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1_ft% <br />APPLICATION AND AUTWRIZATION FOR DELAM PA7MIT OF TAX <br />ON SPECIAL ASSESSM75 FOR SENIOR CITIZENS, H0tl 77AD <br />LAWS 197h, CHAPTER 206 <br />STATE OF MINNESOTA ) <br />County of Ramsey ; Date 19 <br />To: Department of Property Taxation, Ramsey County, Minnesota . <br />I, the undersigned, declare under penalties of perjury: That I reside at v,?(, 0 S .S r A fl K J r . <br />That I as not less than •65 years of age and that the date of a0► birth is /�� <br />That I am the owner of the property legally described as: (j W /14 <br />0 s J l`f I F_x C F 7- S- 1,r--,00A LG 7, <br />OC_ <br />Property Identification No. <br />That my interest in the ownership of the above property eras acquired on / 1S <br />and is as follows: <br />1. Sole ownership (biter yes, if applicable) q��2. Joint tenancy, held with <br />3- Other -undivided interest Spo y <br />`f 7 <br />That on Januar7 2, 19AL or June 1, 19 I owned and occapiedthe above property as u <br />homestead and such occupancy began on 19. <br />That the inBU134aents for improvements on the eeial as�ts duly adopted in o nc <br />b9 the `' ti as of 19 <br />which ve een oca agaMt the -subject props wool c� rea eeuundue per, rrs <br />on zW behalf and I respectfully request that pa0►ment be delayed and that such instaXlmnts <br />so deferred for the years 19 78 to 19 91 . <br />Signed qK-- . Ljf, <br />Owner <br />CITY OF LITTLE CANADA. <br />I, Joseph G. Chlebeck , Clerk of the City . of Little Canada <br />in Buggy County, State of Minnesota, o here c y t e <br />app ca on of Mr, La Casse above named, has been duly reviewed and that in <br />accordance withthe iMmutes Of o c record in said chambers was duly X APPRDVEID or <br />DSCD as of _ Aug. 30 19 77 . <br />That in accordance with approval granted, the special assessments listed below on the affi; <br />subject property levied for annual collection in the amounts and for the years shown be no <br />deferred with interest at the annual rate shown until such time as it is deemed the'ap,1ic; <br />no longer qua3J ies or the property loses its eligibility. <br />53-55.000-411-03 learn of <br />Name of Auditors D/P Total Collection late: <br />Assessment Number No. Aunt (Inclusive) Ra• <br />76_5 1579 1579 _ $ 1,982.67 15 years E % <br />hted .Oct-4- 19 77 <br />er o utho zed Do;cty <br />o� 4 <br />Clerk's exhibit no. <br />Meeting-8-30-7? <br />