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p\.noKa \..,.oanty UIVISIOn 01 rroperty Kecoros "" I axauon AOatement r orm I \I~eY II'JT] APPLICATION FOR ABATEMENT - SPECIAL ASSESSMENTS (M.S. 375.192) For Taxes Assessed in 19 99 and Payable in 1999-2008 Please print or type. Applicant's Name C i t Applicant's Mailing Address Applicant's Social Security Number Applicant's Telephone Number ( 6 C) 1) 4? 9 - 3 232 City of Centerville 1880 Main Street Centerville, MN 55038 Date of Application 10-17-00 DESCRIPTION OF PROPERTY 6992 Meadow Circle Street Address (if different than above) School District Number 12 Property I.D. or Parcel Number LEGAL DESCRIPTION OF PROPERTY LOT/UNIT 5, ELK/TRACT 2 P ARKV I E~v APPLICANT.S STATE1\'tENT OF FACTS O~ March 23, 2000 the City of Centerville received payment in full from Burnett ~~~:~1~~~-~~~55~~ tOT~ati~fY the specia~ ass~ssments on Lot 5, Block 2 PIN # r rd d d.d. e.Clty of Centervllle lnaccureately updated their internal .s an 1 not notlfy the County of payment in full. APPLICANT.S REQUEST Include fund number & amount due for payable tax year being abated, not total principal amount. Fund 82840 2000 - $1,846.47 2001 - $1,846.47 2002 - $1,846.47 2003 - $1,846.47 2004 $1,846.47 2005 $1,846.47 2006 $1,846.47 2007 $1,846.47 2008 - $1,846.47 NOTE: tvtinnesota 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 ta'< 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.'~