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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 Cit y n___,t rentemir n <br />Applicant/ Owner Telephone Numb sct- eg o -mv <br />Applicant/ Owner Mailing Address <br />City of Centerville on Behalf of Owner <br />Date of Application 03 -10 -10 <br />DESCRIPTION OF PROPERTY <br />Street Address (if different than above) <br />1630 Hunters Ridge Lane <br />LEGAL DESCRIPTION OF PROPERTY <br />Lot 21, Block 2 Hunters Crossing 3' Addition <br />Property I.D. or Parcel Number <br />City or Township <br />Centerville <br />R#26- 31 -22 -22 -0049 <br />School District Number <br />12 <br />APPLICANT'S STATEMENT OF FACTS <br />Special Assessment was paid in full on July 6, 2009 and City staff did not request removal from Anoka County Assessment Roll Records for the <br />2010 assessment process. <br />APPLICANT'S REQUEST <br />Include fund number & amount due for payable tax year being abated, not total principal amount. <br />84120 2010 $2,017.98 <br />2011 $2,017.98 <br />2012 $2,017.98 <br />2013 $2,017.98 <br />2014 $2,017.98 <br />2015 $2,017.98 <br />2016 $2,017.98 <br />Applicant's Signature <br />Date <br />'DOTE: 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 the <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 fine of <br />not more than $3,000, or both." <br />