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<br />1880 Main Street · Centervi[[e; M'J{ 55038
<br />(612) 429-3232 · :Fal( (612) 429-8629
<br />CITY OF CENTERVILLE
<br />APPLICATION FOR PRELIMINARY PLAT
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<br />DATE PAID
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<br />STREET LOCATION OF PROPERTY:
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<br />LEGAL DESCRIPTION OF PROPERTY: .
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<br />SIZE OF PARCEL (S)
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<br />PROPERTY OWNER: ~."'-, -?",//;/~ "
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<br />FEE OWNER: (St:?.--{-iC7c-,:;"" ....:./ A c--
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<br />APPLICANT'S INTEREST IN PROPERTY:
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<br />LEASE HOLDER
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<br />CONTRACT PURCHASER
<br />OPTION TO PURCHASE
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<br />DESCRIPTION OF REQUEST:'/(~F /<//,.z?/?~y~ . i/:~:;/r:'
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<br />REASON FOR REQUEST:
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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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<br />Signature of property owner
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<br />Date
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