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<br />EXHIBIT A <br /> <br />Anoka County Division of Property Records & Taxation Abatement Form 7 (Rev 2/95) <br /> <br />APPLICA TION FOR ABATElVIENT - SPECIAL ASSESSMENTS <br />(M.S. 375.192) <br /> <br />County Auditor's Number For Taxes Assessed in 20 <br /> And Payable in 20 <br />County of Anoka <br />Applicant's Name: Mr. Frank Zimny Applicant's Mailing Address: <br /> 7252 LaValle Driye <br />Applicant's Social Security Number: Centerville,:N1N 55038 <br />Applicant's Telephone Number: <br />Date of Application: 03/23/03 <br />DESCRIPTION OF PROPERTY Property I.D. or Parcel Number: R15-31-22-44- <br /> 0009 <br />Street Address (if different than above) City or Township: School District Number: <br /> Centerville 12 <br />LEGAL DESCRIPTION OF PROPERTY: AUDITORS SUBDIVISION NUMBER 46, REVISED ALL THAT PART OF <br />LOT 9 AUD SUB NO 46 REV DESC AS FOL-COM AT TIlE WI1NESS CORNERAS SET BY TIlE ANOKA CNTY <br />SURVEYOR MAR 25,1964 ON TIlE E LINE OF SEC 15-31-22 & ON TIlE N SHORE OF CENTERVILLE LAKE-TH <br />NL Y ALONG SAID E LINE 191.82 FT TO A PT ON TIlE TANGENT LINE OF A 6 DEG 00 MIN CURVE ON CNTY ST <br />AID HWY NO 14-TH DEFLECT50 DEG 58 MIN NWL Y 219.42 FT TO TIlE CENTRAL ANGLE OF SAID 6 DEG 00 MIN <br />CURVE- THDEFLECT 38 DEG 05 MIN WL Y 153.40 FT TO PT OF BEGTH CONT ON COURSE 176.18 FT TO TIrE END <br />OF SAID 6 DEG 00 MIN CURVE-TH CONT WLY ON COURSE 1.15 FT-TH DEFLECT 58 DEG 18 MIN SWL Y 40.82 FT <br />TO A 11N MARKING TIlE NWL Y LINE OF TIlE PROPERTY OF FRANCIS W & ELENORE M LEV ALLE AS DESC 1N <br />BOOK 379 OF DEEDS PAGE 359 OFF OF TIlE REG OF DEEDS. <br /> <br />02 <br />03 <br /> <br />APPLICANT'S REQUEST: <br />Include fund number & amount due for payable tax year being abated, not total principal amount. <br /> <br />Fund #83576 - $689.90 - 2003 <br />$645.30 - 2004 <br />$645.30 - 2005 <br />$645.30 - 2006 <br />$645.30 - 2007 <br />$645.30 - 2008 <br />$645.30 - 2009 <br />$645.30 - 2010 <br />$645.30 - 2011 <br />$645.30 - 2012 <br /> <br />c~_... <br /> <br />. ..._-.~ /7 <br />..... /" '\~ "" <br />"~<':......-?~LJJ.. "I ~'-'-. <br />App 'cant's Signature <br /> <br />-7h~ <br /> <br />Date <br /> <br />NOTE: Minnesota Statutes 1988, Section 609.41, "Whoever, in making any statement, oral or written, which is requi.red or authorized by law <br />to be made as a basis of imposing, reducing or abating any tax or assessment, intentionally makes any statement as to any material <br />matter which the maker of the statement knows is false my be sentenced, unless otherwise provided by law, to imprisonment for not <br />more than one year or to payment of a fme of not more than $3,000 or both." <br /> <br />The following accurately reflects both existing and proposed amounts <br />