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<br /> <br />~ <br /> <br /> <br />DATE PAID: <br /> <br />(651) 429-3232 <br /> <br />-ll" of tv <br />CITY OF CENTERVILLE ~ <br />APPLICA nON FOR PRELIMINARY PLAT <br /> <br />'" .0 Any additional costs incurred for <br />FEE:.. 12, 320 ~+ Engineering, legal fess, publication or <br />other reouirements. <br /> <br />STREET LOCATION OF PROPERTY: C.1!"'Tt!!p.v,/...~e jtOAO '" Du.f'P.t! /1.01'110 <br /> <br />LEGAL DESCRIPTION OF PROPERTY: P,ltR-T.f' "'4) Yo( fJF $~C";U <br />T31 R. 2.2- <br />, <br /> <br />SIZE OF PARCEL (S): <br /> <br />').4.!>'iJ ACt'{l'!S <br /> <br />PROPERTY OWNER: R.IC/4"'P.P s. CA~ UooJ <br />De v~/...,,",.., t!"'Tj l- L C <br />FEE OWNER: SA-MiS <br /> <br />PHONE#: 7~3-78(-("2.ff! <br /> <br />ADDRESS: 76 71 C~I0TI(I4t.. live. Nt! <br /> <br />APPLICANTS INTEREST IN PROPERTY: <br /> <br />)( FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: <br /> <br />('({IS/...'''''' '-VA"" 1'/.....'1' <br /> <br />REASON FOR REQUEST: <br /> <br />$"INt!:t..t! Pl4ty1/L.Y ,q,tU/O,fWT/A/... <br /> <br /> <br />1 understand that no refunds will be . <br /> <br /> <br />Signature of Applicant <br /> <br />Signature of property owner <br /> <br />~/\I::>)DS <br />Date <br />