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SD Form 962 (Rev. 11/76) APPLICATION BY GOVERNMENTAL SUBDIVISION FOR CONVEYANCE OF TAX-FORFEITED LANDS Under Minnesota Statutes, Section 282.01, Subdivision 1. In the Matter of the Application of City of Little Canada a Governmental Subdivision, for a Conveyance of Certain Lands. Comes now City of Little Canada (Name of subdivision) and alleges: 1. That applicant isa(a) local governmental subdivision in the State of Minnesota 2. That (b) 3. That there is situated in the County of land described as follows: (c) Ramsey. certain tax-forfeited PIN 08- 29 -22 -21 -0038 4. That said lands are (d) vacant and unimproved 5. That applicant desires to obtain said land for the following purposes and reasons: (e) ponding and drainage Wherefore applicant prays that said lands be conveyed to it for the use stated herein. STATE OF MINNESOTA COUNTY OF Ramsey City of Little Canada By Its Mayor and Its City Administrator ss. Raymond 0. Hanson and Joel R. Hanson each being first duly sworn, depose and say, each for himself, that they are respectively the Mayor and City Administrator of the City of Little Canada • that they have read the foregoing application and know the contents thereof; and that the matters stated therein are true. Page 23 Mayor City Administrator Subscribed and sworn to before me this day of 19 Notary Public, County Minn. My Commission Expires (a) State facts relative to legal organization. (b) State facts showing authorization of acquisition of land hereinafter described, by resolution of governing body or by voters, n the case may require, attaching copies of resolutions, if any. (c) Show name of Governmental Subdivision In which lend is situated. (d) Describe nature of lands, use of surroundino Drawly and other similar facts.