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STATE OF MINNESOTA ) <br /> )ss. <br /> County of ) <br /> being first duly sworn,deposes and says that he/she is the <br /> authorized representative of the governmental subdivision(applicant)named herein,that he/she has read said <br /> application and knows the contents thereof,and that the matters stated therein are true and correct. <br /> Name Title <br /> Subscribed and sworn to before me this <br /> day of , 19 <br /> Notary Public, County,Minn. <br /> My commission expires <br /> RECOMMENDATION OF COUNTY BOARD UPON APPLICATION <br /> The County Board of County,Minnesota,has reviewed the application <br /> of dated , 19 ,for the <br /> approval of a new authorized public use of certain tax-forfeited land described therein.The county board <br /> recommends that this application be: rejected granted <br /> Signature(for the County Board) Date <br /> OFFICE OF THE COMMISSIONER OF REVENUE <br /> St.Paul,Minn., , 19 <br /> Upon due consideration of this application,it is ordered that it is hereby: rejected granted <br /> Commissioner of Revenue <br /> By <br />