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APPLICATION FOR ABATEMENT /ADDITION OF - SPECIAL ASSESSMENTS <br /> For Taxes Assessed in 2009 <br /> and Payable in 2010 <br /> Please print or type. <br /> Applicant/ Owner City of Centerville Applicant/ Owner Mailing Address <br /> City of Centerville on Behalf of Owner <br /> Applicant/ Owner Telephone Number MIL - 4 -3n2 _ <br /> Date of Application 03 - - <br /> DESCRIPTION OF PROPERTY Property I.D. or Parcel Number R#26- 31 -22 -22 -0049 <br /> Street Address Of different than above) City or Township School District Number <br /> 1630 Hunters Ridge Lane , Centerville , 12 <br /> LEGAL DESCRIPTION OF PROPERTY <br /> Lot 21, Block 2 Hunters Crossing 3i Addition <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 /> .� ._�. - // /O <br /> Applicant's Signature Date <br /> NOTE: Minnesota Statutes 1988, Section 609.41, "Whoever, in making any statement, oral or written, which is required or authorized by law 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 />