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<br /> <br />tervi{{e <br />'Esta6{ishetf 1857 <br /> <br />1880 'Main Street . Centervi<<e, 'JvfJ{ 55038 <br />(651) 429-3232 . Pa:((651) 429-8629 <br /> <br />OTY OF CENTERVILLE <br />APPLICA nON FOR PRE~IMINARY PLAT <br />) J . .fI:j. ~a? COr 4ttp. Any allditional co~ts inCWlOO for <br />DATE PAID: 9/ZiJ '()~ tt ;},1()~ FEE:#/~,"'.Lct tlY + Engineering, legalfess, publication or <br />.u!~#,;L?aO ~y otherreouirements. <br />STREET LOCATION OF PROPERTY: 7())(")( 20 - A Ite <br /> <br />LEGAL DESCRIPTION~PROPERTY: <br />-!bGJ;J ~c.P "jf~k. <br /> <br />oullbll1 c;~llth/1, <br /> <br />SIZE OF PARCEL (S): 38 IIU-Pj':! <br />PROPERTY OWNE~~...J ~M.p.<J:/~(. '-6(.1 ~~oJfftAJ ~;:p('/,t~7~~O (7 <br />FEE OWNER: bll#E <br />ADDRESS:Ibz,r j.f)-iJ Au< <br />APPLICANTS INTEREST IN PROPERTY: <br />X FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br />/,61 ~/ll.- <br /> <br />DESCRIPTION OF REQUEST: IZItN'AJ1I~Y <br /> <br />REASONFORREQUEST: J:' ttJ:lti a ~w (J.f.f:(.f1 ~/dt.AJq <br />, I <br /> <br />By paying the above statW fee, I umlcrstand tlwt no n:fwlUs will bt: issued in full or in part, at any time, even if the <br />outcome is denial. <br /> <br /> <br />~~ did <br /> <br />Signa rc of Applicant 7 <br /> <br />Date 1101' <br /> <br />~~ ~JI, <br />'Signa reo~ ~-;t;LL.~ <br />