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<br /> <br />tervi[[e <br /> <br />1880 'Main Street . Cententiffe, 'M'J{ 55038 <br /> <br />'Estabfisfzetf M57 CITY OF CENTERVILLE (651) 429-3232 . :J{1;((651} 429-8629 <br />APPLICATION FOR LOT SPLIT/LOT COMBINATION/REZONING <br /> <br />LOT SPLIT/LOT COMBINATION: ~ <br />REZONING: <br /> <br />Any additional costs incurred for <br />FEE: ~ + engineering, legal fees, publication or <br />other requirements <br /> <br />DATE PAID: <br /> <br />STREET LOCATION OF PROPERTY: 6759 CENTERVILLE ROAD <br /> <br />LEGAL DESCRIPTION OF PROPERTY: SEE ATTACHED <br /> <br />SIZE OF PARCEL(S): 17.00' X 173.28' <br /> <br />PROPERTY OWNER: RICHARD S. CARLSON PHONE#: (763) 786-1218 <br />DEVELOPMENT, LLC <br />FEE OWNER: SAME AS ABOVE <br />ADDRESS: <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />X <br /> <br />FEE OWNER <br />LEASE HOLDER <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: CORRECT ENCROACHMENT <br /> <br />REASON FOR REQUEST: LEAN UP <br />(GOOD NEIGHBOR) <br /> <br /> <br /> <br />Signature of Property Owner <br /> <br />By paying the above stated fee, I understand that no re <br /> <br />O!;::;m;:rkZ~) <br /> <br />Signature of Applicant <br />7/z.z /04 <br />, <br />Date <br />