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<br /> <br />tervi[[e <br /> <br />1880 'Main Street . emtervi!!e, 0{'iI[ 55038 <br />(651) 429-3232 . 'f"'t (651) 429-8629 <br /> <br />'EstaElisfm{ 1857 CITY OF CENTERVILLE <br /> <br />APPLICATION FOR LOT SPLITILOT COMBINA TIONIREWNING <br /> <br />NO~ tE?~\~ <br />-e- Any additional costs incurred for <br />FEE: + engineering, legal fees, publicatioo or <br />- other reqwremen1s <br /> <br />.,/ <br /> <br />LOT SPLIT/LOT COMBINATION: <br /> <br />REZONING: <br /> <br />DATE PAID: <br /> <br />STREET LOCATION OF PROPERTY: \"V\OVNO ~U't<\ <br /> <br />LEGAL DESCRIPTION OF PROPERTY: iJ 5- 3/ ~ 22..- .; 3 - 000 't <br />WI ~ ~.: ~ ~~ ~~ Co. V\l\N. I <br />La ,.- _ _ ""l~ SI4 \C-.A co. lMt-J - e..15 - .3 j - 2-Z ~ 43 - 66) 6 . <br />, I I , <br />SIZEOFPARCEL(S): l-o-r 4- 110 ",\too A~(ll.ll'<.. Le>{.o::; IDa )(l~p~. <br />~s A..~1' <br />PROPERTY OWNER: ~..v.rr",,J ~1" PHONE #: ("'<;/-4-u' ~~ <br /> <br />FEE OWNER: "D-. 'V_I A') A. ~ ~~Y""'I~ :\. C'lAES"-l\IT <br />ADDRESS: I C'>ARr:.t...\co LA.~ ~ I IL'Il"Fr> tMr--l. <;<::'110 <br />/ <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />".-/ FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: ('..tYY\-6'..:co ~~ 4- ~ '5 "'-lTO <br />~~E- Lo-f <br /> <br /> <br />REASON FOR REQUEST: ~ ~ WI-rn (')012.. !.\l'o.\"-.l: pl.Ar-} <br />W~ \.0.)1(1 fF Tl'x'> ~ n<:::r:= -rt'> f1'~-r:\ L'N~ A I4.I'\.IL\rIOC'J:"" <br />~~ If' I. ~ C'Ftsr0L ~'" t"'-'> (7) \ ....7~ \-r II\/\1l:\'(= '" >'l'.\lCloI. <br />Nl CJe<IL.. LA't 17\). <br />By paying the above stated fee, I understand that no refunds will be issued in full or in part, at any time, <br />eveniftheoutco isd' ~ Q dl,.,-~ <br /> <br /> <br />Signatu~roperty Owner <br /> <br />-rt~I\l\C- '(CN It-J A.OVfl.N ~ <br />