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<br /> <br />AUG I) 1 200J <br /> <br />1880 Main Street . Centervi&, 9.&{ 55038 <br /> <br />(651) 429-3232 . :JQ.;({651) 429-8629 <br /> <br />CITY OF CENTERVll..LE <br />APPLICATION FOR PRE~AR~ P~T/lI~"'CC <br />~ 1,./1-:- ":;'yadditionalcostsincuiredfor <br />DATE PAID: FEE: <t~, 74,t + Engineering, legal fess, publication or <br />t" ~1{'S- otherreauirements. <br />STREET LOCATION OF PROPERTY: 703)' rJ..efl I!lrI.,v",,"" /V?lI..+4 <br /> <br />LEGAL :qpSCRIPTION OF PROPERTY: <br />(")u.+k.+ ("/ CleaR-wd-+-e.K-- N,,zo.d6wr; , <br /> <br />eL~ -3.I-;lZ-j/j-/)t).55 <br /> <br />SIZE OF PARCEL (S): <br /> <br />5. 13: o-clt.-e,- <br /> <br />.5: SI,P 905 /}?crJI <br />PHONE #: -{iij".: ~~~~~/ <br /> <br />PROPERTY OWNER: GQ"-A'-'21 Re( te;_v <br />FEE OWNER: Ger~"lW ~ek r..etrv <br />ADDRESS: G 805 ;'0 tJ A~ _ s:; <br />APPLICANTS INTEREST IN PROPERTY: <br /> <br />GAJ fe.r';;,(lc <br /> <br /> <br />FEE OWNER <br />LEASE HOLDER <br /> <br />, .. <br />-"!~ <br />. ..A jJ/ <br />. )))'0) J <br />/yJ) <br />/) <br />,!. ' <br />-6eAII) <br /> <br />ignature of applican <br /> <br />~~ <br /> <br />Signature of property owner <br /> <br />?Ih!o3 <br />D t I / <br />ae <br /> <br />,;-' /' <br /> <br />\/i <br /> <br />., <br />I" <br /> <br />I:..""" <br />