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APPLICATION AND AUTHORIZATION FOR DELAYED PAZlWT OF TAX <br />ON SPECIAL ASSESSMENTS FOR SENIOR CITIZENS I HCFMTFAD <br />LAWS 1974, CHAPTER 206 <br />STLTE OF MINNESOIA /l p <br />County of Ramsey Date 7 p 19 <br />To: Department of Property Taxation, Ramsey County, Minnesota <br />I, the undersigned, declare under penalties of perjury: / <br />That I reside at 4/:::76� C; cgR"A/ Ar/L', ;CirTtE <br />That I as not less than'65 years of age and that the date of <br />my birth is /�98 <br />That I am the owner of the property legally described as: E/o.SS 42l7/i/ON /✓ae f'i' of <br />9T. V-A c A Dd, ACID fo l- EX SI.Sb rT L ✓owg `r <br />-x- <br />Property Identification No. S3 Pi` 7 /0-4-o -a 02 <br />That aV interest in the ownership of the above property was acquired on <br />and is as follows: <br />1- Sole ownership (Enter yes, if applicable) ,E-5► <br />2. Joint tenancy, held with <br />3- Other undivided interest pe y <br />t ' <br />That on January 2, 19 or June 1, 19 YL I owned and occupied the above property as my <br />homestead and such occupancy began on ? 19�. <br />That the installments for improvements on the special assessments duly adopted'in ordinance <br />by the of - as of 19 <br />which have been allocated agains t the'subject property would crea a undue perso p. <br />on my behalf and I respectfully reouest that payment be delayed aannd� that a ch Pmtallments be <br />978 so deferred for the years 1to 19 199E <br />En <br />Owner <br />CITY Of LITTLE CANADA <br />i <br />I, Joseph G. Chlebeck , Clerk of the City of Little Canada <br />in County, State of K ota, do ere —certify t the <br />appU—cationo above named, has been duly reviewed and that in <br />accordance with the minutes Of offrc=iecord in said chambers was duly x APPROVED or <br />DENIED as of AuaL30-77 <br />That in accordance with approval granted, the special assessments listed below on the affiants <br />subject property levied for annual collection in the amounts and for the years shown be so <br />deferred with interest at the annual rate shown until such time as it is deemed the applicant <br />no longer qualifies or the property loses its eligibility. <br />of <br />Name 5Car 1450-083-02 Auditors A/P Toted Collection Interest <br />Assessment Faber No. Amount Inclusive Rate <br />76-8 (Wtr) 1653 1653 $ 1,407.56 15 8 5 <br />.Dated Oct 4 19 77 <br />or c or Authorized Deputt' <br />Clerk's exhibit A1217 <br />Meeting-8-3o-?7 <br />