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' a <br /> x �� terv� • <br /> 1830 Main Street • Cettter✓if[e, ?✓L`A[ 55038 <br /> w (612) 429-8629 <br /> 'Established 1857 (612)429-3232 • 5 <br /> CITY OF CENTERVILLE <br /> APPLICATION FOR PRELIVIINARY PLAT <br /> ur- <br /> DATE PAID FEE i- <br /> STREET LOCATION OF,PROPERTY: t --0 0 ` an . Sy <br /> LEGAL DE SCRTP7IO ee PROPERTY: <br /> SIZE OF PARCEL (S) B - A - Rt 4 <br /> PROPERTY OWNER: Fel iM- d " t PHONE# 4 ' & 36 57 8 <br /> FEE OWNER: &i IQ t. U ?S t�y1! 1. 5 l b <br /> ADDRESS; I i £ - I!]: cl • 1 <br /> APPLICANT'S INTEREST IN PROPERTY. <br /> x FEE OWNER CONTRACT PURCHASER <br /> I LEASE HOLDER OPTION TO PURCHASE <br /> DESCRIPTION OF REQUEST: Sly i01 l I'tI.+ID I t +TO <br /> IR-tl [ a •J i \` A _r G -- AL_ Ala. <br /> REASOnREQUEST: <br /> NP*e{ 115 f 9rn gee. Rti7.2 yJk,AW&S &s any additional costs <br /> Signature of ap • ic• s » / _ r c u rred for engineering, <br /> / _ • legal fees, publication or <br /> kgnature of property owner other requirements. <br /> -7 7•I 5' 9 <br /> Date <br />