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<br /> <br />tervi[[e <br /> <br />1880 'Main Street . Centervi{fe, 'M3V 55038 <br /> <br />'EstaHisfid 1857 CITY OF CENTERVILLE (651)429-3232 . 'F0Y;.(651) 429-8629 <br />APPLICATION FOR LOT SPLITILOT COMBINATION/REZONING <br /> <br />C-'~OT ~:~~;~T COMBINATION: <br /> <br />REZONING: <br /> <br />Any additional costs incurred for <br />FEE~' + engineering, legal fees, publication or <br />other requrrements <br />DATE PAID: /) - / tJ - CJ 5 <br /> <br />7 d 'I / /l1 A / AI ST.- <br /> <br />STREET LOCATION OF PROPERTY: <br /> <br />LEGAL DESCRIPTION OF PROPERTY: <br /> <br />SIZE OF PARCEL(S): <br /> <br />PROPERTYOWNER:1?(\~~t- Kf'ln-b<- PHONE#: fc5/-'-IdC;-()O~ 1 <br /> <br />FEE OWNER: f~(), Bell 301./ &/L-749-h~l:i(Ge/J <br />ADDRESS: ----1tu.~(J MAJ. SSo;3 ~ <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />'j... FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: <br /> <br />REASON FOR REQUEST: <br /> <br />By paying the above stated fee, I understand that no refunds will be issued in full or in part, at any time, <br />~ifthe outcome is denial. Q <br /> <br />~ c 1r:'~ W c: fl;(~ <br /> <br />Signature of Applicant Signature of Property Owner <br />~-/tJ-~~ <br /> <br />Date <br />