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<br />. <br /> <br />. <br /> <br />. <br /> <br />APPLICATION FOR DEFERMENT OF SPECIAL ASSESSMENTS <br /> <br />To the City Council of City of Elk River, Sherburne County, <br /> <br />Minnesota. <br /> <br />, ANN L. OSTER <br /> <br />(Applicant) being. <br /> <br />first duly sworn deposes and states: <br /> <br />1. That Applicant'is the owner of the following described <br />real estate located in the City of Elk River, <br />Sherburne County Minnesota: 1921 MAIN STREET ELK RIVER. MINN. 55330 <br />75-413-0980 CER651D LOTS 8 & 9 BLOCK 9 PLUS EASEMENT OVER NELY <br />20 FT OF LOT 2 ETC. ORONO <br />CITY OF ELK RIVER <br /> <br />2. Pursuant to Minn. Stat. ~435.l93, eta seq. and Elk <br />River Code of Ordinances S1404, Applicant requests <br />deferral of the payment of special assessment for the <br />92129 10 YR WESTERN Improvement. <br /> <br />3. In support of this request, Applicant represents as <br />follows: <br /> <br />~ Applicant is over 65 years of age; <br /> <br />b. <br /> <br />Applicant is permanently and totally <br />disabled as follows: <br /> <br />c. Applicant's adjusted gross income is <br />$~~. <br /> <br />4. Applicant declares that the foregoing information is <br />true and correct and agrees to immediately inform the <br />Elk River City Administrator should any of the <br />foregoing information change, and agrees that if the <br />deferral is granted, Applicant will immediately upon <br />termination of the deferral pay to the City the <br />deferred assessment with interest. <br /> <br />Dated: <br /> <br />?-;25'- 93 <br /> <br />~ t (JJ;:, <br /> <br />Applicant ~ <br /> <br />Subscribed and sworn to <br />before me this "",5 day <br />of ~ cJ..... , -l-9-8-e /99:3 <br /> <br />CLe-'~_) a. t!.;u~ <br />Notary Public <br /> <br />\-. .,._-~ ~.. " <br /> <br />...~.--,-_H.~......~4"~~~. <br /> <br />.'''iI.... . Cr . l~r.'1 ~ I" -F' ""{"R i <br />i!<~~tS:J. 'L'L._::~I~. r\.~ \ii~"rl~~ ,.:.\ ~ <br />.. ;-~..,~:.:.....:,.....y:~., -) t\ ,i I.M.:" { ~u. ,:.d.... -- A.~ll"..,;.:;OL~ (.,1.. <br />\ . -. "~O' In"\: ...... 'I '''Y r! <br />;";'\;;)/' My cc;,;~.c:~~~'~' ::p~r~~ :~'i5.97 ~ <br /> <br />~~ '~~''-''.'..-_v "-::'~'.....,........J;r..,.............>..........."",,.:;.~ <br />