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<br />~ t e rvi{{e 1880 :Main Street. Centervif[e,!Nl9{ 5503
<br />'EstaElisfm[ 1357 CITY OF (:ENTERVILLE (651) 429-3232 . 'Fwc (651) 429-8629
<br />APPLICATION FOR LOT SPLIT/LOT COMBINATION/REZONING
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<br />...- Any additional costs inCUIred for
<br />COMBINATION: FEE: !Cjtf + engine~>legalfees,p1iblicationor
<br />__ - otherrequrrements
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<br />REZONING: DATE PAID: 10-1
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<br />STREET LOCATION OF PROPERTY: 7 :5.3y' /5 r I 'fi-:/\/ ,.cJr I 'V- f'
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<br />LEGALDESCRlPTIONOFPROPERTY: ,,&1-;3/-22, --#~OtJ/th
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<br />SIZE OF P ARCEL(S):
<br />PROPERTY OWNER:
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<br />PHONE#: Ce It-- ? 0 1- yilt;?
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<br />FEE OWNER:
<br />ADDRESS:
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<br />APPLICANT'S INTEREST IN PROPERTY:
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<br />L---FiE OWNER
<br />LEASE HOLDER
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<br />CONTRACT PURCHASER
<br />,OPTION TO PURCHASE
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<br />DESCRlPTION OF REQUEST:
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<br />REASON FOR REQUEST: ""- ~~7
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<br />By paymg the above stated fee, I understand tI..,., ,c.,,;.,,; ...fj"'i. tu..."...,W"""',,' '. ,time,
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<br />_'fu;;App;_ 07" l~._
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