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HC 227(6-82) APPLICATION AND AUTHORIZATION FOR DEFERRAL . OF SPECIAL ASSESSMENTS 15 M.S. 435.193 L the Lm Tired reside at State of Minnesota County of Hennepin APPLICANT: y a mttrau4 hatlityo ear copies f this application to tha owner of the nmparty 11 beract =Toners as: (Give legal 8-14-07 That I am not loss than 65 years of age and that the date at hey birth is That I than ranted because of permanent and total disability Addition Name: '.Murray Heights Addition to Minneapolis Lot: 041 Block: 006 O Additional Sheet Attached That my interest in the ownership of the above property was acquired on May 1st 19 95 and is as follows: ®SOLE OWNERSH IP OTHER UNDIVIDED INTEREST — Specify (JOINT TENANCY — HELD WITH That on January 2, 192907 or June 1, 19200. 7, I owned and occupied the above property as my homestead and that such occupancy began on May 1st _1925 That the assessment charges duly adopted by ordinance which have been allocated against the subject property would createundue personal hard ship on my behalf.and I respectfully request that payment be delayed and that such taxes be deferred. CANT: Complete unshaded areas — For assistance contact your municipal clerk. Notorial Stamp or Seal STATEOF MINNESOTA County of Hennepin ____ The foregoing instrument was acknowledged before me this 14th-- day of nn91-15t 19203 -Bye — Applicant) Signature of Notary Notary Public, My commission exr County, Minnesota I certify the above to be true and correct. (Signature of Applicantl AUTHORIZATION Barbara J. Suciu Clerk of the City of St. Anthony in Hennepin County, State Minnesota, do hereby certify that this application has been duly reviewed and that in accordance with the minutes of official record in said than hers was duly ® APPROVED = DENIED as of 19— (Seal) That in accordance with approval ranted that the taxes on the affiants subject property levied for collection as described should be so date red in the TOTAL AMOUNT Od compounded at the additional interest rate of 5_95 % until such time as it is deemed the app) cant no longer qualifies or the pro er y osas tts eligibility. Clerk or Date of Approval._ 8/14/07 Authorized Deputy ORDER OF DEFERRAL flEGISTER OF DEEDS 1 certify that I have reviewed this application and that it has been duly approved and that assessment charges levied for special assessments under the subject ordi- nance have been officially deferred as stipulated by the above subdivision and re- corded in the Register of Deeds office in this county as noted, and it is so ordered. DAT;EO f ORDER COUNTY AUDITOR ORDER OF TERMINATION The above order terminated this—day of , 19 REASON: DATE OF TERMINATION I COUNTY AUDITOR Dole of Firm TotalAmt. Remaining Amt. Interest Rate i' Levy No. Annual Payment of Levy of Levy of Levy 1116838 5/15/08 5.95% _ i. r r Notorial Stamp or Seal STATEOF MINNESOTA County of Hennepin ____ The foregoing instrument was acknowledged before me this 14th-- day of nn91-15t 19203 -Bye — Applicant) Signature of Notary Notary Public, My commission exr County, Minnesota I certify the above to be true and correct. (Signature of Applicantl AUTHORIZATION Barbara J. Suciu Clerk of the City of St. Anthony in Hennepin County, State Minnesota, do hereby certify that this application has been duly reviewed and that in accordance with the minutes of official record in said than hers was duly ® APPROVED = DENIED as of 19— (Seal) That in accordance with approval ranted that the taxes on the affiants subject property levied for collection as described should be so date red in the TOTAL AMOUNT Od compounded at the additional interest rate of 5_95 % until such time as it is deemed the app) cant no longer qualifies or the pro er y osas tts eligibility. Clerk or Date of Approval._ 8/14/07 Authorized Deputy ORDER OF DEFERRAL flEGISTER OF DEEDS 1 certify that I have reviewed this application and that it has been duly approved and that assessment charges levied for special assessments under the subject ordi- nance have been officially deferred as stipulated by the above subdivision and re- corded in the Register of Deeds office in this county as noted, and it is so ordered. DAT;EO f ORDER COUNTY AUDITOR ORDER OF TERMINATION The above order terminated this—day of , 19 REASON: DATE OF TERMINATION I COUNTY AUDITOR