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<br /> <br />tervi{{e <br /> <br />1880 ~M~li'I.S(rcct . C<'lllcrnR;', ~lI.f~^{ S50JS <br /> <br />'Esta6fisfied 1857 CITY OF CENTERVILLE (6.' / J 429-3232 . 'I t/,r((;5/) 42.".862.'1 <br />APPLICATION F~T COMBINATION/REZONING <br /> <br />LOT SPLITILOT COMBINATION: X <br /> <br />II Any additional costs incwred for <br />FEE: + engineering, legal fees, publication or <br />other reqUlrcmcnts <br /> <br />REZONING: DATE PAID: <br />- <br /> <br />STREET LOCATION OF PROPERTY: l, IO~ r~'\Z,l...-1-\rL\\)'1?~ ~OYaO <br />LEGAL DESCRIPTION OHROPERTY, ?~a. TOT'- ~'""\- ~ <br />bl.'li~ ~ ~\^~ - <br />-~ -- ~JfC <br />SV:' ,. <br />SIZE OF P ARCEL(S) 2J~" C) ~ 'r< "-\ 9, 0 <br />"*" PHONE ~ ~ ~Q)\) <br />~ fA- ~'"' ~lV <br /> <br />, <br /> <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />FEE OWNER ':>( CONTRACT PURCHASER <br />LEASE HOLDER OPTION TO PURCHASE <br /> <br />~C~~~~iUE~tG'7:Y~~7~~WS:~~ <br /> <br /> <br />By paying the above slale fee, I understand that no refunds will be issued in full or in part, at any time, <br />even if the outcome is den' , <br /> <br />Signature of Applicant <br /> <br />3/~/()~ <br />Dat t/ <br /> <br />