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<br /> <br />~,:~L"tervi[[e <br />. .A1/ii. 'Estab(isfiec{ 1857 <br /> <br />1880 :Main Street · CenterviIfe, :M9{ 55038 <br />(612) 429-3232 . 'F~(612} 429-8629 <br />CITY OF CENTERVILLE <br />APPLICATION FOR PRELIMINARY PLAT <br /> <br />DATE PAID //-/6-M <br /> <br />FEE $4::2', t'O ~ <br /> <br />~c-",,/D'" #$7?-,/ <br /> <br />STREET LOCATION OF ,PROPERTY (;~,,\_~ '((.,.""\ '> <br />6~ t)..,~~,,~ I t""-~ ~'\- ~.- 'fu.~ <br />LEGAL DESCRIPTION OF PROPERTY <br />-s - - . ..Gtl...\...~ <br /> <br />~~o'*~ <br /> <br />SIZE OF PARCEL (S) <br /> <br />'5""\ , -n ~" \r~ <br />(43 <br />C. r...\J.X\ ~ t\......;~""V~ )TJ-:lC PHONE # '54'-.... 2..' <-"> <br /> <br />PROPERTY OWNER <br /> <br />FEE OWNER: C~<,,,,\,..r-~ \,\,,~~ ,"':\:1...ie., <br />ADDRESS: 'Po"1"> r ",,,,,,",,c..r~-.._'\ R\,.)~ ".'L u:} l ~",,~..............: t\.;:> S'S 3b'i <br /> <br />APPLICANT'S INTEREST IN PROPERTY <br /> <br />FEE OWNER CONTRACT PURCHASER 'y. <br />LEASEHOLDER OPTION TO PURCHASE, <br />" <br />DESCRIPTION OF REQUEST ~) 14W' ......~ (b}",~ <br /> <br />REASON FOR REQUEST <br />'0 .. ....-.....~\.:.:\ '~:::-~~ ~_..: \:> <br /> <br />Sig$Of~ii~- <br /> <br />'"'____ \.A- ~H~~""P~ <br /> <br />Signature of property owner <br /> <br />* Plus any additional costs <br />incurred for engineering, <br />legal fees, publication or <br />other requirements. <br /> <br />Date <br />