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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/ Owne I a____.rrTKac I Applicant/ Owner Mailing Address <br />23491 State Road 35 <br />Applicant/ Owner Telephone Numb City of Cente rville Siren, WI 54872 <br />Date of Application 04 -19 -10 J <br />DESCRIPTION OF PROPERTY Property I.d. or Parcel Number 14- 31 -22 -33 -0014 <br />I <br />Street Address (if different than above) City or Township School District Number <br />I Centerville 1 12 <br />LEGAL DESCRIPTION OF PROPERTY <br />REGISTERED LAND SURVEY NO 65 TRACT E REGISTERED LAND SURVEY NO 65 (SUBJ TO EASE AS SHOWN ON PLAT) <br />APPLICANT'S STATEMENT OF FACTS <br />Special assessment was placed on parcel in error. It should have been deferred for 5 years per agreement with the City. <br />APPLICANT'S REQUEST <br />Include fund number & amount due for payable tax year being abated, not total principal amount. <br />84343 $18,447.10 <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 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 />The following accurately reflects both existing and proposed amounts. <br />Tax Special Waste Penalty Interest Costs Total <br />Assessments Fee <br />Original <br />