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Hennepin County Government Center <br /> June 30,2003 <br /> Page 2 <br /> Municipal Code: 38 Tax Year: 2004 <br /> (1/1/03-12/31/03 applicati riod) <br /> .e� r �� ' _ <br /> Signature o ee Owner(s) Signature o ax Payer(s) <br /> ��o � � <br /> P o• ga � �� <br /> Tax Payer's Address C�_ 4_ _ _ ��� y�Ill <br /> �. <br /> ,�s3 z3 <br /> ❑ 1—Pending Combinations(Deputy Clerk) �1—Street File(Letter Only) ❑Zoning File(If Result of Zoning Applicallon) <br />