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t ' <br /> City Approval Form for Tax Parcel Divisions and Combinations <br /> Hennepin <br /> Hennepin County Policy <br /> When Hennepin County receives a request for tax parcel division or combination,our <br /> policy is to require notification from the city in which the parcels are located. <br /> Please complete the following information and return via email (preferred)or mail. <br /> Information needed: <br /> City of: I ©f--O fJ <br /> Contact Person:I Jeff M�A�K 4z Phone#:I Z(p3`S5l-0\00 O( 1( <br /> tp\Z-ICID -9)024 tett <br /> ' Approves C Does not approve {-' Approval not required <br /> The Following: <br /> (4' Division r Combination C Other I LAKev levo e,00 <br /> PID Number(s): Property Address(s): <br /> 1.I 0011-12-53400 12- 17 Sn 1.,Av4;u i e vu <br /> 2.100(17Z33900 11FT7-6—C ;;;;;;5 17,oil-Ku..) <br /> 3.1 I <br /> 4.1 1 <br /> Please email to: RRES.PropertylDandPlats@Hennepin.us <br /> or <br /> mail to: Hennepin County Recorder/Registrar of Titles Office <br /> Attn:Parcel Identification and Platting Unit <br /> A-500 Government Center <br /> 300 South Sixth Street <br /> Minneapolis,MN 55487 <br /> Note:This form is not required when a city resolution or other document approving the above tax <br /> parcel division or combination is submitted or recorded by said city. <br /> Version 1.0, 10/10/2014 Property Identification and Platting:612-348-3271 <br />