|
<br />~~
<br />
<br />
<br />i
<br />
<br />ervi[[e 1880%ai1iStreet... CentervifCe,:M3{5503C
<br />'Estaflisfi.ec[ 1857 qTY OF CENTERVILLE (651) 429.3232 .. 'Fa;c (651) 429.8629 .
<br />APPLIC^TION FOR LOT SPL~/LOT COMBINATIO.\VIREZONING
<br />
<br />OT SPLITIL9T COMBJNATION:
<br />----.-/
<br />. REzONJNG:
<br />
<br />..- Any additional costs incnrred for .'
<br />FEE: Iqtf' + Z"!1ri".~ legal fees, pliblication or ,
<br />~ reqnzremenJs
<br />DATE PAID: I () - /
<br />
<br />STREET LOCATION OF PROPERTY: 7 ?1$s/ P r / 'ff/l/ ,..e:JYI'V f' .
<br />
<br />LEGAL DESCRIPTION OF PROPERTY: ,6IfI~-Z2 -{/J~OCJ/h
<br />L:-OJ cf (3/1:( ;> . . .
<br />( )J'" or:! > 0 (l C 1..",1'1/" CIJ" wf.,. </ Co V .JL .e k:.
<br />
<br />SIZE OF P ARCEL(S):
<br />
<br />PROPERTY owNER:
<br />
<br />FEE OWNER:
<br />ADDRESS:
<br />
<br />APPliCANT'S INTEREST INPROPERTY:
<br />
<br />. ~ Ow:NER
<br />LEASE HOLDER
<br />
<br />
<br />/. o. i4-Cjl'~
<br />
<br />~
<br />
<br />/.3/;- '/I-v'r-e
<br />
<br />PHONE#: Ce I z;- ? 0 /- 'P6~;3
<br />
<br />G. v- r-
<br />
<br />t:
<br />
<br />CONTRACT PURCHASER
<br />. -OPTI;DN TO PURciIAsE
<br />
<br />DESCRIPTION OF REQUEST:
<br />I ~/-
<br />
<br />'5..,.0 1/ r
<br />/ .h:::'Y"~
<br />
<br />",;?r ;; ~/'~
<br />~ / ".,}r
<br />.
<br />
<br />Tel
<br />/. ~ -#~r~
<br />,
<br />
<br />REASON FOR REQUEST:
<br />rf r-o
<br />
<br />
<br /><X.. .........~ .
<br />
<br />.... ~ . t~!f~~~~:;W
<br />"",.,~ lll'" "''3) ..,
<br />
<br />, ,_.":7:~"J~;:~'~ ...
<br />~, ~~l,"j.""""i.iL~ M~~":r";'" g,...
<br />:i: ;;..t!i~~\:~:~.~~+~ ~':~~'~,>!,'~-7::'~..{/.:,.
<br />~ ~~"':;:;;'--'~"~""-<I.:l". .t"'F~~'1." 'r--
<br />
<br />":'%~Sf~~~~,~:~jJ:,,~,<;Z~~ ::/:A: .... ~,"
<br />'r> ....,,,,s../j . ,oM ..~ .
<br />'.~ ,,'B;e~~ (f:, ".~~.fli .gJY . _.. ,.,. .',
<br />"""''''=''':'(t.t'ik'' .;),'9 ,. '
<br />" :;:"'~~:1\- ;~~~_~f;, :";-~'i'" -,- ..
<br />. . 0..1. r c.-I-{ t-/l
<br />F-'(',~:.~ l'>7>l . 1f7V~. ""'. k
<br />, ~'eI-'~~i'"i,~., I ,. .' '.'" .\ .
<br />'. 'J$H~" -~.~-Por'
<br />:. .' ".~. . c:.j tf1-~.{t:!~' plus. j'1V \
<br />. A' o!f. wrn. "
<br />...,-f:l se-<-J-eY, ...._,,__., .'
<br />
<br />-.
<br />
<br />By paying the above stated fee, I understa.qd
<br />
<br />even~/2/JrftJ
<br />. si~t;;;:1_...
<br />/0 -/~O;/
<br />
<br />. Date
<br />
<br />l
<br />
|