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<br />A-. COUDly DiYisioo ofi'roJlc"tY R_ '" TUlIIioo _ Form? (Rev 2/95) <br /> <br />APPUCATION FOR ABATEMENT - SPECIAL ASSESSMENTS <br />(M.S. 375.192) <br /> <br />County Auditor's Number For Taxes Assessed in 2 <br /> And Payable in 2 <br />County of Anoka <br />Applicant's Name: City of CenterviUe Applicant's Mailing Address: <br /> 1880 Main Slreet <br />Applicant's Social Security Number: Centerville, MN 55038.9497 <br />Applicant's Telephone Number: 651-429-3232 <br />Date of Application: January 29,2008 <br />DESCRlPTION OF PROPERTY Lot 2, Property 1.0. or Parcel Number: RI4-31-22-31- <br />Block 2, Peltier Preserve 0043 <br />Street Address (if different than above) 7320 City or Township: School District Number: <br />Peltier Circle Centerville 12 <br /> <br />007 <br />008 <br /> <br />LEGAL DESCRIPTION OF PROPERTY: Lot 2, Block 2 Peltier Preserve <br /> <br />APPUCANT'S REQUEST: <br />Include fund number & amount due for payable tax year being abated. not tdal principal amount. <br /> <br />FUND #84209 <br /> <br />$753.78 - 2008 <br /> <br />Applicant's Signature <br /> <br />Date <br /> <br />NaTE: Mion..... Stalules 1988, Sectiotl609.41, "Whoever, io mlltios My stalemco~ on! or writteo, _ is required orlulborized by low <br />'" be IUIdc IS. bosis of iq>osin& roducios or oboIios ony tux or "--', _y _ ony ...- IS" ony -.nat <br />_ _ the _ of.... _ kno... is lid.. my be _. unless odIcrwiso provided by law, 10 ~ i.- noI <br />mon: tbon 0De)'Qf or" payment of. fideofnol mon: dIoDSJ,1lOO or _" <br />The following accurately reflects both existing and proposed amounts <br /> <br /> Tax Special Waste Penalty Interest Costs Total <br /> Assessments Fee <br />Oritrinal <br />Prooosed <br />Reduction <br /> <br />Tax is Paid Date: <br /> <br />.20_ <br /> <br />o Equal Annual <br />o Declining Balance <br />o Flat Tax <br /> <br />o Abatement <br />o Increase <br /> <br />o <br />o <br /> <br />Tax is NOT Paid <br /> <br />REPORT OF lNVESTIGATION <br />