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<br /> <br /> <br />CITY nit CENTERVILLE <br />APPLICA TION FOR LOT SPLIT/LOT COMBINATION/REZONING <br /> <br />LOT SPLIT/LOT COi\1BINATiON: <br /> <br />i~ '0 <br />FEE' /!!i7fu <br /> <br /> <br />or <br /> <br />REZONING <br /> <br />DATE PAiD <br /> <br /> <br /> <br />STREET LOCATiON OF PROPERT):' ~'l~J5~?:D~tJtJ-L A ~~_ <br /> <br />LEGAL DESCRIPTION OF PROPERTY ~<21:.uBu~~~~"b.~~ SuAue'1 <br />~~.lJ.~~~13cS ~.~ ,."E' klZl4'J1!~.";::' l' /'t 1..1':' ~1'~'~ 1< J4 C!c9UN~"t~.. <br />(f1;/~~r:;;~:~ j:~~f'JX~C:~u~~~~'~f~~~.e:.Jj~ <br />SIZE OF PARCEL(S) !i.L'.Ip~ufl~~;:..~:>7>~rr .J::!;d._.;(.7IAs.....,.. }."'S:~. <br /> <br />PROPERTY OWNER: fi~D.t:1Cf J: B~? 7I9:ttCHd?HONE ::< 37 - ~.3 3~ -c::J ~s '/ <br /> <br />FEE o VINER: J1~ ~~r 7. JryPb-S ~HLe ^- uu u.uu~ <br />ADDRESS: ~~u~.E#9~l.9~...#J ....~t1Ve~?7..E!- 3.~70J- <br /> <br />APPLICANT'S INTEREST IN PROPERTY <br /> <br />FEE O\VNER <br />LEASE IIOLDER <br /> <br />~.~ CONTRACT PURCHASER <br />_.....~ OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST ..:;3> ?.f-JT <!J F'P:..~ If'!~!.]l.li~ CJP- <br />~:P~ep..-r1. TAt=~~\JfH E:~~..u...oP ?M 1 $... l..C!l{ IS :;'Sfl..\j~~..~ <br />u. T't1- C" e-x !.$.. LlNJi:::::..----'2.1::J.AJ..s-~!LAJ F".._uu...__._u~~_ <br /> <br />REASON FOR REQUEST. _.L. f'1!:1. ?{...A1J_INC;;."10 E:>e",~ C' tkJu~ <br />...EH::!1> wo~J~t Lf K t: 1:lL.~N t!JA.....2E: LL ~~?/9PA-7::e~,. <br />..~.~..f:::)p ,!2.::1:11-._.l:<::J.T.!-~~......~u... ....uu_.......~...._..._~......._- <br /> <br />By paying the aoon; stated fcc, I understand lhut no rcfunds witl be issued in full or in part, at any time, <br />evcn if the outcome is deniaL <br /> <br /> <br />.~ <br />Sig <br /> <br /> <br />~~_~~/:L~~^...~..u_.~.~_.~^~ <br />Date <br /> <br />^ iTAC-tt i1 e: N ~ " C t1 t;>c..~ ;;;r:r I e>S,3 - .IJ 1?'1. OJ 0 <br />~ COrfc.S of PI\<>PSE.''b 1c,.7 5".ltr SU~IJl? '1 <br /> <br />. <br />