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<br />SE1IT BY: <br /> <br />5- 4-98 15.:17; <br /> <br />PROP REC & TAX- <br /> <br />612 429 8629:# 2/ 2 <br /> <br />DIVISION f COMBINATION REQUEST FORM <br />o Division Municipality Date . <br />o Combination For taxes payable in 19 <br />Fee Owner: --....... <br />Contract <br />Purchaser: <br />Taxpayer Name: <br />Address: -.-. -. <br />Pin Key# Legal Description <br />, H_~". <br />Note: If this is a request for a division of a t~arcel, the legal descriptions of the new <br />parcels must be attached and stamp with city approval. As of June 1,1995 <br />there w!ll be a fee for dIviding property. <br />Daytime Phone# X , <br /> OFee Owner <br /> OContract Purchaser <br />Note: If the request is by a contract purchaser, the applicant must aiready appear as the <br />contract pu rchaser in the county tax records or a copy of the co ntract for deed must be <br />attached. <br />OFFICE USE ONLY: <br />Checked for delinquent taxes by: Date: <br />