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SG Form 962 <br />6a6 1 -5C0 -5 2 Off 217 - -msc <br />APPLICATION BY GOVERNMENTAL SUBDIVISION FOR CONVEYANCE OF TAX - FORFEITED LANDS <br />Under Minnesota Statutes, Section 282.01, Subdivision I. <br />In the Matter of the Application <br />of <br />a Governmental Subdivision, for a <br />Conveyar.'e of Certain Lands. <br />Comes now <br />and alleges: <br />h That applicant is a (a) <br />`.Nag >..bdiv on_; <br />2. That (b) <br />7. That. there is situated in the County of <br />land described as follows: (c) <br />•.;ertain tar- forfe!ted <br />4. iliac said lands are (d) <br />11. That applicant desires to obtain said land for the Col1osing purposes srnd reasons: <br />%herefore applicant prays that said lands be conveyed to it for the use stated herein, <br />STATE OF MINNESOTA <br />COUNTY OF <br />ss. <br />3v <br />its <br />and <br />Its <br />each being first dpi}' sworn, depose and say, each for himself, that they are respectiael : the <br />and of the <br />1 ;.he foregoing application and know the contents thereof; and that the matters stared <br />La) State facts relative to le0a1 erganizatica. <br />(0' <br />State voter showing a the ac *seaay ieq of , attaching <br />or by voters, s, as the case may require, attaching <br />icl Show name of Governmental subdivision is which 1 <br />(41 Describe nature of lauds, use of surroundin- <br />le1 Give statement as to the specific use to be <br />Subscribed and sworn to 'before be te <br />day of <br />raril <br />2. <br />