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<br /> <br />tervi{{e <br /> <br />1880 Main Street. Centerou{e, M'J{ 55038 <br />'Estaf:j[isfiecf 1857 (612) 429-3232 · YaK (612) 429-8629 <br />CITY OF CENTERVILLE <br />APPLICATION FOR PRELIMINARY PLAT <br /> <br />DATE PAID ;00 ~I <br />/ <br />STREET LOCATION OF PROPERTY <br />, <br /> <br />FEE ~. g!J <br /> <br />(J). # ~~-, <br />/' '."'~'" <br />.. l........'....... <br />,{<!e-<:.~ :#= (i,~,("L <br /> <br />LEGAL DESCRIPTION OF PROP~TY , <br />')" ,",'/~.,.L /7 .C /'" ,./C,. <br /><" <br /> <br />,~ <br />/'/';U--' <br /> <br />SIZE OF PARCEL (S) <br />PROPERTY OWNER ~-<, -.[",c;:? -< ",' c--- <br />~. <br /> <br />PHONE # '2 y ~- -- / --<../ <br />.,'6:;>,>-,/ ~- ..... .:;~J.5 /' <br /> <br />FEE OWNER <br />ADDRESS: <br /> <br />~, <br />C-;o/( ~!f.7.'~ <br />~r.-;?j- G~ <br /> <br />A' A L:-- <br />"/Az.AC-L- -_~,_~ <br /> <br />~l"c=7.'/ ./'2Y~~4./f?'-- -." <br />/ <br /> <br />-" ) .--"-" c/ <br />.///~ _::' >t!'2"., <br /> <br />APPLICANT'S INTEREST IN PROPERTY <br /> <br />-~ <br />1-/ FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />/1, "?/ < <br />DESCRIPTION OF REQUEST: fA> /;,,/--d~7'>< y- '. f/:'''+- <br /> <br />,/ .7'"', ,') ~ ,- -- - ( /' _/ ) <br />~.._- /" .u...,;..~..I:/ -/ G~~/J~;.{-::J:?~..f" /...1 ,;.(._...,7".",.":: <br /> <br />J/ - 5,:..,) r ~> ....:~?;;. '''''''';/c:. A' "'.~ c;;/' '~tj.;/ Afi~,s?:"~-...f <br /> <br />,/ - os: ---f". /-;" /:"-:-;''77'/: /<.----" <br />/' <br /> <br />REASON FOR REQUEST <br /> <br />'7 (I J <br />/,.- /'~./ " ..,'~. .../" <br />/-;;/>';;'~:-. .,;/: .' <'!:._.~ <br />Sigrfature of appl~ / <br /> <br />* Plus any additional costs <br />incurred for engineering, <br />legal fees, publication or <br />other requirements. <br /> <br />Signature of property owner <br />./C:; -/~:;, cJ ./ <br />Date <br />