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APPLICATION AND AUTIURIZATION FOR DRLAIE nDe T OF, TAX_ <br />ON. SPt3IAL ASS$SSORIgS 'SENIOR ,crriz 3`'"101(RSTFAD <br />TAWS 1974I dips ?.:206 <br />stags of $Dft! 0241 <br />Cot nty: of Rams <br />1oi.: Department of :Property. Taxation,: Ramsey County; Minnesota: <br />I,:the undersigned, declare under.penaltie$ of perjury: <br />That Z reside at 140.iwinr�.Lake Rd. <br />Date :5, 12? <br />173-190 <br />.... 0. <br />kt Iam not less than 65 years of- ege'and. that. the date of•ry birth it <br />;Shat I.am the owner of the property legally: d ash,:: <br />describe:: <br />.See attachement. <br />p rt r Identification No. 53- 54500 - 063 -00 <br />•Thai; tY.interlst in the ownership of the above property. was acquired. on. 11 -4 19.36 , <br />'WWII as follows: <br />1. Sole ownership (Suter yes, 1,f applicable) <br />2...Joint tenancy, held with Edelore.W. Caplette <br />3. Other undivided. interest <(Speeify) <br />• <br />• <br />That onJanuary 2, 19 76 or June 1., 79 . I owned <br />homestead and such occupancy began on 11-4 - <br />1...t the.installmeats for improvements.. on the Special <br />and occupied the above property. as m�:. <br />• :19.16 . <br />Resolution:., <br />assessments duly.adopted imeetilt awe . <br />as of 0 -4 19 <br />f L the Ca a ,. <br />e .would. create undue personar <br />be delayed.and.,that such installnara$ nip. . <br />ments be. ; <br />0 <br />- , <br />',yhtche have wen allocated against the subjec prop <br />gMtmy behalf and I respectfullyreouest.that payment <br />:.aq. :deferred for the yearn 1977 to 1985 <br />Owner. <br />I, , Clerk of the of <br />...1417: County, State of Minnesota, do hereby certify.that the . <br />:application of above named,. has been duly reviewed and that in <br />Accordance with the minutes of official record in said chambers was duly APPROVED or <br />'..DENIED as of 19 <br />That in accordance with approval granted, the special assessments listed below on the affiants; . <br />_ tbject, property levied for annual collection in the amounts and :fo.r the years shown be so• <br />:.deterred 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 />Name of Auditors <br />Assessment Number <br />San. Sew 68 -1 716 <br />D/P Total <br />No. Amount <br />33 . .$ 340.00 <br />Years of <br />Collection <br />(Inclusive) <br />15 8 Z <br />Interest <br />Rate <br />