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Form No. 1273 - C. onu~ssion~ of Revenue Abat~mcm Form 4 <br /> <br />Appli~t's N~e City n~ ~nm~ev <br />Appli~t's S~ S~ ~r <br />Telcphon~(work) ( 612 ) ~27-~410 ~m~y, MN 55303 <br />Tclcphon~ ~om~) ( <br /> <br />D~~ON OF PROP~ ] ~y I.D. or ~el N~. ~-~25.~37 <br />S~t Ad~s (~ ~fc~nt ~ a~vc) ~ Ciw or To.ship <br /> ~ ~ Racy <br />LEG~ D~~ION O~ PROPERS: <br /> <br /> Lot 3, Bilk 2, SuOny Ponds 3rd Addition <br /> <br /> Pouchor, Mp~t. <br /> <br />GENERAL FORM <br /> <br />ABATEMENT - <br />(M.S. 375.192) <br /> <br />Applicant's Mailing Address <br /> <br />15153 Nowthen Boulevard N.W. <br /> <br />For Taxes Levied in 19 93 <br /> <br /> and Payable in 19 94 <br /> <br />I School District Number <br /> 11 / 728 <br /> <br />ASSESSOR'S ESTIMATEI) MARKET VALUE: <br /> <br />Land S Structures $ <br />APPLICANT'S STATEMEI~IT OF FACTS: <br /> <br />Total $ Class <br /> <br />The City of Rams~ received prepayment for the special assessment for Improvement Project <br />· ~ I-I3, County Fff~d #82027 on November 15, 1993, receipt #32.315. <br /> <br />APPLICANT'S REQUF~T <br /> <br />Remove from County Roll payable 1994 the special assessment for P. LN. 25-32-25-23-0037 per <br />Resolution# <br /> <br />Applicant's Signature <br /> <br />NOTE: <br /> <br />Minnesota Statutes ~988, Section 609.41 "Whoever, in making any statement, oral or written, which is required or authorized <br />by law to be made ~ a basis of imposing, reducing, or abating any tax or assessment, intentionally makes any statement as to any <br />material matter w~ch the maker of this statement knows is false may be sentenced, unless other, vise provided by law, to <br />imprisonment for n~t more than one year or to payment of a fine of not more than $3,000, or both." <br /> <br /> <br />