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<br />Minnesota Wetland Conservation Act <br />Affidavit of Landowner(s} <br /> <br />STATE OF MINNESOTA ) <br />)ss <br /> <br />COUNTY OF Anoka ) <br /> <br />_, the Affiant herein, being first duly sworn, deposes and says: <br /> <br />1. Affiant is the owner of land described as follows, to-wit: <br /> <br />(see attached legal description in Declaration) <br /> <br />2. Affiant is well-acquainted with the above-described land. <br /> <br />3. As of , <br />claiming title to said land other than Affiant. <br /> <br />, no persons were in possession of or <br /> <br />4. There have been no improvements made during the one hundred twenty (120) days prior to <br />the above date for which any mechanics' liens might have arisen. <br /> <br />5. All taxes and assessments levied against the property have been paid when due, and such <br />property is free and clear of any tax lien except for current taxes not yet due or not yet delinquent. <br /> <br />6. No lien for unpaid income taxes has been filed or is outstanding against the property. <br /> <br />7. The land described above is free of all mortgages, easements, liens and other encumbrances <br />except as specified on the attached Form A-2 (Consent to Replacement Wetland). <br /> <br />8. No judgment or decree has been entered against Affiant that remains unsatisfied. <br /> <br />9. Affiant has not filed a bankruptcy petition nor had one filed against him under Title 11 of <br />the United States Code. <br /> <br />Page 1 of2 <br />BWSR_Form _ WCA _ Replacement_12(Aff_Landowners).doc <br /> <br />(April 2003) <br /> <br />Lo~ <br />