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<br /> <br />RECEIVED <br /> <br />SEP 1 0 2004 <br /> <br />~ ervi[[e 1880 '.Main Street . Centervi[[e,9'vf:A[ 55038 <br />'Esta6[ishetf 1857 CITY OF CENTERVILLE (651) 429-3232 .:Fa:[ (651) 429-8629 <br />APPLICATION FOR LOT SPLIT/LOT COMBINATIONIREZONING . <br /> <br />CO Any .dditiorull costs incurred for <br />FEE: ~ + engineering, legal fees, publication ora . <br />otherreqwrements #- . b"-",L& <br /> <br />_ DATE PAID: ~/;()h; ~ //&tfl ~ <br />/ 7.'.4. r <br />SlREETLOCATlONOFPROPERTY: dDfb alii!..- Sa, 1fi-/~31-Zb-3Z-(00)?" <br /> <br />LEGALDESCRIPTIONOFPROPERTY:-?=-T lJ~ .<:;w'!<t o~ SE'/4 o~ <br />~d;3 'v';',, b,.s., o~ em ~54 <br />\~.s., . "~;:J :Y~rr.,l; NEW",!;'. SEll,/- or:- S~23 ~,. o~ c...~,..u:;4 Q,,,t <br />7.....- c~ NvI 114 oS;- .s ~ 1\<+ &.(;- ~.;)...~ <br />SIZEOFPARCEL(S): .0,7 ILL, cusx. dO O-L, <br /> <br />PHONE #:& f' (_ (' f' J ( fJ J-1 <br /> <br />LOT SPLIT/LOT COMBJNATION: -X-- <br />REZONING: <br /> <br />. <br /> <br />FEE OWNER: <br />ADDRESS: <br /> <br /> <br />APPLICANT'S lNTEREST IN PROPERTY: <br /> <br />FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />X OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: j:>,~ .Cd.- O-L- 9"-~ ~ -\-\r-..<L <br />,;IC> D-<L ,,?O-~ <br /> <br />, - <br />~~N FOR REQUEST: 't~j-v- <br />.J.r./ ""4 fv.~ /In...A:~ <br />I <br /> <br />i&..c:L --e... G 9 <br /> <br />TO C~-'+VV.JI("( <br /> <br />. <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 />ev~~ 0-- ., c;. <br /> <br />Signature of Applicant Signature ofPr~ <br />C> <br />7-/0 - e.)it' <br />Date <br />