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Anoka County Division of Property Records & Taxation Abatement Form 7 (Rev 2/95) APPLICATION FOR ABATEMENT - SPECIAL ASSESSMENTS (M.S. 375.192) County Auditor's Number For Taxes Assessed in 20 And Payable in 20 County of Anoka Applicant's Name: Mr. T S. Herr Applicant's Mailing Address: 7247 Main Street Applicant's Social Security Number: Centerville, MN 55038 Applicant's Telephone Number: Date of Application: 03/23/03 DESCRIPTION OF PROPERTY Property I.D. or Parcel Number: R15-31-22-44- 0008 Street Address (if different than above) City'or Township: School District Number: Centerville 12 LEGAL DESCRJPTION OF PROPERTY: AUDITORS SUBDIVISION NUlv.1BER 46, REVISED TH CERTAIN PT OF LOT 9 ADD SUB 46 REV & BEING A PART OF GOV LOT4 ill SEC 13 31 22 DESC AS FOL TOWIT, BEG AT A POINT IN SD LOT 9 AT AN IRON MONUMENT PREVIOUSLY SET ON THE TOP OF THE BANK ADJ TOS LINE OF ANOKA~ CENTERVILLE ROAD & APPROX 37 FT S OF CENTERLINE OF THE PAVEMENT OF SD ROAD, SD POINT BEING 225 FT WL Y OF AN INTERSECTION OF S LINE OFSD ROAD wrm E LINE OF SDGOVLOT 4, TH CONTINUING ALONG TOP OF 1RE BANK, IN PROXlMTIY TO S LINE OF SD ROAD, AT N 76 DEG 52 :rvflN W FOR 140 FT TO A POINT APPROX 37 FT 3 OF THE CENTERLlNE OF TIlE PA VElvIENT OF 3D ROAD, TIlE 3 15 DEG 51 FT W 150 FI. 02 03 APPLICANT'S REQUEST: Include fund number & amount due for payable tax year being abated, not total principal amount Fund #83576 - $689.90 - 2003 $645.30 - 2004 $645.30 - 2005 $645.30 - 2006 $645.30 - 2007 $645.30 - 2008 $645.30 - 2009 $645.30 - 2010 $645.30 - 2011 $645.30 - 2012 .- .---.----.-.-.-.- . -----;/ -.... ,j .-/;./ / . -'-?"' _ )~ f ~_--_.- APp~~~~;'u;~e ?'LCe:-,< / j - / / . /" ~ ./0 --/}-< ,/ /'-'------ Date NOTE: Minnesota Statutes 1988, Section 609.41. "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 maker ofthe 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." The following accurately reflects both existing and proposed amounts