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<br />Anoka County Division of Property Records & Taxation Abatement Form 7 (Rev 2/95) <br /> <br />APPLICATION FOR ABATEMENT - 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: City ofCenterville Applicant's Mailing Address: <br /> 1880 Main Street <br />Applicant's Social Security Number: Centerville, MN 55038-9497 <br />Applicant's Telephone Number: 651-429-3232 <br />Date of Application: December 9, 2008 <br />DESCRIPTION OF PROPERTY Lot 17, Property I.D. or Parcel Number: R23-31-22-33- <br />Block 2, Hunters Crossing 2nd Add., Phase I 0070 <br />Street Address (if different than above) 1685 City or Township: School District Number: <br />Dupre Road Centerville 12 <br /> <br />07 <br />08 <br /> <br />LEGAL DESCRIPTION OF PROPERTY: Lot 17, Block 2 Hunters Crossing 2nd Addition, Phase I <br /> <br />APPLICANT'S REQUEST: <br />Include fund number & amount due for payable tax year being abated, not total principal amount. <br /> <br />FUND #83879 <br /> <br />$2,691.54 - 2007 <br />$2,691.54 - 2008 <br /> <br />Applicant's Signature <br /> <br />Date <br /> <br />NOTE: Minnesota Statutes 1988, Section 609.41, "Whoever, in making any statement, oral or written, which is required 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 fine of not more than $3,000 or both." <br />The following accurately reflects both existing and proposed amounts <br /> <br /> Tax Special Waste Penalty Interest Costs Total <br /> Assessments Fee <br />Original <br />Proposed <br />Reduction <br /> <br />o <br />o <br /> <br />Tax is Paid Date: <br /> <br />,20_ <br /> <br />o Equal Annual 0 Abatement <br />o Declining Balance 0 Increase <br />o Flat Tax <br /> <br />Tax is NOT Paid <br /> <br />L <br />