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Attachment A <br />EXHIBIT A <br /> <br />FORM OF CERTIFICATE OF COMPLETION <br /> <br /> The undersigned hereby certifies that Jamie Crandall and Greg Tharaldson, have fully and <br />completely complied with its obligations under that document entitled “Contract for Private <br />Development”, between the Housing and Redevelopment Authority in and for the City of <br />Roseville, Minnesota and Jamie Crandall and Greg Tharaldson, dated September 30, 2014, filed <br />___________________________ as Document No. ____________________ with respect to the <br />construction of the approved construction plans at 1840 Hamline Avenue, Roseville, MN 55113, <br />legally described as NW ¼ of SE ¼ of Section 15, Town 29, Range 23 and is released and <br />forever discharged from its obligations under such Contract. <br /> <br />DATED: ___________________ <br /> <br />THE HOUSING AND REDEVELOPMENT <br />Authority IN AND FOR THE CITY <br />ROSEVILLE <br /> <br /> <br /> By: __________________________________ <br /> Its: Executive Director <br /> <br />STATE OF MINNESOTA ) <br /> ) SS <br />COUNTY OF RAMSEY ) <br /> The foregoing instrument was acknowledged before me this ____ day of <br />_______________, 20__, by _________________________ the Executive Director of the <br />Housing and Redevelopment Authority in and for the City of Roseville, a public body corporate <br />and politic under the laws of the State of Minnesota on behalf of the public body corporate and <br />politic. <br /> ________________________________ <br /> Notary Public <br />This instrument was drafted by: <br />Kennedy & Graven, Chartered <br />470 U.S. Bank Plaza <br />200 South Sixth Street <br />Minneapolis, MN 55402 <br />(612) 337-9300 <br />A-1 <br />441549v2 MNI RS275-1 <br /> <br />