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<br /> <br />t'~tervi[[e <br /> <br />uta6[ished 1857 <br /> <br />1880 %ain Street . Centervi[[e; %'J{ 55038 <br />(651) 429-3232 . ~a;'( (651) 429-8629 <br /> <br />CITY OF CENTERVILLE <br />APPLICA TION FOR LOT SPLITILOT COMBINA TION/REZONING <br /> <br />LOT SPLIT/LOT COMBINATION: ~ <br /> <br />FEE: /9! .tiJ + <br /> <br />Any additional costs incurred for <br />engineering, legal fees, publication or <br />other requirements <br /> <br />REZONING: DATE PAID: <br /> <br />STREET LOCATION OF PROPERTY: 67 S 9 CENTERVILLE ROAD <br /> <br />LEGAL DESCRIPTION OF PROPERTY: SEE ATTACHED <br /> <br />SIZEOFPARCEL(S): 17.00' X 173.28' <br /> <br />PROPERTY OWNER: RICHARD S. CARLSON PHONE#: (763) 786-1218 <br />DEVELOPMENT, LLC <br />FEE OWNER: SAlVlE AS ABOVE <br />ADDRESS: <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />X <br /> <br />FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: CORRECT ENCROACHMENT <br /> <br /> <br />REASON FOR REQUEST: <br />(GOOD NEIGHBOR) <br /> <br />, at any time, <br /> <br />Signature of Property Owner <br /> <br />Date <br />