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Reason for Division or Combination: Owner(s) Name: Address: Telephone: Email (REQUIRED to receive recorded copy of CSM): Owner(s) Representative/Buyer(s)/Other Contact Name: Address: Telephone: Email (REQUIRED): Surveyor s Name: Address: Telephone: Email (REQUIRED): FEES: ENGINEER REVIEW APPLICATION AMOUNT: $ 380.00 $ 230.00 PAYABLE TO: City of Milwaukee Trea.

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