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t tervitTe 1880 Main Street • Centerville, MN 55038 <br /> (Established 1857 (612) 429-3232 • Fat (612) 429 -8629 <br /> CITY OF CENTERVILLE <br /> LOT SPLIT APPLICATION <br /> NAME OF APPLICANT i2a _ %, FEE * / 73. 07, <br /> ADDRESS 70,0 © t DAY TIME PHONE # 4' Q5 7 377 <br /> DATE _ F /3//0 FAX NUMBER 6,573 - - , 8y <br /> LEGAL DESCRIPTION OF PROPERTY <br /> x 412 r.J O.hrai„ ( iglad-eAr-fieCALH <br /> tznE ,e- .5' e . !2e . fe it , Q . Seennl073: trto 3 <br /> !et:a -4 ' . _ 4 at., /4" _ . _. . ♦ fir' L <br /> f <br /> LEGAL DESCRIPTION OF PROPOSED LOTS <br /> 1) Sc e o2t. A# (Tana p /`t <br /> 2) coa Qthtr4'i¢X at of a <br /> ( fr / 3) F etast7z,ta <br /> PROPERTY ADDRESS: 700 6 Gr C <br /> 7cr07 - %c € . eo liZu)�G,lo 727 , t SS o3 <br /> DESCRIPTION OF REQUEST re 'p Vie, _ , / . n _ <br /> • <br /> :_ : c . ca. L ! _ _ a J zg N D. <br /> et AL_ has. zc * Pius any additional cost incurred for legal fees, <br /> ignature o applicant Engineering, publication or other <br /> ,r 6c expenses <br /> Signature of property owner <br /> j si / 92' <br /> Date <br />