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t' . tad �'�§'L � 5 T. i2, rQ,:-'+f •. , +kLk V <br />If .f+a'"vii.5 _� yn', i. tr: qq;y;K•r' fti ..f.• c. y <br />,APPLICATION ,AND AUTIVRIZATION"FOR DELAYED I <br />0 -SPECIAL ° ASSESSMENTS -FOR SENIOR CITIZII�h <br />f 206 <br />LAWS .1974, :CHAPTER <br />;' KENNESOTA <br />oun. O, Ramses' <br />i <br />:ftkr&,r%+ of 'Prn1ngr+:4 rpwmtion..Rams ev County. Minneso, <br />lax <br />A� <br />T ' TAg <br />�., <br />ka" p� n <br />' HOMESTEAD <br />j //•! <br />Date '� - G, <br />/...�� <br />ly <br />� �Y I<lt�v PVi <br />19 Y <br />-r <br />a <br />- <br />the undersigned, .declare under penalties of perjury: <br />`hate I. reside at <br />'hat'.I am :not less than 65 years of age and that the date of my, birth is <br />'hat If amz the owner -of the property legally described as: <br />i..t ,. .,i 1•! <br />'ro ert Iden.tification': No <br />'had: icy interest in .the: ownership of the above property was acquired on <br />19 ° s <br />►nd ``is `as Ifollows::*' <br />A. <br />.•Sole 'ownership (Enter yes, i, applicable)_- <br />2: Joint 'tansy, held with <br />Other :undivided interest Specify <br />r <br />on 'January �, 19 or June 1, 19 I o�rned and occupied .the above property ast <br />►oateg�.ead grid such .occupancy began on 19 r <br />%at the installments .,for. improvements on the special assessments duly adopted in <br />ordinance -Y <br />►y''the Council of the City of Little Canada as of Septa <br />25 19 67 . � <br />in•,i,l <br />' .Ye een a o.cat agaxns t e 'sub ec_ grope y wo create undue persona <br />►n qq behalf. and I respectfuly request that payment be delayed and that such, :installments <br />be r L <br />'o''d'eier'.redfor°'the years `19 to 19 <br />. r / 4i3 <br />t Signed <br />Owner <br />e <br />- i <br />I ,Joseph Chlebec City of j.ittle Canada °LL Cr <br />Clerk of the <br />State of Minnesota do hereby certify that the <br />ny. County, Y Y <br />above named has been duly reviewed and that in u <br />fpP .cation.' of . � � Y .: <br />Lccordance with. the u es o o icia record in said chambers was duly ' APPROVED or <br />:DENIED ° as 'of. . 3 <br />F, ct.'1 <br />. , . ,, •.- <br />`hat, in accordance with approval granted, the special assessments listed below on the affiante <br />:ub' sect ro pert levied for annual collection in the amounts and for t_ tie ears shown, be so , x _ <br />�, R P y. Y J <br />!eferred wi lith interest at the annual rate shorn until such time as it is deemed the applicant <br />4 ;ranger qualifies or the .property loses its e.1igibility. <br />Years. of , <br />Name of <br />Auditors D/P Total Collection Interest ; <br />Number No . Amount (Inclusive) Rate <br />0425 0032 $ 1,842.00 29 6% <br />r;� L <br />Clerk's exhibit no 61.2 <br />' 04, <br />Meeting 10.13-76 <br />f <br />CCI ork or Autho razed Devutw <br />