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<br /> <br />~. )/'N-?'-J /JmUL~ i'~'77\ 6ml>7. 't6 *1-) /xx ~:;4-, <br /> <br />1880 Main Street . Cwtervi[[e, 'Jv['JI[ 55M8 <br />'EstaG, {isfid 1857 ~,EN2T,' ERVILLE (651) 429-3232 .'Fa,,-, (651) 429-8629 <br />APPUCATIONFO~TCOMBINATION~ZO~~ ' <br /> <br />(.I. /' Any additional costS incurred fOf <br />LOT SPLIT/LOT COMBINATION: /~ FEE: ~ + engineerin.& legal fees, publication Of <br />other reqmrements <br /> <br />REZONING: X <br /> <br />DATE PAID: <br />/. fjf6 OJbN5e.: J!~ti,cv{'~ 0-'",,., C!vf*>b.e/ <br />S1REET LOCATION OF PROPERTY: ~1't~ - 10 Als'! ~ . '2! ,/,/_ II/\/) J <br />_ &J'9S-,<()~ A4 oS. .e ,.t:-=1 - 3rt:. -y," """"-'" <br />LEGAL DESCRIPTION OF PROPERTY: .I- ~1Lt.E'<.t '!>It.! ,t'U",d/-2? -~d_ d~t) < <br />"'?J>S' ~ <br />;;'66 tl/iJIile;e.- i14:'e"" &"'e.-L~ <br />.,- ,7CEr I <br /> <br />SIZE OF PARCEL(S): <Y%S:S:A~ ~ <br /> <br />PROPERTY OWNER: I:.. A..;) 6il<e<ti ~4NE #: <br /> <br />FEE OWNER6G 1, t:t/<<Arz.pe.(i~Jt <br />ADDRESS:, ~ ACIC.- 'S~ I <br /> <br />~~") <br />. <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />FEE OWNER CONTRACT PURCHASER <br />LEASE HOLDER OPTION TO PURCHASE <br /> <br />DESC~T~ON OF REQUEST: -r: t:;~~ J:~~::'~V~ . <br />f."" - . ke[..tI._ ~_ ___~__tll1- ==~fI <br />. . Fj., ,.j ..1<'0)( ') ,/PAVING. II 1)0 xU/6 FJ. ,t(4aL '" ~_ ~T,:C.l/S'f ' <br />. , <br />~>>J!; FDIV r/>JiN6Jl.S:tAL <br /> <br />REASON FOR REQUEST: t: tcuM AJ4W ""wN4a~~f IllvlJ Lt'AfIE <br />A CcJWl4.f.t.cl~L iN- t'J. u,tI A..e <br />. <br /> <br />By paying the above stated fee, I understand that no refunds will be issued in full Of in part, at any time, <br />even if the outcome is denial, ~n - (krfJo!Y>.ur- <br /> <br />Signature of Applicant <br /> <br />Signature of Property Owner . <br /> <br />Date <br /> <br />lIf,{II~f ~ 44 ~/~I(.r,fr, u,c /.s;D~WA l!~fJ~;f'-t <br />m' tlei. wlfy 'I <br />(,.;1,-; At..... {,I/O <br />G f/-,.f& 7- goo 77 <br />