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PT Form 975 (Revised 11/99) Minnesota Department of Revenue <br />Reconvevance of Forfeited Lands to the State of Minnesota <br />By a Governmental Subdivision <br />Under Minnesota Statutes, Section 282.01, Subdivision 1d <br />State Deed Tax Due Hereon: 51.70 <br />WHEREAS, pursuant to Minnesota Statutes, Section 282.01, Subdivisions I a to I c, the State of Minnesota, on the 7th <br />day of July , 1978 , conveyed to City of Little Canada , a governmental subdivision of the State of Minnesota <br />(hereinafter "Governmental Subdivision "), by state deed numbered 155396 , the real property described below (hereinafter <br />"Property ") to be used for an authorized public use, and <br />WHEREAS, the Governmental Subdivision has either failed to put the Property to the public use for which it was conveyed, <br />or has abandoned the public use for which it was conveyed, and now desires to reconvey the Property under Minnesota Statutes, <br />Section 282.01, Subdivision Id to the State of Minnesota, to be held in trust according to Minnesota Statutes, Section 281.25, <br />NOW THEREFORE, the Governmental Subdivision, pursuant to said laws, and pursuant to the duly adopted resolution of <br />its governing body number , dated , does hereby grant and convey the <br />property in the County of Ramsey , described as follows, together with all appurtenances thereunto belonging: <br />Subject to easements and (except the Northeasterly 75 feet of part Southwesterly of a line running Southeasterly 28 degrees 19 minutes <br />to right from extended North line of Nordstrom's Twin Lake Addition) at a point thereon 1089.03 feet East from West line of <br />Northwest 1/4 of Southeast 'A, part of South 20 feet of North 457,75 feet of said Northwest 1/4 of Southeast 1/4, Easterly of said Addition <br />in Section 31, Town 30, Range 22 <br />PIN: 31- 30 -22 -42 -0019 (A) <br />to the State of Minnesota, to be held in trust as provided by Minnesota Statutes, Section 281.25, upon like conditions and with If <br />effect as if the Property had not been conveyed to the Governmental Subdivision for a public use. <br />STATE OF MINNESOTA <br />County of <br />) ss. <br />(Name of Governmental Subdivision) <br />By: <br />Signature Tide Date <br />By: <br />On this day of <br />and <br />the <br />Signature <br />Title Date <br />respectively <br />and the of the governmental subdivision <br />named in the foregoing instrument, appeared before me and acknowledged that they executed the same as the free act and <br />deed of said governmental subdivision pursuant to the statutes in such case made and provided. <br />Notary Date <br />- 1 4 - <br />