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<br />. <br /> <br />PT Form 961 (Revised 9/23/96) <br /> <br />l\:linncsota Department of Revenue <br /> <br />Application for Approval of a New IJse of Tax-Forfeited Lands <br />(lVIinnesota Statutes, Section 282.01, Subdivisions la througb Ie) <br /> <br />In <br /> <br />RAMSEY <br /> <br />County <br /> <br />Name n( governmental s1Ibdivision (applicmll) <br /> <br />City of ArdenHills <br /> <br />Mailing address olappheam. <br /> <br />1245 Highway 96 W <br /> <br />Arden Hills, Ml'l 55112-5400 <br /> <br />State deed number OJ5584J_ <br /> <br />Dale starc deed ismed: <br /> <br />SeDtember <br />(monrh) <br /> <br />2}nd <br />(day) <br /> <br />1978 <br />(year) <br /> <br />Legal description of property (include the name of the city/town if! which the property is focawd): <br /> <br />Subject to lO<ld and easements; except the East 110 teet and except the West 110 feet Lot 4, Borstau, Ramsey County, Minnesota. <br /> <br />P[\;: 22-30-23 13-0047 (A) <br /> <br />CONTRACT: <br /> <br />Describe the intended public use for which the property \\<15 previously conveyed (be ~pccific, including statute or special law <br />reference_, iCrde\.am) <br /> <br />. <br /> <br />future road n!!ht-o(-wav <br /> <br />Describe the new public use for the property that is being requested (be specific, induding stature or speeialla\.... reterences, if <br />relevant). <br />The Bast 60 feet (or road right-of--::\vav and the West 50.03 feet [ofponding and drain_age <br /> <br />THlS rNSTRUMENT WAS DRAFTED fiY: <br />Jerome P. Filla, ~e_~erson. Fram be Bergman. P~. <br />Name <br />50 E. 5th Street. Suite 300, St. Paul, MN 55101 <br />----- <br /> <br />Address <br /> <br />STATE OF MI1\'NESOT A <br /> <br />) <br />h <br />) <br /> <br />County of RAMSEY <br /> <br />Mich(d_)~Ji...olfe. C~.!..LJ~:dmini_~tr2torbeing first duly sworn, deposes and say:> that he/she is the 3utllOrized <br />repre:>cntative of the gov(~mmenta! subdivision (applicant) lwrned herein, Ihal he/she has read :>aid application and knows the rontellts <br />thereof, and that the matters stated therein are true and correct <br /> <br />Title <br />City Administr2t( <br /> <br />Name Michelle Holfe <br /> <br />Subscribed and sworn to before me this <br /> <br />davof <br /> <br />20 <br /> <br />:\'Olary Public, __ <br /> <br />_ County, i\-1u1J1. <br /> <br />. <br /> <br />My conmlissioll cxpin:s <br /> <br />Rt'turn applica!iGIl tG: 1\1N DepartlUl'nl of H.cyenlJl.'. }l..-operty Tax Division. M3il Station 3340. Sc raul, MN 55146-3340 <br />