Res. #11-009 - Abatement of Special Assessments Cert. (PIN #'s 23-31-22-24-0028 & 0030)

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APPLICATION FOR ABATEMEN'I'/ADDITION OF - SPECIAL ASSESSMENTS For Taxes Assessed in 20 1(._ and Payable in 2011 Please print or type. Applicant/ & B Center C Applicant/ Owner Telephone N 653 -7791 Date of Application 04/05/2011 Applicant/ Owner Mailing Address 1880 Main Street Centerville, MN 55038 7098 Centerville Road Centerville, MN 55038 DESCRIPTION OF PROPERTY Property I.D. or Parcel Number R23- 31 -22 -24 -0028 & R23- 31 -22 -24 -0030 Street Address (if different than above) City or Township School District Number . � Centerville 12 LEGAL DESCRIPTION OF PROPERTY Lot 7 & N 20 FT OF LOT 8 BLOCK 5 CENTER.VILLE, EX THEREFROM THAT PRT OF LOT 7 LYG NWLY OF THE FOL DESC LINE: BEG AT PT ON N LINE OF SD LOT 2.4 FT ELY OF NW COR OF SD LOT, TH SWLY TO A PT ON W LINE OF SD LOT, 7.54 FT SLY OF SD NW COR OF SD LOT AND THERE TERM., EX RD SUBJ TO EASE OF REC & LOT 10 BLOCK 5 CENTERVILLE, TOG/W N1 /2 OF LOT 11 SD BLK 5, SUBJ TO EASE OF REC APPLICANT'S STATEMENT OF FACTS As a requirement for issuance of liquor licenses associated with this establishment, all delinquent taxes needed to be paid in full by March 31, 2011. Applicant complied with the City's requirements by paying the City and allowing for the abatement process. APPLICANT'S REQUEST Include fund number & amount due for payable tax year being abated, not total principal amount. 84418 — R23- 31 -22 -24 -0028 - $781.31 84414 — R23- 31 -22 -24 -0030 - $244.94 Applicant's Signature NOTE: Minnesota Statutes 1988, Section 609.4 1, "Whoever, in making any statement, oral or written, which is required or authorized by law to be made as a basis of imposing, reducing or abating any tax or assessment, intentionally makes any statement as to any material matter which the matter of the statement knows is false my be sentenced, unless otherwise provided by law, to imprisonment for not more than one year or to payment of a fine of not more than $3.000. or both."