />.:..i~~#,,2":160 ~/J(.f other reauircments. <br />STREET LOCATION OF PROPERTY: 70><')( 2()- Ave <br /> <br />LEGAL DESCRIP~ION Op,PROPERTY: c)(A.Iti>l/l C?-AV!elltlJ/P <br />-JD(,A),,.) (>h4Cf" fiLK. <br /> <br />SIZE OF PARCEL (S): .38 Aot.pJ".f <br /> <br />_.-,-:' _ ft"~ -?;'WN ~MfVl L/...;C <br />PROPERTY OWNEKJE~""J ~,f.(.p-<-('I~c. Gt..-C/ PHONE #: ~5t - '1'07..... Y'6 r7 <br /> <br />FEE OWNER: ~1I1-ir; <br />ADDRESS:(bZ-r ta-i} Au< <br /> <br />APPLICANTS INTEREST IN PROPERTY: <br /> <br />)( FEE OWNER <br />LEASE HOLDER <br /> <br /> <br />DESCRIPTION OF REQUEST: <br /> <br />)()j.!L <br /> <br />REASON FOR REQUEST: <br /> <br /> <br />W (J.f.(; Cp <br /> <br /> <br />By paying tilC abovc slatcd fcc, I undcrstand that no rcfunds will be issucd in full or ill part, at any timc, cvcn ifthc <br />outwme is dcniaL <br /> <br /> <br />Signa rc of Applicant <br /> <br />1#()j" <br />Date I <br /> <br /> <br /> <br />I LL-C <br />