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SD Form 962 (Rev. 11/75) <br />APPLICATION BY GOVERNMENTAL SUBDIVISION FOR CONVEYANCE OF TAX - FORFEITED LANDS <br />Under Minnesota Statutes, Section 282.01, Subdivision 1. <br />In the Matter of the Application of <br />City of Little Canada <br />a Governmental Subdivision, for a <br />Conveyance of Certain Lands. <br />Comes now City of Little Canada <br />and alleges: <br />1. That applicant is a (a) <br />(Name of subdivision) <br />A local Governmental Subdivision in the State of Minnesota <br />4.2. That (b) <br />3. That there is situated in the County of Ramsey <br />land described as follows: (c) <br />Gervais Heights, Ramsey County Minnesota <br />East 30 feet of lots 32, 33 and Lot 34 Blk 3 <br />certain tax - forfeited <br />4, That said lands are (d) Vacant and Unimproved <br />)(5, That applicant desires to obtain said land for the following purposes and reasons: (e) <br />Roars Right —of —Way <br />Wherefore applicant prays that said lands be conveyed to it for the use stated herein. <br />City of Little Canada <br />Xey <br />Its Mayor <br />and <br />Its Manager <br />STATE OF MINNESOTA <br />ss. <br />COUNTY OF RAMSEY <br />each being first duly sworn, depose and say, each for himself, that they are respectively the MAYOR <br />and Manager of the City of Little Canada <br />that they have read the foregoing application and know the contents thereof; and that the matters stated therein are true. <br />X MAYOR <br />X. MANAGER <br />Subscribed and sworn to before me this <br />X day of 19 <br />X <br />)( Notary Public, County, Minn. <br />�( My Commission Expires <br />(a) State facts relative to legal organization. <br />(b) State facts showing authorization of acquisition of land hereinafter described, by resolution of governing body or by voters, as the case may <br />require, attaching copies of resolutions, if any. Page 1 p <br />8 <br />(c) Show name of Governmental Subdivision in which land is situated. Pa <br />(d) Describe nature of lands, use of surrounding property and other similar facts. <br />_____ _. .. .h. _..,,.. s.. 4..e .n ha mane of a,,rh lands <br />