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<br /> <br />tervi{{e 1880 :Main Street . Centervi[[e,:M'J.[ 55038 <br />'Estab{isfieJ 1857 CITY OF CENTERVlLLE (651) 429-3232 . 'fa;c (651) 429-8629 <br />APPLICATION FOR LOT SPLIT/LOT COMBINA TION/REZONING <br /> <br /> <br />COMBINATION: <br /> <br />.-- Any additional costs incurred for <br />FEE: / q if + engineering, legal fees, publicatioo or <br />- other reqwrements <br />DATE PAID: 10 - J <br /> <br />REZONING: <br /> <br />STREET LOCATION OF PROPERTY: ? 5.a c/ 0 r / /l-/\/ ~V f 'v -f' <br /> <br />LEGAL DESCRIPTION OF PROPERTY: PP-..3l-Zz, --I; ~g(J/~ <br />L-01 <-f (-<, I J::. ? <br />()Joorl5 of Cl...*vw~..,v- C(/-"-~K <br /> <br />SIZE OF PARCEL(S): <br /> <br /> <br />I. 0 J4cve <br /> <br />~. I.gb/hrr-e <br /> <br />PROPERTY OWNER: PHONE #: ~ Il- 7 0 J - '1 0 ~ ? <br /> <br />FEE OWNER: <br />ADDRESS: <:. t-' ;- <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />L--fEE OWNER CONTRACT PURCHASER <br />LEASE HOLDER OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST: / ~,o//-r <br />/ t::-" r- /1 G- y -( <br /> <br />.;) r ~ A-c-r- ~ <br />81 ILL" <br />. <br /> <br />To <br />/. ~ d-b/'=<-. <br />. <br /> <br />REASON FOR REQUEST: <br />/' _ {f '1 r-o <br /> <br />~ "^- ~~ <br />c:..(1)-Fr..-~ ~ f1' C>.- ~ ~ /70,.1 ",-", <br /> <br />By paying the above stated fee, I understand that no refunds will be issued in full or in part, at any time, <br /> <br />eveniftb come~~ (q 1$2/ f <br />re of Applicant Sigrurtil(e of Property OWner <br />/0 -/- oc;' <br /> <br /> <br />Date <br /> <br />l.. <br />