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i27 (s -ss) APPLICATION AND AiJTHOR'IZATION FOR DEFERRAL OF SPECIAL ASSESSMENTS . M.S. 435.'i 93 ' State of Minnesota ' County of Hennepin APPLICANT.- Submit 4 notarized copies of this application DATE to y6ur municipality or taxing district .-.-7/15/o6 PRINT•OR TYPE NAME WERE PROPERTY I.D. NUMBERS he undersigned, declare: George R. Erickson 06-•029--2.3-33-0016 That 1 am not less than 65 years of age Me at' • 2524 30th Avenue NE St. Anthony, MN 55418.X and that the date of my birth is 2/6/24 .r• rt I am the owner of the property legally d6scribed as: (Give legal description) That 1 am retired because of ' .Abstract Torrens permanent and total disability Addition: Murray Heights 2nd Unit • Block: 002 °. Metes & 13ounds: Lot 1 and that part of lot -,2, lying E of -the W 15 ft thereof Additional Sheet Attached gat my interest in, the ownership of the above property was ar_.nt,irert.nn f/'1. 1�5L d is as follows: SOS E OWNERSHIP OTHER UNDIVIDW INTEREST -- Specify =JOINT TENANCY •-- HELD WITH gat on January 2, 19,_2QQ.or June 1, 19--2006, 8/1 i owned and Qccupied the -above property as my homestead and that such orcupancy. began on .19.5-4__. . tat the assessment charges duly adopted by ordinance which have boen allocated against the subject property would create undine personal hard- ip on my behalf.and 1 respectfully request that payment be delayed and that such taxes be deferred. . • APPIrICANT: Complete unshaded areas •— For assistance contact your municipal clerk. . Levy No. Date of First Total Amt. Remaining Arta. Interest Rate Annuai Payment of Levy of Levy of Levy . 1653.2. 5/15/1x7 $6,723.62 $63723.62 6.00% torial Stamp or Seal $TATE OF MINNESOTA Hennepin The foregoing instrument was acknowledged before me this • ' �lKiQ14GMa t, �- 5 h day of July' 19ZM:t: By k n ,r - (Applicant) MYcwi�ladi�rl� �I��ure of Notary � � I certify the above to be true and correct, blic, . jQounty, Minnesota (Signature of Ap 1 cant}� i. My commission expires __ _1 r' ?.Ul� ,r � ' AUTHORIZATION Barbara J. Suciu Clerk of the, City of St . A•nthQny in Hennepin County, State of nnesota, do hereby certify that this appligation has been duly reviewed and that in accordance with the minutes of official record in said cham- rs was duly APPROVED ��] DENIED as of 19(Seel) That in accordance with approval granted, that the taxes on the affiants subject property levied for collection as described should be so defer i in the TOTAL AMOUNT OF $6 ? 723.62 and compounded at the additional interest -rate of___h QQ% until such time as it is deemed the appli- it no longer quailfies or the property loses Its eligibility. Clerk or Date of Approval Authorized Deputy ORDER OF DEFERRAL :ertify that I have reviewed this application and that- it has been duly' approved ] that. assessment charges levied for special assessments under the subject ordi- ice have been officiaily deferred as stipulated by the above subdivision and re- ded in the Register of Deeds office in this county as noted, anti it is so ordered. TE OF ORDER courv•ry Dr rnr•rncz ORDER OF TERMINATION e above order terminated this day•of 19 :ASON: TE OF TERMINATION COUNT` AUDITOR 29 REGISTER OF DEEDS I