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<br />1880 %ain Street · CenterrJi[[e, M'J./.. 55038
<br />uta6(ished 1857 (612) 429-3232 · ~m( (612) 429-8629
<br />CITY OF CENTERVILLE
<br />APPLICATION FOR PRELIMINARY PLAT
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<br />DATE PAID q,:"'),:,,,','/,,!
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<br />STREET LOCATION OF ,PROPERTY: CS, A. 1-,
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<br />FEE ,$,1",// ~,c
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<br />LEGAL DESCRIPTION OF PROPERTY:
<br />Pf':e-r Or LoT 7... /4;(} D SUP 46
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<br />SIZE OF PARCEL (S)
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<br />PROPERTY OWNER: H-APDL.p G. tlln:;~L
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<br />FEE OWNER: hJ~Al'JlO a ~ U:q.8~L
<br />ADDRESS: 7.5bfo PkL-r/p.p.., L,k DR ~
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<br />PHONE # ", ,', . ,',::,.,L:hl,; ~,;),i
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<br />APPLICANT'S INTEREST IN PROPERTY:
<br />
<br />FEE OWNER
<br />LEASE HOLDER
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<br />CONTRACT PURCHASER
<br />OPTION TO PURCHASE~.
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<br />DESCRIPTION OF REQUEST: !t)
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<br />1 ,,-r,.
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<br />FAMILYI SUBD!VrS(CN
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<br />REASON FOR REQUEST:
<br />PlcrHi n .1
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<br />~v~(/4~~d
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<br />Signatur/ of appncan.~/ "
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<br />Signature - of property owner
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<br />9-2.5.ol-/
<br />Date
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<br />* Plus any additional costs
<br />incurred for engineering,
<br />legal fees, publication or
<br />other requirements.
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