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APPLICATION FOR ABATEMENVADDITION OF - SPECIAL ASSESSMENTS <br />For Taxes Assessed in 2 009 <br />and Payable in 20 <br />Please print or type. <br />Applicant/ Owne Name City of Centervfl i Applicant/ Owner Mailing Address <br />1 1880 Main Street <br />Applicant/ Owner Telephone Numb 651= 429 -423 1 Centerville, MN 55038 <br />Date of Application 02 -25 -10 <br />DESCRIPTION OF PROPERTY Property LD or Parcel Number R14- 31 -22 -31 -0057 <br />Street Address (if different than above) I City or Township I School District Number <br />7381 Old Mill Road Centerville 12 <br />LEGAL DESCRIPTION OF PROPERTY <br />Lot 5, Block 1 Clearwater Creek Estates <br />APPLICANT'S STATEMENT OF FACTS <br />Requested Anoka County to remove this assessment from the payable 2010 -2023 assessment roll in error. <br />APPLICANT'S REQUEST <br />Include fund number & amount due for payable tax year being abated, not total principal amount. <br />Reinstatement <br />Fund #84264 2010 <br />$529.82 <br />2011 <br />$529.82 <br />2012 <br />$529.82 <br />2013 <br />$529.82 <br />2014 <br />$529.82 <br />2015 <br />$529.82 <br />2016 <br />$529.82 <br />2017 <br />$529.82 <br />2018 <br />$529.82 <br />2019 <br />$529.82 <br />2020 <br />$529.82 <br />2021 <br />$529.82 <br />2022 <br />$529.82 <br />2023 <br />$529.82 <br />Applicant's Signature <br />Date <br />NOTE: Minnesota Statutes 1988, Section 609.41, "Whoever, in making any statement, oral or 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 />22 <br />