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<br /> <br />111-";;: '-'>-, <br />1\(;',,",' . "':'~,,,: ....... - " ,'I <br />;'<":> "ewtervi{[e . lSSa :1o{n;1l Street . CCl1tm1ill" [/J{7{ _,_'lUR <br />~ ' -""- --- <br />.'EstaEfisfwf 1857 CITY OF CENTERVILLE ("_'U) "2~':3232 ,,_'TfI;r. (1;51) 429.8"2~) <br />APPLlCA nON FOR LOT SPLIT/LOT COMB1NATIO~ZO~ <br /> <br />. . Any additional costs incuned for <br />FEE: 2(/;() + engiDeerin.!lo legal fees. publication or <br />other requrrements <br /> <br />LOT SPLIT/LOT COMBINATION: <br /> <br />REZONING:X-- <br />STREET LOCATION OF PROPERTY: <br /> <br />DATE PAID: <br />~<107;2,O~ Iff{ AI <br /> <br />LEGAL DESCRIPTION OF PROPERTY: <br /> <br />SIZE OF PARCEL(S): /. it' ar11f.~~ <br /> <br />PROPERTY OWNER: 6.../.eA.. OIlKr ;f"'*.IVPHONE #: 761.7;1 - 1'1 f) 0 <br /> <br />FEE OWNER: ~,,*Jr... OA~$" tZ.~J' <br />ADDRESS: I??.J(P 1011....-0'" .. E: 1bu1lal.>-lIA M., ~O()l( <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />FEE OWNER ~ CONTRACT PURCHASER <br />LEASE HOLDER OPTION TO PURCHASE <br /> <br />DESCRIP':pONOF REQu;EST: 70' "':2<'''''''' ~ CDIf.lJlA.eJ(c,;.p <br />.p. JielfJ,{.pAtf',:...! /1..-_ <br /> <br />REASON FOR REQUEST: ---#" 6t.t,itJ ,(jeW +OlMiV If) At ~ r. <br /> <br />By paying) e above stated ree, I understand that no refunds will be issued in fuil or in part, at any time, <br />even if tcome is denial. <br /> <br /> <br />.. Signature of Property Owner <br /> <br />fl' .,1;# ~~.ltif.. r J /..t. c <br /> <br />800"d Z91# Ll:81 rOOZ/Sl/l0 <br /> <br />r099 Z9L 199 <br /> <br />dnOd8 ^d~081NO~ 3Hl:wOjj <br />