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<br /> <br />~..'" ~"" <br />lfll~~tervi[[e <br /> <br />~ 'Estab[isfiea 1857 <br /> <br />1880 %ain Street 1I Centervi[[e/ 'Jv!'J{ 550_'18 <br />(612) 429-3232 · 'Jmc(612) 429,8629 <br />CITY OF CENTERVILLE <br />APPLICATION FOR PRELIlVnNARY PLAT <br /> <br />DATE PAID '1/::::;, / L~L ~7r <br /> <br /> <br />FEE ,"1;"0' F i' .",".- <br />'"/{.~L _ <br /> <br />/f~L':"'i4j-'c4-'::~{:;7; <br />STREET LOCATION OF ,PROPERTY: CC::;, Il, !-, <br /> <br />""'t.'~ ,\" i . ~ } I') n TF t-j L <br />I <br /> <br />LEGAL DESCRIPTION OF PROPERTY <br />t:~eT or LOT 7 -- J6.;UD SUP 1{D <br /> <br />SIZE OF PARCEL (S) (';., t; ,~C, <br /> <br />PROPERTY OWNER II .J1RDJ.,p G. L:p:.eza:L. <br /> <br />FEE OWNER: hPc(.)<bLP (1. UE'S.iSfL <br />ADDRESS: 7Sbfc, f/'7L-y/lf-p, Lk {iR~ <br />," , ,,.. if ' .., <br /> <br />(j<:/' <br /> <br />PHONE # 40.>,:::), Ejr>H~B <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />FEE O\\tNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE Y-.. <br /> <br />DESCRIPTION OF REQUEST <br /> <br />J/': <br />r~J <br /> <br />! /<7" <br />Lz.-~' ~ <br /> <br />! " <br />I ,,-.. ~ -"U" I r <br />t ~'trt'[~Lr::, <br />\\ <br /> <br />.- 'Y)........,',., <br />{-AI'''' J L. . I ~ tlSD! v is leg: <br /> <br />REASON FOR REQUEST: <br />J :9 "~ <br />P,.irH! 17 <( <br />-J <br /> <br />,~i i <br /> <br />'~U;/~f !; 4-,~~r!.JL <br />Signature" of appHcar:V' /' <br />.-<;-t_,,_~(<:J_.__;.";,J/~'" <( ._/d _''1/0 <br />Signature'o'f P~,9perty oV;ner <br /> <br />;; ~...- n I "-~- <br />q.. L~ "'! ~",,-I! <br />, ~ <br /> <br />* Plus any additional costs <br />incurred for engineering, <br />legal fees, publication or <br />other requirements. <br /> <br />Date <br />