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<br /> <br />tervi[[e <br /> <br />1880 ']vfain Street . Centervi[[e; 'Jvf'J{ 55038 <br />(651) 429-3232 . ~arc (651) 429-8629 <br /> <br />TstaG{ished 1857 <br />CITY OF CENTERVILLE <br />APPLICA TION FOR LOT SPLIT/LOT COMBJNA TION/REZONJNG <br /> <br />f\..)()~ ~~\~ <br />-e-- Any additional costs incurred for <br />FEE: + engin~g, legal fees, publication or <br />other reqUIrements <br /> <br />/ <br /> <br />LOT SPLIT/LOT COMBINATION: <br /> <br />REZONING: <br /> <br />DATE PAID: <br /> <br />STREET LOCATION OF PROPERTY: mOUND ~U't<.\ <br /> <br />LEGAL DESCRIPTION OF PROPERTY e.J ~- :3 / '" 2,2-.... t.f i) - bOO '1 <br />Lor t 6Lk. 1 ~ ~~ ~t-jQc.~ CO. VV\N. . <br />La l _ ~ [ -r~ Sl-l ANO\<..A ce. 1f\I\":>. 'C.-15 ~ E /- LZ ... L} 3 - tt;) D <br />I I I I <br />SIZEOFPARCEL(S): Lo-r 4; lID x..\/.t;o APfJtD'L. LL'T ~ 100 )(\qo f\f~. <br />I::oJ~LAS A,. ~1" <br />PROPERTY OWNER ~~'a. ..J. ~N\l'1' PHONE #: ~'S1-4U, ~ 444S <br /> <br />FEEOWNERl:X\1G,tA5 ~ ~ G~~~ .1. C~SN\lT <br />ADDRESS: t MRt:N6't? LA~ ~ (~ w.t--J. S'S.IIO <br />I <br /> <br />APPLICANT'S INTEREST IN PROPERTY <br /> <br />~ FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION to PURCHASE <br /> <br />DESCRIPTION OF REQUEST: CCM-6I~ lcrr<; 4 ~ S I~TO <br />~NE- La! <br /> <br /> <br />REASON FOR REQUEST: \AJE ~ WI1"H CUR-. (.;,\t')J>.e- plAtJ <br />W~ WlU & --re:c c.l n~ "T"'t') fYUfefl.L:J LINP; A A~C€N\ <br />~~ \F ~ ~\-rccYL ~~ ~ ~"Z) ~ .aT) \'(" w\'A~ .-' i't\\C~ <br />N \ CJe.i\- LA, nV\ <br />By paying the above stated fee, I understand that no refunds will be issued in full or in part, at any time, <br />cvenrrtheOlltco isdcni ~ . Q dlJ} <br /> <br /> <br />Signatur~roPerty Owner <br /> <br />.-.---- <br />\ t~N~ "{CJ\.J \ r.J <br /> <br />A.. OV~N ~ <br />