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<br />" <br /> <br />'. <br /> <br /> <br />tervi((e <br /> <br />1880 'Main Street . Centerviffe, 'M!J{ 55038 <br />'Estab[isftetf 1857 CITY OF CENTERVILLE (551) 429-3232 . :Fa,- (651) 429-8629 <br />APPLICATION FOR LOT SPLITILOT COMBINATIONIREZONING <br /> <br />LOT SPLIT/LOT COMBINATION: ............... <br /> <br />Any additiOll8l costs incurred for <br />FEE:#IIU,t cD + ~, legal fees, publication or <br />~ other reqmremen1s <br /> <br />REZONING: <br /> <br />h/~.f1/-.ze-.3/~M/~ <br />STREET LOCATION OF PROPERTY: 7 ga; I C)l-b HI /..L Ad <br /> <br />DATE PAID: <br /> <br />LEGAL DESCRlPTION OF PROPERTY: ALL 0'1" Rs&\S.'f eRst. LA I\.>'l:.. SuA"e-, <br />"'". 'I ~ ~/L~s ."c::-,..t\F ~er;./,5:ttJ."'/2.. <!Ii=: 'F1'r~~. A..Nor<~ l"&rJNl>.'! <br />H'^'t..}'i!!'$o-,.,f/. . l:'>)(~~""'" 'tttF. .(_kMn"'~ ~ 'f:=.I!!<T{T" """H-~A!.e- (jj:;. <br />(~E:lAJ ?,tOIb9>.s-'f'. 'Jf'S<:AI?1"'k'Als.. 6p &>N>~os..f""t>. s."'...u~'t <br />SIZEOFPARCEL(S): ~.(.t. AI!/I.T:;s,.-:;;'~J>.Ll'r "to :<.7IAc."'" 1.'1.5'11--<.. <br /> <br />PROPERTY OWNER: Ro8~1&f' 'J: B~s>7I9-HL!IlPHONE #: .:139- '1.33-0 as 7 <br /> <br />FEE OWNER: ~ l!!A-7'" 'J: i? u/lb-s 1A-HLeA.. <br />ADDRESS:I~'f41 CJ471fL7>A CdlOE'" bJ :;:&c:;--J1Ye~> FL 33'?bJ- <br />r <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />^ FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEst: 5t>l.fI t!)rF- ~--;--N ,,? 7) Jl~ C!JF::.. <br />_~eP-'"l'~. TAt: SO\lTf\ e...b llP- -"'Mts" J.dT IS ..5E"'U~"1:>. ~'f <br />"'T'I1-~ e-XIS1'I#J€:- ~e-U.I s-Il- J./AJ F' <br /> <br />REASON FOR REQUEST: 'I' AN. ?LAPIN~"'tO ::.er..L"l'H c- HO~ <br />flI-J~ WOU/_'b L,Ke-,.{) R1:"1"AIN eA... S.SlL. s.~?A-,a,I'~:r'E>l...., <br />"'Hi- E' NOJll.'7'- fi. 1-0 -r . <br /> <br />By paying the above stated fee, I understand that no refunds will be issued in full or in part, at any time, <br />even if the outcome is denial. <br /> <br />~~~ <br />-0/ / S-/" y- <br />Date <br /> <br />##-~ <br />Sig2ture of operty Owner <br /> <br />t'\-ITAC~lte,,-,"'M>." c tt ec..~ .;IT."/"S 5 - .B/~ 0'" <br />;Z Ce>rlc5 ~ t'_ftl'.$.el> )." S,.l/7- SuAve 'I <br />