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<br /> <br />ervi{{e <br /> <br />1880 Main Street . Centerviffe, M'J{ 55038 <br />'EstafJ{isfied 1857 CITY OF CENTERVILLE (651) 429-3232 . 'F~ (651) 429f629 <br />APPLICATION FOR LOT SPLIT/LOT COMBINATION/REZONING e;J-- ~. ,4.-, <br />~..,,6 <br />Any additional costs incurred for <br />FEE/~~ + :e~tsfees, publication or <br /> <br />LOT SPLIT/LOT COMBINATION: <br />REZONING: /' <br /> <br />DATE PAID: <br /> <br />STREET LOCATION OF PROPERTY: L....- j ~ ;; /- <br />LEGAL DESCRIPTION OF PROPERTY: :b/IV d,e ZY-:=1I-?2- ~_/J"YQ <br /> <br />SIZE OF PARCEL(S): 04 t+c y_d~ <br />I!: 'v <br />Pm-IE'RW6WNER:C..<1-l0'}" r;l." f PHONE#: ts-(-({j-J -t't7?-p <br /> <br />FEE OWNER:tZ.tf ..,:' ;; [ (!' ,;y <br />ADDRESS: 0'? f.t.:- ? /I,I'^(, /f&;-( C; 4 ~ c' /14 ~ A .C ('cJ J c;-- <br />, t? (' <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />FEE OWNER <br />LEASE HOLDER <br /> <br />DESCRIPTION OF REQUEST: /..~ 2-d "--<, <br /> <br />C/' CONTRACT PURCHASER <br />OPTION TO PURCHASE <br />4, ,pI -r[ <br />~ >f --- {- (b.J-- . <br /> <br /> <br />REASON FOR REQUEST: C jjA-f ( ,/Z..--/" tb.. f'fr..pL~il pi /vr:/,;r~ <br />;/-6'~' 11 ~ <br />/ ' f . -.: ~'1d t..,.-; e ff1"'-...........? <br /> <br />By paying the above stated fee, I Wlderstand that no refunds will be issued in full or in part, at any time, <br />ev' outcome is denial. m cr ~ <br /> <br />(fi~ture ofP;:;';;; ~/ <br /> <br />7 -(I -t'J if <br />Date <br />