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t erviCle 1880 Main Street • Centerville, Mai 55038 <br /> Established 1857 (612) 429 -3232 • fax (612) 429 -8629 <br /> CITY OF CENTERVILLE <br /> LOT SPLIT APPLICATION <br /> NAME OF APPLICANT a .ter,. �i FEE * / 7,5 . 't) <br /> ADDRESS 70D 7 — okc !cue, DAY TIME PHONE # 11 ° 9,7 377 <br /> DATE 0/ /0 FAX NUMBER 5 s -tcry <br /> LEGAL DESCRIPTION OF PROPERTY <br /> C e c e , .4. . y i p ` • ' . ► i ' / E M I T e lS r _. 3 / <br /> f I <br /> LEGAL DESCRIPTION OF PROPOSED LOTS <br /> 1) r c� ________10.2rAteakei Pevit <br /> 2) C, 2 titearfi 2-da s p 4,t, ,2 <br /> C y' e /e 6 _ 4 4 ) TUw! <br /> PROPERTY ADDRESS: 700 S -A6 -•v - �"� Fv , <br /> 700 7 -,- t izc -.. &-n . /27 STS & 3? <br /> DESCRIPTION OF REQUEST -- h gat ' .c t- Zenon r • • , <br /> T> £V4,4 2 la oh.&J ,e, �Jrrnea L/ <br /> TNT- <br /> AI vl - * Plus any additional cost incurred for legal fees, <br /> s ignature o„ applicant Engineering, publication or other <br /> 4 ,7 4c y itet n.,) expenses <br /> Signature of property owner <br /> S/3 l 9� <br /> Date <br />