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<br />'EstaElisftetf 1857
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<br />1880 :Main Street .. CenterviJfe, :JIf:J{.5503L
<br />(651) 4.29-3232 .::r~ (651) 429-8629 .
<br />
<br />CITY OF CENTERVILLE
<br />APPliCATION FOR LOT SPLITILOT COMBINATION/REZONlNG
<br />
<br />.-- Any additional costs incmred fur
<br />FEE: Iqr-f + engine~lega1fees,p1lblicationor
<br />- otherreqmrements
<br />DATE PAID: I () - /
<br />
<br />STREET LOCATION OF PROPERTY: 7 5.fjy' 15 r I '/hv .-dv ('V -f
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<br />LEGAL DESCRIPTION OF PROPERTY: p/~-zz --IJ~tJO/h
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<br />SIZE OF PARCEL(S): I. 0 jiGV' 'C
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<br />OT SPLITfJ..OT COMBINATION: _
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<br />REzONING:
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<br />~ 1- 5 b '/I-o"r<
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<br />PROPERTY owNER:
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<br />PHONE#: Ce II-- 70 1- y6{:?
<br />
<br />FEE OWNER:
<br />ADDRESS:
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<br />APPLICANT'S INTEREST IN PROPERTY:
<br />
<br />~OWNER
<br />LEASE HOLDER
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<br />CONTRACT PURCHASER
<br />.OPTI;ON TO PURcHAsE
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<br />DESCRIPTION OF REQUEST:
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<br />REASON FOR REQUEST: ~ 0.... 4--~. "
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<br />By paymg the above stated fee, 1 understand tl, :;!\il ","n, "." ,wl"~:-,\;" ,,', _,; time,
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