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PROPERTY OWNER INTEREST FORM <br />VIKING DRIVE WATER MAIN PROJECT <br />Please indicate your response for each category of statements. <br />Category I: (Please check one) <br />I (We) desire the City to install water main to serve my <br />(our) property based upon the City paying 20% of the project <br />costs plus 100% of the first 200 lineal feet of water main <br />extending north of County Road B -2 along Edgerton Street. <br />Based on the engineer's estimates, this cost is anticipated to <br />be $8,742.25 per lot <br />I (We) oppose the installation of water main at an estimated <br />cost of $8,742.25 per lot. <br />Category II: <br />I (We) will sign a "Waiver of Right to Appeal Special <br />Assessments" in the amount of $8,742.25. This waiver will <br />prohibit us from appealing (contesting) our special assessment <br />pursuant to Minnesota Statutes Chapter 429. <br />I (We) will not sign a "Waiver of Right to Appeal Special <br />Assessments ". <br />Category III: <br />I (We) will deed the necessary easement(s) for this project <br />to the City of Little Canada at no cost with the understanding <br />that the City will pay for the preparation of the easements <br />and the recording of same. <br />I (We) will not grant the necessary easement(s) to the City <br />of Little Canada without compensation. <br />Signature of Property Owner(s): X <br />Property Address: <br />X <br />Please return this form in the self- addressed, stamped envelope by <br />Wednesday, April 28, 1992 no later than 12 Noon. The results of this <br />information will be presented at the Council Meeting scheduled for <br />that evening. <br />Page 9 <br />