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APPLICATION FOR ABATEMENT/ADDITION OF - SPECIAL ASSESSMENTS <br />For Taxes Assessed in 2 009 <br />and Payable in 20 <br />Please print or type. <br />Applicant/ Owner-Jef ray -Nosh— I Applicant/ Owner Mailing Address <br />1880 Main Street for 7238 Main Street <br />Applicant/ Owner Telephone Number_65142- I I Centerville, MN 55038 <br />t <br />Date of Application 02 -23 -10 <br />DESCRIPTION OF PROPERTY I Property I.J. or Parcel Number R#14- 31 -22 -33 -0001 <br />Street Address (if different than above) I City or Township School District Number <br />12 <br />LEGAL DESCRIPTION OF PROPERTY <br />APPLICANT'S STATEMENT OF FACTS <br />Resident was allowed to make payment in full for Principal Remaining subsequent to November 15, 2009. Ck #2703, Receipt #6091 - $1,662.97 <br />APPLICANT'S REQUEST <br />Include fund number & amount due for payable tax year being abated, not total principal amount. <br />Fund #83576 2010 - $645.30 <br />2011 - $645.30 <br />2012.$645.30 <br />Applicant's Signature Date <br />NOTE: Minnesota Statutes 1988, Section 609.41, "Whoever, in making any statement, orator written, which is required or authorized bylaw to be made as <br />a basis of imposing, reducing or abating any tax or assessment, intentionally makes any statement as to any material matter which the matter of <br />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 fm <br />not more than $3,000, or both." <br />