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677 Leonard LaCities Diaital Qualitv Co The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ;.. c. c.,, _, c= :., ?a_., ? .. ?._?;_ ...--.?,, ;;:_ :i-','':?:?' i?ar,:i?? h?,:nst•. r ?"59?, -, .'''i+,? ?'t'' `-- ..,, „_,... . ? i.,? tG,i ;PJ.'n,?? . , ,?.t : ,f.Q! : :L.. -._. . . . ....''JC! ? _. . , city oF eegan PAT GPAGAN Mayac PEGUY CARLSON CYNDEF. PIF],DS MIKE MAGUIRE MEG TILLEY CouociL Membecs THOMAS HBDGLS Ciry Admmisnami Mmucipal Center 3830 Pilot ICnob Road Eagan, MN 55122-1897 Phone65LC7j.5000 FaY- 651.6755012 TDD. 651.45h.8535 Maincenance Facility: 3501 Coachman Poinc Eagan, MN 55122 Phane: 651-675 5300 Fax: 651.675.5360 'f DD: 651.454.8535 www.dtyofeagarv.com THF. 1 ONE OAK TRiF, Thc rvm6ol of scicngch and gimvth m nm coinmuniry ADDRESS CHANGE REQUEST DATE: !- -;Z7- 0-?' FEE: $50.00 EXISTING ADDRESS: L-77 Le oh Z r" J- La n?-- NEW ADDRESS: 39 (d 7 A(' len s c? LOT )l BLOCK ? PLAT NAME ?L (- 'r a REASON: ra?-?-o?- y- e ? ij. e 5 4- PRINT APPLTCANT NAME ? '" ', _ ?_ i ? SIGNATURE CD/FORMS/CHANGE OF A?D[2ESS