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• <br /> `r <br /> tervitte <br /> ` 1880 Main Street • CenterviLCe, MN 55035 <br /> Established 1857 (612) 429 -3232 • fax (612) 429 -8629 <br /> CITY OF CENTERVILLE <br /> LOT SPLIT APPLICATION <br /> NAME OF APPLICANT /6( ,.X.Cler„_o- Agki0-47.42 FEE * / <br /> ADDRESS 70D '7 — 2-& DAY TIME PHONE # 4' 9 7 <br /> DATE 5/9//9 FAX NUMBER /.5_3 -/5/cry <br /> LEGAL DESCRIPTION OF PROPERTY e <br /> fie t iti ' 1 <br /> ;s f,e- <se. _ e. / See t'71o73 >r�3/ <br /> • <br /> LEGAL DESCRIPTION OF PROPOSED LOTS <br /> 1) Si a24 P 4 <br /> of t,-J,J 11./u 13 <br /> PROPERTY ADDRESS: 7605 <br /> 00 5 C <br /> - . • tCLC• -', . '.j, 'i . J . /?7✓V • SS 0 3k <br /> DESCRIPTION OF REQUEST Tn gait' e„ i n ' , a "p ; <br /> o <br /> /4 (.it'i' , t fdA4'd 4 -,ennoni T N L <br /> Ct e['v -e �1 ��_ * Plus any additional cost incurred for legal fees, <br /> s ignature 44 applicant a Engineering, publication or other <br /> 4 % A-e� expenses <br /> Signature of property owner <br /> / 9w <br /> Date <br />