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<br /> <br />RECEIVED <br />SEP 0 2 200~ <br /> <br />utab[isfied 1857 <br />CITY OF CENTERVILLE <br />APPLICATION FOR LOT SPLITfLOT COMBINATIONIREZONING <br /> <br />1880 'JiI[ain Street e Centervi[[e) 'JiI['l'{ 55038 <br />(651) 429-3232 I) :Ja;c (651) 429-8629 <br /> <br />LOT SPLIT/LOT COMBINATION: <br /> <br />Any additional costs incurred for <br />FEE: lrt/#Il/c6+ engineering, legal fees, publication or <br />other requirements <br /> <br />REZONING: LLttJ,/22/ /J /, DATE PAID: A.(~ <br />f-LJr/d /-fCJ01i-,rJ, b~r <br />STREET LOCATION OF PROPERTY: &7/,1, t!e/76ert/I//e- ~Ci-~ <br /> <br />LEGAL DESCRIPTION OF PROPERTY: <br /> <br />SIZE OF P ARCEL(S): <br />PROPERTY OWNER:;?dhJOtf}!J ;: V/lJVS <br /> <br />PHONE#: rf:;S/-~/J(o-JdY~ {h'o~ <br />667- /(3~ -S-M'-;J (to"r).-) <br /> <br />FEE OWNER: <br />ADDRESS: Ir 33 /J,/r:. ') <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />L FEE OWNER CONTRACT PURCHASER <br />LEASE HOLDER OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: <br />,We, <br /> <br />~Y/ec--f <br /> <br />,ZCi1L/19 <br />V <br /> <br />in IJreJ)a&...~b'o/l -.;:;; v- <br />/ , <br /> <br />REASON FOR REQUEST: S~-e- ~/Jv€/ <br /> <br />By p~ying the abov~ state.d fee, I understand that no refunds will (J..e,. sued in full or in part, at any time, <br />even if the outcome IS demal. / <br />V / /7 <br />/l ~ :..----- <br /> <br />Signature of Applicant 19nature ofPrope <br /> <br />X' 9,-/}-0(' <br />Date <br /> <br />