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<br />'- <br /> <br />.... <br /> <br /> <br />.' <br /> <br />,tervi[[e <br /> <br />1880 9vfain Street . Centervi[{e, 9vf'l{ 55038 <br />'Esta6{is/iea 1857 CITY OF CENTERVILLE (651) 429-3232 . :Fa?C/651) 429-8629 <br />APPLICATION FOR LOT SPLITILOT COMBINATION/REZONING <br /> <br /> <br />K Any additional costs incurred for <br />LOT SPLIT/LOT COMBINATION: FEE: /9t/,tf) + engin~,legalfees,publicationor A.... __~A <br />- , other requrrements UJ"'"~" <br />r7Z z., . <br />REZONING: ,A..J #-t>~ATE PAID: ~ ~ 0/-'. <br />- ,~/3)-ZZ-4lJJ:-~ rtf./A ;!fJtP <br />STREETLOCATJON OF PROPERTY: 9-GJ fl. &voL 5" ~1 ;0/0. <br /> <br />~ I- tt-.. St"A <br />(' . ~ 2.... <br />c ~- <br /> <br />SIZE OF P ARCEL(S): <"CJ P.- I?c. <br />PROPERTY OWNER:~ ~p~....,...... <br />. <br /> <br />FEE OWNER: S' ~-<.. <br />ADDRESS: <br /> <br />PHONE #: <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />FEE OWNER L CONTRACT PURCHASER <br />LEASE HOLDER OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: ?-oj- s:"o/ciT h~ f1"o.i!t~ <br />tJ Yc!Jp~t-'y <br />/ ' , <br /> <br />REASON FOR REQUEST: I'!Jb ra-<:~ Y'c~ 4 ~~ 4 Cc..ecff <br /> <br />By paying the above stated fee, I understand that no refunds will be issued in full or in part, at any time, <br /> <br />~OU~~denm. iL~ <br />Signature of App~ J!F'~ ofProp"'Jl\ <br />(?-- (e-- & <f ~ y <br />Date <br /> <br />