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pf_00310
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2/16/2016 2:15:52 PM
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� <br />� 1 <br />i�i'LiAGE OF Rt��VIi.LE, MINNESt�TA <br />�'ZA?Tltiv AFPLTCATION (PR.ELI2�IN&RY� . <br />Case No. <br />Da te Fa.le d"y�'�___��; ( 4„ t., <br />i�e �s (ovnera, lessee, option holder4 <br />--�-�...��_ t` S_____. ) of the property <br />desaribea as ��,�� �.-1 � .� <br />�--�-1.1�---� a_�....��� � <br />��__i_i l 1 � ("� � '� v � c T . . � .. ^r-� - _ L '—"'?-" <br />� e. <br />do rsquest that the planning �ac�ssion and V.illa�e Council 've �� n <br />� Prelinnnaiy <br />a�praval to the attached proposed plat, con�isting of <br />� lnts. <br />Subdivision is Lo be known as <br />� ---- � <br />Name - -- ----- <br />Noe of lots �" ---- <br />t?�ner : <br />Afaut� Subdi vi de� v <br />Name � p1'(il �P A e Ch ...,. �. o <br />� _-___._,__-�-�.�.., - �—, ,� ��_� ���� <br />Addresa . ��dcJE�A , Address <br />h <br />Fhoa�e � �.� � � �. "� <br />Engi�eer a _�.� <br />���:. � <br />: ;, <br />. Phone <br />.,; <br />�� <br />J � �" <br />. J� � <br />� - .I,and: �ianner s <br />. <br />_ �, �� <br />--_..� <br />, <br />�- <br />r � <br />:t <br />� <br />,�.' <br />` - <br />�..��Fx <br />, <br />Phone � <br />Amdunt� of Fee�� � �`n� <br />�G-�-�- <br />Pai d �- � <br />�t Copies of Plai Required , <br />� - C��,�, �¢'r T.a c.y.�,d <br />�,r��iT/G.tf�.! l�v / G-- 5 1 u,�.'..v/S.,6G�'.1,� ` <br />�a �LL�B�� � !�r//f.E'.�'.e � <br />,N/i,�� ��� r�.�i1��y,� �,. <br />.� <br />ApPlicant �� <br />`�� G�.�JY� Gr�� �,�!G . , . <br />� <br />
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