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Received:Assessment Year:2024 <br />Worksheet#Payable Year:2024 <br />State <br />MN <br />State Zip State Zip <br />MN 55428 MN 55042 <br />School District #TAG <br />Applicant's Statement of Facts: <br />Applicant's Request: <br />Date: <br />S-26602705-24 11,646.00 <br />Note: Must include City/Township Resolution for reductions on assessments <br />Please remove the current assessments payable in 2024. <br />NOTE: M.S. §609.41, “Whoever, in making any statement, oral or written, which is required or authorized by law to <br />be made as a basis of imposing, reducing, or abating any tax or assessment, intentionally makes any statement as to any <br />material matter which the maker of the statement knows is false may be sentenced, unless otherwise provided by law, <br />to imprisonment for not more than one year or to payment of a fine of not more than $3,000, or both." <br />Applicant's Signature: <br />Special Assessment Project Number(s) <br />10,999.00 <br />City or Township <br />Property Address (if different from mailing address) <br />unaddressed property7100 Northland Circle N # 300 <br />S-26601705-24 <br />Property ID Number <br />25.029.21.12.0011 <br />Certified Amount Requeted to be Abated (amount appearing on property tax statement) <br />City City <br />Brooklyn Park Lake Elmo <br />WASHINGTON COUNTY TAXATION DIVISION <br />APPLICATION FOR ABATEMENT - SPECIAL ASSESSMENTS (only) <br />APPLICANT <br />Submitter Phone Email <br />5/21/2024 <br />Assessed to wrong property by mistake. <br />Clarissa Hadler 651-747-3909 <br />Owner's Mailing Address <br />City <br />Lake Elmo <br />Address <br />chadler@lakeelmo.org <br />Owner's Name(s) <br />Royal Golf Club Homeowners Association <br />3880 Laverne Avenue N Ste 100 <br />Zip <br />55042 <br />PROPERTY INFORMATION <br />1 Rev 4/21