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<br />. r 1 l<orrn '01 \Ke"lSeo ~/~')/~OJ <br /> <br />ll"Unnesula .lIepann)enl OJ Ke\'enUe <br /> <br />. <br /> <br />Application for Approval of a New Use of Ta:x-Forfeited Lands <br />(Minnesota Statutes, Section 282.01, Subdivisions la tbrough Ie) <br />In RAMSEY County <br /> <br />Name of governmental subdivision (applicant): t: II.... ""I=- /1~dL-7 <br />f <br />Mailing address of applicant: /,')'15 ;I~..hw7 9'(", I IJ..."/~ <br />Slale deed number: 0]54845 Date state deed issued: <br /> <br />A{,//s <br /> <br />/'In!.>, n->,..J <br /> <br />Avril <br />(month) <br /> <br />Legal description of property (include the name of the city/lown in l1ilich the property is located): <br /> <br />55//.;J. <br />7'" <br />(day) <br /> <br />1978 <br />(year) <br /> <br />Lot 3, Block 2, "Lake Josephine Villas" <br /> <br />PIN: 34-30"23-44-0038 (A) <br /> <br />.. <br /> <br />. <br /> <br />Describe the intended public use for wbicb tbe property was previously conveyed (be specific, including statute or special law <br />references, if relevant): JJ. <br />L...-.k::': <br />/ <br /> <br />a/?..I' '7"......... ~.~ <br />.. / <br /> <br />Describe the new public use fur the property that is being requested (be specific, including statute or special law references, if <br />relevant): <br /> <br />..i4--""..,.. <'7"", _ <IL - <br />./ <br /> <br />/?7/,.-.,e. ~bk <br /> <br />f hl-----/.Je.- <br /> <br />;;lBd. C-, <br /> <br />'IS INS1RUMENT WAS DRAFTED BY: <br />Aa.......{;.YI I! "'-"".$2. <br />Name <br />/,)0.(<; <br />Address <br /> <br />rk9h.v.A4 7"'-. ~ }/,'I/> <br />"..- ..~' .. - , l <br /> <br />/'?-rJ <br /> <br />';5//2. <br /> <br />STATE OF MINNESOTA <br /> <br />) <br />) ss. <br />) <br /> <br />County of RAMSEY <br /> <br />being finn duly sworn, deposes and says that belshe is the authorized <br />representative of the governmental subdivision (applicant) named berein, that belsbe has read said application and knows the contents <br />thereof, and. that the matteIS stated therein are true and correct. <br /> <br />Name <br /> <br />Title <br /> <br />Subscribed and sworn to before me this <br /> <br />day of <br /> <br />.20 <br /> <br />Notary Public, <br /> <br />County, Minn. <br /> <br />My commission expires <br /> <br />.etnrn appUcation tn: MN Department of Revenue. Property Tax Division. Mail Station 3340 . St. Paul, MN 55146-3340 <br />