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<br /> <br />tervi{{e <br /> <br />1880 !Main Street, Centerville, 9.f'.N 55038 <br /> <br />'L,,-tabfi..;,'/ic({ LS57 651-429-3232or-of'a.{651-4298629 <br />CITY OF CENTERVILLE <br />APPLICATION FOR SUBDlVISION/ZONINGIPLAT APPLICATION <br /> <br />SUBDIV.lZONINGIPLATIING APP: X <br /> <br />FEE: WAIVED <br /> <br />REZONING: <br /> <br />DATE PAID: <br /> <br />N/A <br /> <br />STREET LOCATION OF PROPERTY: 21ST Avenue Backage Road <br /> <br />LEGAL DESCRIPTION OF PROPERTY: 7047 - 21 51 Avenue (Sheehy) & 7030 - 20th <br />Avenue (City) <br /> <br />SIZE OF PARCEL(S): <br /> <br />Per Attachment <br /> <br />PROPERTY OWNER: See Below <br /> <br />PHONE #: <br /> <br />FEE OWNER: Sheehy & City ofCenterville <br />ADDRESS: 7047 -21st Avenue & 1880 Main Street (respectivelv) <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />X <br /> <br />FEE OWNER <br />LEASE HOLDER <br /> <br />DESCRIPTION OF REQUEST: <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />Per Attachment <br /> <br />REASON FOR REQUEST: <br /> <br />By paying the above stated fee, I understand that no refunds will be issued in full or in part, at aoy time, <br />even iM:;:: is /aI. <br /> <br />~ ~ _ ~/C ~~ <br />Signature of Applicant Signature of Property Owne . <br /> <br />8/27/09 <br />Date <br />