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CCP 07-28-2003
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CCP 07-28-2003
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<br />. r J ttorm ~1 \-li.eVISeO.:YU.)/YOJ <br /> <br />.l\'Jlnnesota vepanment OJ Kevenue <br /> <br />. <br /> <br />Application for Approval of a New Use of Tax-Forfeited Lands <br />(Minnesota Statutes, Section 282.01, Subdivisions 18 tbrougb Ie) <br />In RAMSEY Couuty <br /> <br />,M/I/.< <br />H.-II.; ro'?w <br />. , <br />April <br />(month) <br /> <br />Legal description of property (include the 'ilOmeof the city/town in Which the proPerty is located): <br /> <br />Name of governmental subdivision (applicant): <br />Mailing address of applicant: / ::z.--I $"" <br />State deed number: 0136291 <br /> <br />/IJ-y ~t- 4,.ja." <br />H~h......'I' q b . ,/J..rd...-. <br />Date state deed issued: <br /> <br />t;5/1'Z- <br /> <br />3rd <br />(day) <br /> <br />1970 <br />(year) <br /> <br />Lot 4, Block 2, ''Lake Josephine Villas" <br /> <br />. PIN: 34-3()C23-44-0039 (A) <br /> <br />DeScribe the intended public use for which the property was previously conveyed (be specific, including statute or special law <br />rererences, if relevant): / . <br />/"r~ <"l..~ r--- f.4<~ <br /> <br />Describe the new public use fur the property that is being requested (be specific, including statute or special law references, if <br />relevant): FJ.--"",~ _ /'?r~>6'I-~ sh_~~ 2..$"2.... ~/ <br /> <br />'IS INSTRUMENT WAS DRAFTED BY: <br />Al...~~ ~N/f/' <br />Name <br />. I;N6 11'~ '7~ //r,b, 1Mb />'IN 1'~IIZ <br />~= . . } <br /> <br />STATE OF MINNESOTA <br /> <br />) <br />) 88. <br />) <br /> <br />\ :dHLU ;,..,pJ-,; <br /> <br />County of RAMSEY <br /> <br />being first duly sworn, deposes and says that he/she is the authorized <br />representative of the governmental subdivision (applicant) named herein, that he/she has read said application and knows the contents <br />thereof, and that the matters staled therein are Ime and correct. . <br /> <br />Name <br />Subscribed and sworn to before me this <br /> <br />Title <br /> <br />day of <br /> <br />,20 <br /> <br />Notary Public, <br /> <br />County, Minn. <br /> <br />MyeoniiiUsSlOn exprres- - - --- ---- -------- <br /> <br />.eturn application to: MN Department of Revenue . Property Tax Division. Mail Station 3340. St. Paul, MN 55146-3340 <br />
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